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03/24/2015 @ 2:56 pm
This article raises serious questions about the efficacy of attempting to avoid cancers through radical surgical procedures. First of all, there is the cost. A standard mastectomy costs anywhere from $15,000 to $55,000 depending upon the extent of the surgery and the extent of the cosmetic reconstruction required. Insurance carriers, when they allow the elective surgical procedure at all, may require a co-payment of up to 50% of the cost. While some hospitals offer cash customers up to a 30% discount, that still leaves the uninsured patient as much as $38,500 in out of pocket costs…and if they had that much money lying around, they could have bought into a health insurance plan for far less than that. A radical hysterectomy – the only kind that makes sense in this situation -can cost another $21,000. Between the preliminary testing, follow-up tests, surgical procedures, reconstructive surgery and follow-up care, the total cost of Angelina Jolie’s treatment would come to approximately $75,000, and first class care in a private clinic would double that figure. Ultimately, therefore, operations like the ones that Angelina Jolie had are out of reach for a significant percentage of American women, not to mention women in other countries where such care is often not available. This is indicative of the worsening class system in American medicine that boils down to getting only the care you can afford….and that often isn’t good enough. There are way too many middle class women who simply cannot afford the time off from work, the home care, and the risk of expensive complications. I know that, because I live with someone who has the gene but we cannot afford the treatments. Sometimes, ignorance is bliss.