Why Access to Rural Cancer Centers is So Critical

Imagine you’ve just received the news that you have cancer, one of the most feared diseases in the U.S. Your doctor is talking about immediate surgery and months of treatment. A million thoughts start running through your head, including the question of how you will cope. What about your job, your family, your responsibilities, your life? You’ve heard stories about how rough cancer treatment is. What if you become too debilitated to take care of yourself? Then the doctor drops another bombshell on you: Your local medical facilities do not offer the treatment you need. The nearest cancer treatment center is 76 miles away, and you’ll need to get there and back every day for weeks.

Freestanding Clinics are Threatened

Those who live in urban areas rarely give any thought to the location of medical facilities, as many have not just one but multiple excellent facilities nearby. But for those who live in rural areas, geography can be a major obstacle to getting the healthcare treatments that they need.

Over the past decade, for example, many freestanding radiation therapy centers, especially those in rural areas that may only serve a dozen or so patients a day, have been forced to close their doors. Many have not survived the government-imposed reimbursement cuts, by CMS (Centers for Medicare & Medicaid Services).  Cuts in reimbursements, coupled with the major consolidation of healthcare networks nationwide, have threatened the ongoing viability of smaller, regional cancer centers.

Unfortunately, many decision-makers do not seem to understand why it’s so important for the system to support these freestanding cancer treatment clinics. Their view seems to be that since patients can be treated at hospital-based facilities there isn’t a problem. But the vital role that freestanding cancer treatment clinics play becomes obvious when it’s your own family member who needs cancer treatment.

Freestanding Clinics Improve Access to Care

For most cancers, radiation therapy is often done five times a week for three to seven weeks. The ability to receive this near-daily treatment at a facility close to home can make a huge difference for the patient and his or her family.

Traveling to a distant location is extremely grueling for patients who are already weak and ill from treatment or from the cancer itself. With radiation therapy, some may spend two to four hours on the road each day for a treatment session that takes less than 20 minutes. If the patient is still well enough to work, much of the workday is missed. If the patient is too ill to work, disability checks may not start arriving for months. In this case, the financial hardship extends to other family members as well, as they may need to take time off from work to get the weak and exhausted patient back and forth to the treatment facility. Some may even lose their jobs in the process.

One Family’s Story

A few years ago my father, only in his mid 50’s, began losing weight–a symptom he initially ignored.  A few months later he came down with pneumonia and started having headaches. A visit to urgent care revealed a large mass on his lung that was later confirmed to be Stage 3-A lung cancer.

When my father began a four-week course of five-times-a-week radiation plus chemotherapy, he was still in relatively good shape. This was a good thing since there was no local freestanding cancer clinic located in the town in Virginia where he lived. On the days when the family’s single car was available, my father was able to drive himself back and forth to treatment 45 minutes away. Other days it was up to my mother, who was in and out of the hospital with complications of her diabetes, or my sister, who lived nearby, to take time off from work to take him there. This was a process that took close to two hours altogether.

That first round of treatment appeared successful, the tumor shrunk from the size of a baseball to 4/5ths of that. My family’s morale was high, despite the financial toll that treatment was taking.

Unfortunately, things then took a turn for the worse when we learned that the cancer had spread to his brain. The prescribed treatment was total brain radiation, once again at the facility that’s 45 minutes away. Soon after that, my father could barely walk, speak, or eat. With his condition deteriorating, getting back and forth to Suffolk was now a three-hour ordeal for which someone in the family had to miss work each day. The physical, emotional, and financial toll that this was taking on my family was enormous.

By July it became obvious that I really needed to be in Virginia to help out, as my Dad was attempting a third round of palliative radiation care on the brain in an effort to ease the pain. In less than two weeks my wife and I sold our home in Southern California, packed up, and moved East with our infant daughter. But the Monday we arrived was the last day that my father got up on his own. By that Friday we made the decision to begin hospice care, and he passed away the next day.

What Can Be Done to Support Freestanding Cancer Treatment Clinics

Keeping afloat the smaller, regional cancer centers that improve access to care for people who live in less populated areas requires money. Reimbursement rates must be kept high enough to enable these clinics to stay open and offer a full range of services to their patients. Annual lung cancer screenings are another major step in the right direction.

Reimbursement rates, however, are only half of the money equation. Costs are the other. Radiology Oncology Systems, for example, helps support these clinics by providing refurbished linear accelerators at less than half the cost of the new machines that are purchased by the large hospitals that can afford to make frequent upgrades. This refurbished equipment enables the clinics to keep their operating costs low while improving patient care with newer technology.

My father was treated with external beam radiation on a linear accelerator, coincidentally, that our company purchased from the hospital a few months after it was decommissioned.   This machine, like many other used systems, will be used to keep older machines running longer, or for other, developing regions of the world where used machines are in high demand.

Making It Personal

The need for freestanding cancer treatment centers becomes especially obvious when it’s you or a loved one who needs care. I’ve been in the cancer-fighting equipment field for two decades and have been involved in dozens of radiation oncology expansion and equipment upgrade projects. But even working at an organization that is committed to the belief that every cancer patient in the world should have access to quality radiation therapy for their treatment and care, I don’t think the impact of so many clinics going away really hit me until the issue became personal.

Seeing the toll that traveling back and forth to the treatment center took on my Dad and family – both physically and financially – made me even more committed to doing what I could to help keep the nation’s remaining freestanding cancer treatment centers afloat.