Unraveling The Cancer-Poverty Connection

Dr. Harold Freeman Helps Poor Cancer Patients Navigate Through The Health Care System

(CBS)  As the chief surgical resident at the prestigious Memorial Sloan-Kettering Cancer Center in New York, Dr. Harold Freeman could have written his own ticket, CBS Evening News anchor Katie Couric reports. Instead, he decided to set up shop at Harlem Hospital in 1967.

"It was a very big shock for me," he said, because all of his training was suddenly useless for so many of his cancer patients. It was simply too late.

"Half of the women at Harlem Hospital were incurable when they walked into the doors of the hospital," Freeman says. "The thing they had in common was that they were poor."

It was then that he began to try to unravel the connection between cancer, race and poverty.

"It means that you have poor living conditions, poor housing. It means that you have less social support. It means that you have less knowledge and education," Freeman says. "Poverty should not be an offense that is punishable by death."

So he began to offer free screenings for breast and cervical cancer. But making the tests available wasn't enough — so more than 15 years ago, he pioneered a patient navigation program that begins by encouraging people in the community to get screened ... and if necessary, finds financial assistance to help them pay for their treatment.

Fifty-three-year-old Isaac Butler was unemployed and uninsured when patient navigators from the Ralph Lauren Center for Cancer Care and Prevention convinced him to have a colonoscopy. Doctors found a cancerous polyp. In his case, charitable contributions covered the cost of his procedure.

The impact of the program can be measured by the lives it has saved. Freeman says it has helped boost the five-year survival rate for breast cancer in Harlem from 39 to 70 percent. The federal government now funds similar programs in poor communities across the country.

Freeman believes preventing and treating cancer when it's caught early not only saves lives, but money. Most of all, he says, it's the right thing to do.

"Let's have a country where we provide a basic amount of care for all people, irrespective of their ability to pay, irrespective of their culture and their race, because in the end, this is what America needs to be about," Freeman says.

But lest you think cancer unfairly discriminates only against the poor, think again. Freeman warns people in the middle class are one serious illness away from finding themselves unable to get the care they need.

"I would challenge the audience to ask this question: How many people can miss their next two paychecks without falling into poverty and uninsurance?" he says. "And so that's the kind of question we have to ask as American people. It is a question that involves all of us — our relatives, our friends, and sometimes ourselves."

[teggs72]

I am thankful that you have raised the awarness of this issue. I am a US Citizen and Veteran,husband, and father. I have a rare bone cancer , lost my job, my insurance, and about to lose my home. I think it is a shame that this is happeneing here in America. It is bad to have to fight for your life and also your home at the same time. I have tryed several organizations with no help. Dr.Freeman said "this is not just affecting the poor but the middle class as well."

Thank you

[greatful4]

I had mammogram done in January, the doctor's nurse called me to let me know that the x-ray showed a small spot,mass, fat, pylops.? So he did another more sophisticated test. Then was told it could mor likely be brest pylops,rescheduled me to come back in sis months. Okay my sisted survied brest canser only to die of lung cancer. Now I've done research and don things to stop any growing of this pylop. No caffine, chocolate, cola's. Do I seek another Doc?

[judylo1]

My sister doesn't have health insurance, we have a family history of cancer. She spent $286 for a pap smear, blood pressure check and weight check. The doctor didn't refer her to anyone. I have insurance. My doctor referred me for a colonoscopy, I had a pap smear and mammogram. What's wrong with this picture?

[cantshutup]

I agree...if there were more people like this wise, kind man the world would be a better place!

[ugal1]

A VERY big THANKS to Katie and CBS for doing a story about Dr. Freeman. I saw the story and I LOVED it! This world needs more people like Dr. Freeman! Thank You!

Sincerely,
-AZ fan of Katies and Dr. Freeman