Last week, the CDC and NCI released a joint report on cancer screening that highlights the effects of healthcare disparities that exist among individuals without health insurance or access to a primary care physician. For breast cancer screening, Healthy People 2020 recommends a national goal of 81.1%; however, in 2010, the rate of screening was only 72.4%. Rates of breast cancer screening for women with no regular provider of health care and those without health insurance accounted for nearly half of that. Less severe trends are noted for cervical cancer screening; however, the disparities are even more pronounced for colorectal screening.
This story made it to a few other media outlets but probably scored about a 1.5 on the “Big News Richter scale.” It was the kind of story healthcare providers talk about with the pre-programmed resignation typical of those immersed in the battle for cure. It can be so hard to muster up the passion required to make prevention work. Look at the “Faces of Prevention.” They are healthy. They have their entire lives ahead of them. They have choices. They have time.
Now, flip the coin and take a look at the “Faces of Cure.” They have perfected the seemingly dichotomous act of balancing fight and surrender. If we haven’t been touched in our personal lives by one of them, surely we have in our work. We know them well. They are the faces and the stories that compel us to do better, work faster, accomplish more—to plant the flag and win the race.
Susan G. Komen for the Cure is unarguably iconic among the many groups driving research, policy, and outreach. America has come to count on Komen as a reliable source of information in the fight against breast cancer and a beacon for survivors. Only a few days after the CDC released its report on the state of cancer screening in the United States, Komen for the Cure announced its decision to discontinue grant funding to Planned Parenthood earmarked for breast cancer screening. The reaction to this story was immediate and vehement. In the 48 or so hours that followed, prevention was elevated to the celebrity status it deserves, and not just among healthcare providers, or policy makers, or news outlets, but by everyone—loudly. So loud that on Friday, Nancy G. Brinker, the founder of Komen for the Cure, issued a public apology reversing the foundation’s decision. This was big news.
Where will prevention go from here? I hate to imagine that the only way to get a real conversation about prevention going is to steep it deeply within the political landscape at the end of an election cycle. Prevention should be cool without controversy and without exception; however, last week prevention did the unimaginable. It sparked passionate and empowered action, stimulated a national conversation, and ultimately, got results. Last week, prevention was glamorous.
Crystal Spellman, RN, BSN, OCN®, is a research coordinator for Phase I clinical trials in hematology/oncology for the University of Cincinnati’s Experimental Therapeutics Program in Ohio and is currently pursuing her DNP in the Adult/Gerontology CNS tract at the University of Kentucky. Crystal first earned a BFA in painting from the Art Academy of Cincinnati in 2001, and brings that foundation to the art of nursing. She is a newer oncology nurse but has already found that the richness and rewards of caring for patients with cancer and their families is her passion.
Excellent post, Crystal!
Thank you for the positive feedback Joni. These are exciting times!