# Washington State cancer patients found to be at greater risk for bankruptcy than people without a cancer diagnosis

Source: https://onco.cc/key-papers/paper-ramsey-health-aff-millwood/  
OnCo record `paper-ramsey-health-aff-millwood` (Key paper). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

Paper cited by one bottleneck page and one idea page, indexed on Europe PMC as PubMed record 23676531 and published in Health affairs (Project Hope); the citing pages link this DOI, which is how the record was matched.

## Summary

Much has been written about the relationship between high medical expenses and the likelihood of filing for bankruptcy, but the relationship between receiving a cancer diagnosis and filing for bankruptcy is less well understood. We estimated the incidence and relative risk of bankruptcy for people age twenty-one or older diagnosed with cancer compared to people the same age without cancer by conducting a retrospective cohort analysis that used a variety of medical, personal, legal, and bankruptcy sources covering the Western District of Washington State in US Bankruptcy Court for the period 1995-2009. We found that cancer patients were 2.65 times more likely to go bankrupt than people without cancer. Younger cancer patients had 2-5 times higher rates of bankruptcy than cancer patients age sixty-five or older, which indicates that Medicare and Social Security may mitigate bankruptcy risk for the older group. The findings suggest that employers and governments may have a policy role to play in creating programs and incentives that could help people cover expenses in the first year following a cancer diagnosis.

Indexed on Europe PMC as PubMed record 23676531 (DOI 10.1377/hlthaff.2012.1263). Matched by DOI alone: one bottleneck page and one idea page cite this DOI among their external links (the pages are listed under Related), and this page was written so that the citation resolves inside OnCo. No figure has been checked by an editor.

## Fields

- Kind: Key paper
- Last checked: 2026-09-22
- Tags: europepmc-ingest
- Journal: Health affairs (Project Hope)
- Year: 2013
- DOI: 10.1377/hlthaff.2012.1263
- Authors: Ramsey S, Blough D, Kirchhoff A, et al.
- What it means: One bottleneck page and one idea page on OnCo cite this paper by its DOI; this record gives the citation a page of its own so a reader can follow it without leaving OnCo. Read the abstract above alongside the citing pages listed under Related; the record was created automatically from the Europe PMC entry and its figures have not been checked by hand.
- Caveats: Matched to the citing OnCo records by DOI alone; the summary reproduces the Europe PMC abstract and no figure has been verified against the full paper.

## Sources

- Health Aff (Millwood) 2013: https://doi.org/10.1377/hlthaff.2012.1263
- PubMed: https://pubmed.ncbi.nlm.nih.gov/23676531/
- Europe PMC: https://europepmc.org/article/MED/23676531

## Connected records

- bottlenecks: [Prices and value](https://onco.cc/bottlenecks/b-drug-pricing/)
- ideas: [Screen every patient for money trouble the way we screen for pain](https://onco.cc/ideas/idea-cost-financial-toxicity-screening/)

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