can i rant about something that i feel like is super important yet extremely understated? ok here goes:
heath care givers, scientists, and other health advocates oftentimes overlook the obstacle that poverty has on cancer prevention. i’m not talking about treatment, which we all know can absolutely devastate a family’s finances. i’m talking about the “simple” and “easy” day-to-day lifestyle actions that can dramatically decrease one’s risk of certain cancers, and how they can be hard to achieve when money is tight.
take sunscreen for example. sun protection is the #1 best way to decrease one’s risk of skin cancer, the most commonly diagnosed type of cancer. but sunscreen can be a luxury when that ~$6/bottle needs to be spent on food, or saved up penny by penny for utilities or rent. and take into consideration that many low-wage jobs are spent outdoors, like farm workers.
diet and exercise–other great ways to lower the risk of certain cancers (and other diseases). but the ratio of fast-food places to grocery stores with fresh produce can be extremely skewed in poorer neighborhoods. and then think about how much $5 can buy in terms of fresh vegetables and fruits (and then other ingredients to cook them with, along with the utilities to keep them fresh/cooked well) vs items from the dollar menu at mcdonalds. i see so many ads calling for the “mediterranean diet” to prevent cancer, and i always think… ok that’s pricey. fish is pricey. also if i was someone who worked a labor-intensive job, and only had $3 to spend on lunch, would i go for a low-calorie salad, or a high-calorie high-protein burger?
and trying to jog through unsafe streets, without access to nearby and well-maintained parks? not easy.
and then there’s cancer prevention routines at the clinic–like mammograms and pap smears and visits to the dermatologist to get a mole checked out. covered by insurance or not, these procedures involve having that time off from work/other responsibilities, and having the transportation to get to the clinic. again, very real obstacles for those who can’t afford them.
none of what i’m saying here is new, nor is it isolated to just cancer prevention. talk to anyone experiencing or has experienced poverty about these concerns and they’ll say “well duh”. but the thing is that we–the people advocating for these “simple” cancer/other disease prevention strategies–are not listening to them and making the necessary changes to society. all i hear from scientists and doctors is “prevention is key!!!” and yes, that’s true, but i want to yell back “well what are you doing to address the societal and financial barriers to that!! your fancy DNA test to detect cancer early is neato and all but can everyone afford it!!!”
and i get it. sometimes we as scientists and doctors can’t really have control over this (money has to come from somewhere, and we all have mouths to feed). but as a society, a community of people who can care for others, there are things we can do: raise minimum wage. have better employee benefits like more personal time off (to go to clinics). expand public transportation. have affordable universal healthcare. aliquot more government spending on scientific research to offset costs. promote neighborhood gardens, parks, better infrastructure (without gentrification). end the cycle of poverty and crime by means other than prison (like reaching out and understanding mental health needs, improving public education, etc). basically make the fundamental changes to society so the downstream effect is that people can realistically afford positive impacts to their health.
bottomline: we can’t hope to prevent or cure cancer–or any other disease–until we address affordability and accessibility. a new diagnostic test is sweet and all, but it does absolutely nothing if it can’t actually help people.






















