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Cancer Health Disparities

LGBTQ Patients With Cancer

Recognized by the National Academies of Medicine as a population vulnerable to health disparities, people who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) experience specific health disparities, including limited access to health care, increased risk for certain disease types, and an inherent bias in the health system.

Cancer Health Disparities

Nurses Address Barriers to Care Through CoC’s Revised Standards

Many factors can affect the way patients access their care. But one thing is certain: if patients don’t get the care they need, their chances for success decline. To address barriers to cancer care, the American College of Surgeons’ Commission on Cancer (CoC) outlined specific, measurable actions that institutions must take.

Combination Immunotherapy

Immunotherapies have revolutionized the approach to cancer treatment by leveraging patients’ own immune systems to fight the disease. But the novel therapies have also brought an evolution in traditional treatment regimens through their combination with chemotherapy, radiation, targeted therapy, or even other immunotherapy drugs.

Cancer Health Disparities

Geographic Disparities in Cancer Care

As part of a larger understanding of the social determinants of health, geography—whether it’s rural or metropolitan, urban or suburban—plays a huge part in how patients understand, receive, and access care. Regardless of zip code, community, or travel distance, patients have a right to receive the best possible care for their cancer diagnosis. As staunch patient advocates, oncology nurses are primed to help patients navigate geographic disparities and overcome challenges they face in treatment.

Prescription Drug Proposal; COVID-19 Safety Legislation; Drug Costs Outpace Inflation

Drug pricing is a top legislative issue for Congress, and amid rising COVID-19 concerns, health policy topics are more pressing than ever. On March 5, Senator Martha McSally (R-AZ) introduced the Lowering Prescription Drug Prices for America’s Seniors and Families Act of 2020, which would allow Medicare to negotiate prices after a drug’s patent expires as well as cap out-of-pocket prescription spending for seniors at $3,100 per year.

Supreme Court ACA Case; Cancer Moonshot; COVID-19 Outbreak

As part of its focus to dismantle the 2010 healthcare law, the GOP repealed the Affordable Care Act individual mandate in 2017. Republican state attorneys general then challenged the law’s constitutionality in a series of lower court cases, and the most recent has been lingering in federal courts for more than a year. On March 2, the Supreme Court agreed to take up the issue, marking the third time the law will be heard at the highest court in the country.

Staffing Levels in Ambulatory Oncology Nursing

Convenience. Flexibility. Normalcy. Ambulatory oncology clinics deliver on those three crucially important aspects of treatment to many patients with cancer, offering expert care without a hospital stay or traveling far from home.

Title VIII Support; Trump's 2021 Federal Budget; Ineffective E-Cigarette Ban

When oncology nurses speak, people listen. An op-ed column published February 24, 2020, written by ONS member Janice Phillips, PhD, RN, FAAN, outlined the potential harm to the future of health care and the nursing profession if the Trump administration’s budget cuts are approved. As an oncology nurse, Phillips’ insights have made a difference in Washington before, and she explained that the budget cuts could target key funding for items like nursing development and workforce programs.

U.S. Food and Drug Administration (FDA)

Abandoning E-Cigarettes; Lymphedema Bill Stalls; Global Cancer Cases

Vaping pens and other electronic smoking devices were branded as step-down strategies to help the 60 million Americans who are unable to quit traditional cigarettes. The U.S. Food and Drug Administration even supported the idea initially, but research eventually showed that vaping products contain the same or higher levels of nicotine as other tobacco products and are equally as addictive.

February 24, 2020

Vaping Ban; Bipartisan Drug Plan; Tobacco Regulation Agency

Despite restrictive legislation raising the age of purchase for tobacco products to 21, vaping remains a top legislative concern, and some believe that vaping restrictions are already out of date. For nearly two decades, youth smoking rates were on the decline. After e-cigarette companies like Juul brought their products to market, those rates have seen a sharp uptick and led the U.S. surgeon general to declare a youth smoking epidemic. Although some progress has been made, the issue remains a top priority for organizations like ONS and its members.

February 17, 2020

Oncology Nursing Community

Donna Clark Was an Advocate for Compassionate Nursing Care

ONS member Donna Clark, RN, BSN, OCN®, was a dedicated oncology nurse whose impact changed the lives of countless patients with cancer for more than 30 years. Clark passed away on February 4, 2020, after a storied career as an oncology nurse and cancer survivor. Her experiences as both patient and healthcare professional allowed her to cross the gap, relate to patients, and empathize with their cancer journey. Her focus on nursing excellence left a lasting impact on the profession and resonates throughout the larger oncology nursing community.

February 14, 2020

Nurses Will Forge New Territory With Biosimilars in Cancer Care

Although cancer biosimilars have been used in European countries and in U.S. supportive care for some time, biologic medications are still new to cancer treatment in the United States. With greater support coming in at the federal level and from agencies like the U.S. Food and Drug Administration (FDA) and Federal Trade Commission, the rising biosimilar tide could soon reach a new highwater mark for healthcare professionals—and nurses specifically.

February 13, 2020

Symptom Management

Cardio-Oncology Program Monitors Heart Toxicities Throughout Survivorship

Cancer is second only to heart disease as the leading cause of death in the United States. But heart conditions overlap with cancer in more ways than mortality. Chemotherapy, immunotherapy, radiation, and the myriad medication combinations used in cancer can lead to various complications, including cardiotoxic side effects. Because of the prevalence of heart disease, many patients with cancer also present with pre-existing cardiac comorbidities.

February 11, 2020

Health Care at Iowa Caucus; FDA Biologic Market; Flavored E-Cigarette Pod Ban

The Iowa Democratic Caucus did not go as smoothly as the political prognosticators expected. Most news outlets are only reporting the level of dysfunction with a voting app that delayed the final numbers significantly, but beneath that is one truth that still rings true: Americans want solutions to their healthcare problems. Health care remained the number one policy issue for 41% of caucus attendees, an astoundingly high rate that beat every other issue handedly.

February 10, 2020

Medicaid Block Grants; Technology Addresses Nursing Shortage; Surprise Billing Deal

The Centers for Medicare and Medicaid Services (CMS) has been trying to find new avenues to implement a conservative approach to Medicaid spending at the state level. At the end of January 2020, the agency introduced a program that enables states to convert funding into block grants and determine how best to allocate health funding in their own jurisdictions.

February 04, 2020

Cancer Screening

The Value of Vigilance

Although society still hopes for that one big discovery to cure cancer, clinicians know that there’s already a tried and true method to give patients their best shot at survival: catching a diagnosis early or preventing one altogether.

February 04, 2020

Oncology Nursing Community

Nurses Most Trusted Profession for 18 Years in Row

More than engineers, accountants, professors, or police officers, nurses lead the pack when it comes to honesty and ethics, according to 2019 Gallup polling data. For 18 years in a row, nurses have been recognized as the most trusted profession in the United States—by a considerable margin, too. Ratings for nursing honesty and ethics outpaced every other profession by a wide margin, and nurses lead the next most trusted profession—engineers—by nearly 20 percentage points.

January 31, 2020

Trump's Pre-Existing Condition Record; Geography Affects Insurance Status; State Vaping Regulations

The pre-existing condition coverage component of the Affordable Care Act is a bipartisan plank that connects every policy conversation about health care. Public opinion overwhelmingly supports maintaining clauses to protect coverage for those with pre-existing conditions—like cancer—through treatment and survivorship, particularly as people change jobs and insurance companies.

January 27, 2020

NCI Budget Boost; Ending Surprise Medical Billing; Supreme Court ACA Hearing

The push and pull of budget negotiations makes for great headlines, but more important is the outcome when lawmakers finally arrive at a consensus. Earlier in December, the National Institutes of Health announced a $2.6 billion overall increase in funding, including a $297 million increase to the National Cancer Institutes (NCI), for fiscal year 2020.

January 21, 2020

FDA Vaping Regulations; CMS Scope of Practice; APPs Improve Health Care

Congress returned from the winter holiday season to an administrative announcement partially curtailing flavored e-cigarettes and vaping mechanisms. Additionally, the U.S. Food and Drug Administration (FDA) began the year with the announcement of a new policy prioritizing enforcement against certain unauthorized flavored e-cigarette products to help curb the youth smoking epidemic. However, to the chagrin of the smoking cessation community, FDA is still allowing menthol and traditional tobacco flavors to be sold as usual, and reports have indicated that teens and other underage users will still opt for traditional products if they’re available.

January 13, 2020

Patient Education

New Patient Education Formats Help Nurses Connect Patients to Individualized Resources

“An investment in knowledge pays the best interest,” Benjamin Franklin wrote. for oncology nurses and their patients, this couldn’t be more apt. Patient education is critical throughout the cancer journey, and nurses are essential to individualizing that education.

January 01, 2020

Bill to Lower Drug Costs; Surprise Medical Billing; The Fight Against Vaping

The Elijah E. Cummings Lower Drug Costs Now Act of 2019, otherwise known as H.R. 3, is a top priority for House Speaker Nancy Pelosi (D-CA). But she’s facing challenges from progressive Democrats on her left more so than the conservative Senate on her right. Watering down provisions in H.R. 3 too much will lose her the votes she needs to pass the bill in the House, but passing a bill that’s too overarching or progressive will allow Senate Majority Leader Mitch McConnell (R-KY) to refuse to take up the legislation at all.

December 16, 2019

Oncology Nursing Community

ONS Chapters Answer the Call on Giving Tuesday

After busy Thanksgiving get-togethers and frantic Black Friday, Small-Business Saturday, and Cyber Monday shopping, many people take a moment to reflect and give back to a cause that captures their passion. Dubbed Giving Tuesday, it’s a day dedicated to philanthropy and fundraising. For the first time ever, the Oncology Nursing Foundation issued a Giving Tuesday challenge to ONS chapters—a friendly competition to see which group could get the highest percentage of its membership to donate to the continued growth and excellence of oncology nursing. When all was said and done, 30 ONS chapters helped raise more than $19,000 to support the education, research, and leadership development of oncology nurses everywhere.

December 13, 2019

Prescription Medication

Drug Importation Resistance; Flavored Vaping Ban; 2020 Candidates' Health Policy

Addressing the rising costs of prescription medications is a key priority for the Trump administration. As patients struggle with the financial burden of high drug prices, the U.S. Food and Drug Administration is reviewing options to import medications from Canada at a lower cost to consumers. However, the plan has major hurdles that FDA must address before it can become a reality.

December 09, 2019

Trump Vaping Meeting; Drug Pricing Stalemate; DC Sues Juul

The vaping conversation has drawn the attention of everyone on Capitol Hill, and it’s been a contentious debate so far. Tensions were high at the White House during a meeting with smoking cessation advocates after the Trump administration decided to step back from promises to ban flavored vaping products.

December 02, 2019

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To discuss the information in this article with other oncology nurses, visit the ONS Communities.

To report a content error, inaccuracy, or typo, email pubONSVoice@ons.org.

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Chris Pirschel Former ONS Staff Writer/Producer

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