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Cancer treatment costs

Published (2/25/2010)
By Lauren Radomski
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St. Paul resident Robert Tisdale credits his oral cancer medication for keeping him alive. It’s the only treatment that has stopped the spread of the disease, which began in Tisdale’s kidney before metastasizing to other vital organs.

But the medication is expensive, costing Tisdale and his wife, Roxanne, $300 a month. It’s an added financial burden considering the Tisdales, parents of five, previously paid $25 monthly co-payments for Robert’s IV therapy.

“Are we going to be late on our mortgage or are we going to give the $300 for the oral medication?” Roxanne Tisdale asked the House Health Care and Human Services Policy and Oversight Committee Feb. 18.

The committee approved HF1847, which would require health plans to set equal patient cost-sharing for oral and injected or infused chemotherapy drugs. Sponsored by Rep. Patti Fritz (DFL-Faribault), the bill was sent to the House Commerce and Labor Committee. A companion, SF1761, sponsored by Sen. Linda Scheid (DFL-Brooklyn Park), awaits action by the full Senate.

Dr. Thomas Flynn, president of Minnesota Oncology, said about 10 percent of oncology drugs are administered orally. He expects that number to rise to 25 percent by 2013.

“Cancer patients should be able to work with their physicians to determine the best course of treatment for their disease,” Flynn said, “and not be put in a situation where the difference in out-of-pocket cost is such a significant factor that they are forced to choose potentially less effective treatments than would otherwise be available.”

Opponents said the legislation could result in higher premiums and even have the reverse effect of higher co-pays.

“It’s a balancing act,” said Kathryn Kmit, director of policy and government affairs for the Minnesota Council of Health Plans. “The more invisible the cost is to the patient, the more the employer will have to pay. If you pass this bill, you are making the decision to shift more of the cost of health care to the employer.”

Cecilia Retelle, manager of education and health policy for the Minnesota Chamber of Commerce, said the bill could force employers to choose between laying off employees and cutting health coverage.

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