The day before I was diagnosed with stage-four lung cancer, I had cycled 50 miles," LaPorte said. "I was having difficulty running but I could still get on my bike. So you wouldn't look at me and really know that I was in advanced terminal lung cancer. My prognosis was three to six months when I was diagnosed." She said that physicians found cancer had spread throughout her spine, liver, and left eye. Now retired from nursing, LaPorte has been in treatment for 13 months. Due to the coronavirus pandemic, LaPorte's experience of having trouble accessing routine care has become commonplace. Nationwide, there have been declines in cancer screenings as well as barriers to accessing treatment and physicians now worry that delays have led to patients arriving at their offices with advanced cancer. Now, as mammography rates are beginning to increase, many women are playing catch-up to get these vital health screenings done, which leads to another potential issue a drastic increase in workload for radiologists," Hicks wrote. "No doubt about it, we have unfortunately seen some advanced cases this year in the communities that we serve, likely due to women postponing screening." Doctors also worry that these delays in screening and care can have larger impacts on communities of color, exacerbating troubling disparities in health care that have long existed before the pandemic. We're concerned that disparities are growing, but we definitely still need time to understand the full impact of the pandemic since we're still living through it. It just takes time to get all the data, but I think what we can say is that the impact is two-fold," Dr. Laura Makaroff, the senior vice president for prevention and early detection at the American Cancer Society, told CNN on Tuesday. Number one, we definitely saw a steep decline in cancer screening at the beginning of the pandemic way back in Spring 2020, as health systems needed to adjust and not do elective procedures, including cancer screening, to attend to the acute needs of patients with Covid. Now, there's a backlog that created," Makaroff said. The second part of it is that, in addition to access to care in terms of where our health systems are and how cancer screening can be accomplished, is the impact of health insurance and employment," she said. "Communities and populations that face additional barriers to cancer screening, which includes health insurance and financial means to pay for screening, have also been impacted by unemployment and loss of employer-sponsored insurance due to the pandemic. Data from the US Centers for Disease Control and Prevention shows that Black and Hispanic people are at least twice as likely to die of Covid-19 as non-Hispanic White people and nearly three times more likely to be hospitalized. Both Black and Hispanic people are more likely than White people to be infected with Covid-19, too. Similar disparities exist for some types of cancer too as well as their risk factors.
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