Dee Edward Christopher, Pierce Lori J, Winkfield Karen M, Lam Miranda B
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Department of Radiation Oncology, Rogel Comprehensive Cancer Center, Michigan Medicine, Ann Arbor, Michigan, USA.
Cancer. 2022 Sep 15;128(18):3278-3283. doi: 10.1002/cncr.34346. Epub 2022 Jul 12.
Although Medicaid Expansion under the Patient Protection and Affordable Care Act (ACA) has been associated with many improvements for patients with cancer, Snyder et al. provide evidence demonstrating the persistence of racial disparities in cancer. This Editorial describes why insurance coverage alone does not ensure access to health care, highlights various manifestations of structural racism that constitute barriers to access beyond the direct costs of care, and calls for not just equality, but equity, in cancer care.
尽管根据《患者保护与平价医疗法案》(ACA)进行的医疗补助扩大计划已给癌症患者带来诸多改善,但斯奈德等人提供的证据表明癌症方面的种族差异依然存在。这篇社论阐述了为何仅靠保险覆盖并不能确保获得医疗服务,强调了结构性种族主义的各种表现形式,这些形式构成了除医疗直接费用之外获取医疗服务的障碍,并呼吁在癌症治疗中不仅要实现平等,更要追求公平。