Health Service Studies in the Terminally ILL Cancer Patient

  • Thomas J. Smith
Part of the Cancer Treatment and Research book series (CTAR, volume 97)


There is a crisis in both health care spending and health care quality in the United States, regardless of our ability to ignore it. Even with projections of a budget surplus by the year 2003, the plan is still to cut Medicare by $115 billion over the next five years. Cancer care costs have risen from $35 billion in 1990 to $40 billion in 1994 to one projection of $50 billion by 1996. [1][3] Of the $191 billion spent on Medicare patients in 1996, $34 billion was spent on cancer fee for service care (Personal communication, R. Lee, Accountable Oncology Associates, 1997). Nearly one third of all Medicare spending is on patients in their last year of life; although this may be medically appropriate care, those dollars cannot be spent on preventive services or chronic disease conditions for the same population.[4][6]


Clin Oncol Supportive Care Advance Directive Conventional Care Hospice Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Kluwer Academic Publishers 1998

Authors and Affiliations

  • Thomas J. Smith
    • 1
  1. 1.Massey Cancer CenterVirginia-Commonwealth University-Medical College of VirginiaRichmond

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