Universal health insurance does not protect from financial burden: A survey of Israeli cancer patients.

Waissengrin, Barliz; Merimsky, Ofer; Emmanuel, Waller; Bar-Yosef, Michal; Mirelman, Dan; Pelles, Sharon; Wolf, Ido

doi:10.1200/jco.2018.36.15_suppl.e18898

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“…In be considered, (Oatis et al, 2009) examined the expenses resulting from cancer care that are not covered by insurance as a function of baseline household income and found that cancer-related out-of-pocket expenses disproportionately affect lower-income individuals and are primarily driven by the financial burden of copayments for medical care. Other studies also indicated a significant financial burden that is more pronounced among low income groups (Langa et al, 2004;Waissengrin et al, 2018). Therefore, the individual level, in addition to the national levels, plays an important role (Ubel et al, 2013).…”

Section: Con Clus Ionsmentioning

confidence: 98%

Out‐of‐pocket spending of deceased cancer patients in five European countries and Israel

2020

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Objective: Cancer imposes a substantial economic burden on society, health and social care systems, patients and their families. This study aims to examine the out-ofpocket spending of cancer patients in their last year of life, in six countries with health insurance system hat have a defined benefits package. Methods: Data from SHARE and SHARE End-of-Life surveys among people aged +50 were analysed. Family members of deceased persons were interviewed in order to learn about the circumstances of their relative's death. Results: The average out-of-pocket spending for health and social services during the last year of life was 4.5% of the total household income, 2.2% in the Netherlands, 4.3% in Israel, 5% in Germany, 5.1% in Austria, 5.1% in Belgium and 8.2% in Switzerland. Whereas the out-of-pocket spending on nursing home care was 7.8% of the total household income in Switzerland, in the Netherlands and in Israel it was negligible. In contrast, the out-of-pocket spending for home care due to disability surged to 5.6% in Israel and 3.7% in Austria, whereas in other countries it was very low. Conclusion: This information is important to health and social policymakers, in order to better adapt the benefits package to the patients' needs.

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