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October 1, 2020

Oncology’s “Hockey Stick” Moment for the Cost of Cancer Drugs—The Climate Is About to Change

Author Affiliations
  • 1Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, Illinois
  • 2Value in Cancer Care Consortium, Ann Arbor, Michigan
JAMA Oncol. 2021;7(1):25-26. doi:10.1001/jamaoncol.2020.1828

July 2019 was the hottest month in the world’s history. The alarming increase in global temperature was predicted decades ago and made visible by one of the most famous graphs in history: the “hockey stick” graph showing the rise of global temperatures over 1000 years.1 Despite knowing higher temperatures were unavoidable, the world has done little to stem the inexorable rise of carbon emissions and is reaping the consequences.

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    1 Comment for this article
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    Just Talk and No Action !!
    Dilipsinh Solanki, MD | Community Practice of Hem Onc
    1. I am disappointed that the authors expressed their political attitude because they could only find the analog of climate change to introduce a serious topic in health care. They lament “the world has done nothing to address the problem of climate that was raised 1000 years ago”.

    2. Here is my analogy. YOU ARE OUR “WORLD”! You Gentlemen are respected authorities in my field. Besides that, ALL of you have been in a position of authority and leadership to effect a change. You have done so little ,it equals nothing except predicting and projecting
    the apocalypse in way less than 1000 years.

    3. I was heartened by the study Dr. Lichter reported on Zytiga: with a simple maneuver of adding low fat meal, we could cut the dose by 75% and thus the cost without detriment. When I mentioned this during a discussion where a colleague asked what to do for a patient who cannot afford full dose and does not qualify for assistance, the moderator , an “expert” rejected the idea even though I mentioned the source of my info. She of course did not have any suggestion. The program was sponsored.

    4. There are MANY agents , mostly targeted and molecular whi ch are also the most expensive that could be studied and are not. I have seen NO OTHER efforts like the Zytiga which had fewer than 200 pts ( talk about a lack of interest)!!

    5. So the World has done nothing about weather because World is not one country or one medical specialty. What is our excuse??
    CONFLICT OF INTEREST: None Reported
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