U.S. Cancer Care: Inconsistent and Often Inadequate

Many cancer patients are getting inadequate care because the quality of cancer treatment and access to it are inconsistent, the New York Times reports.
An estimated 15% to 25% of women with breast cancer don't get radiation when they should and 20% to 30% don't take antiestrogen drugs. Some women lack prescription drug coverage, fear side effects, or are never told what they need. Only half the patients who should undergo screening for colon cancer actually do so.
Patients in rural areas, small cities, and the poor are often seen by physicians who don't treat enough patients to keep their skills sharp and current. But many patients never seek a second opinion or have the wherewithal to find the kind of specialized care they need.
Some cancer organizations, for example the American College of Surgeons and the National Comprehensive Cancer Network, are addressing the issue by issuing treatment guidelines for various cancers.