Province looks at paying for cancer drug coverage

A coalition of cancer organizations is trying to get all cancer drugscovered for patients who need the life-saving medication.

This year in Nova Scotia, more than 6,000 people will be diagnosed with some form of cancer.

In many provinces, cancer drugs are covered by the provincial government, whether the patient takes the medication in hospital or at home in pill form but not in Nova Scotia, the other Atlantic provinces and Ontario.

With drug costs ranging from a few hundred dollars per month to as high as $20,000 per month, depending on the medication, many people struggle to cope withthe financial burden associated with their illness.

Derek Caineknows this all too well. His leukemia is in remission, but he knows it will come back and he knows he will require a pill rather than IV chemotherapy for treatment.

Caine can't understand why the province won't pay for cancer drugs in pill form, but will when it is applied intravenously.

"Why am I a second-class citizen?" he said.

"Our very lives depend on this, so please look at it again. Give us the drugs that we need and pay for them."

Dr. Bruce Colwell, an oncologist at the QE II Health Sciences Centre in Halifax, is part of CanCertainty, a coalition of 35 cancer organizations, that's working to change this.

"All those patients in Atlantic Canada and the rest of the country that are paying for their chemotherapy, thats oral. Just because its by mouth, they have to pay for it. If its intravenously, they dont have to pay for it," he told CBCs InformationMorning.

In some cases, patients have a choice whether to take a pill or receive treatment intravenously.

"More often than not, you dont have a choice. The best treatment, the only treatment thats a pill. And if its the only treatment, and its a pill, well then we have to go looking for [payment options]," saidColwell.

"We have a person that theirfull-time job is [as a]medical resource specialistwe call herwho comes in, sees these patients and we try to get her to help figure out how were going to pay for this drug."

'Is it about the money? No, its about the fairness'

Colwell says itcould take as long as six or eight weeks before patients receive medication while they figure out a way to pay for it.

The price of cancer drugs varies widely, depending on the type of cancer.

For instance, kidney cancer drugs range between $5,000 and $6,000 per month. Colwell says for a family making $35,000 per year who qualifies for family pharmacare, theyre going to have to pay a co-pay of$2,600 upfront before they receive the drug.

"Another drug, for example for colon cancer, Xeloda or capecitabine that drug is about $700 every two weeks but if you look at the cost of that there is an IV equivalent of that, that can be given in hospital. Its much cheaper for the drug, but the cost of the nursing, the hospital, all that actually adds up to more. So youd be costsaving in terms of resources by giving the pill," he said.

Colwell admits expanding coverage for all treatments is costly.

"Its going to cost money, no doubt about it.Its going to cost money. Is it about the money? No, its about the fairness. Its about making it fair between that patient that cannot have IV and a patient that gets a pill. You have cancer? You should be treated the same," he said.

"Ive had patients who have considered moving to other provinces to get drugs."

Health Minister Leo Glavine says the province is looking at changing the status quo.

"It is a very,very extraordinary burden on people during one of the most stressful times," he said.