Q&A: Breast Cancer – 1 in 8 women will be diagnosed in her lifetime

Q&A: Breast Cancer - 1 in 8 women will be diagnosed in her lifetime

With U.S. Sen. Chuck Grassley

Q: Is early detection and treatment for breast cancer moving in the right direction?

A: As a lead sponsor of the bipartisan Breast and Cervical Cancer Treatment Act of 2000, I'm glad to see measurable strides indicating early detection and breast screenings are helping to lower female death rates from breast cancer. The 24-year-old federal law expanded on earlier legislation that directed the Centers for Disease Control and Prevention (CDC) to create the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). Our bill allowed states to offer patients diagnosed with cancer under this federal program to access treatment services through Medicaid. It provides a lifeline of hope for tens of thousands of patients who otherwise wouldn't be able to afford timely access to cancer screening, diagnostics and treatment. In 2023, the federal program provided cancer screening and diagnostic services to 273,989 women, diagnosing 1,761 invasive breast cancers. Although we've made progress in the battle against breast cancer, more work remains. The National Cancer Institute estimates 310,720 Americans will be diagnosed with breast cancer in 2024 and 42,250 people will lose their battle to the disease. The CDC says breast cancer is still the second most common cancer among women in the United States, following skin cancer diagnoses. Breast cancer also is the second leading cause of cancer death among women, following only lung cancer. Raising public awareness is central to advancing strides for life-saving prevention, detection and treatment.

Losing a beloved mother, wife, aunt or sister to breast cancer is a devastating loss to families in communities across the country. I encourage Iowans to check in with their loved ones. Take advantage of National Breast Cancer Awareness Month to prompt a friend or family member to make their screening appointment. Non-invasive mammography screenings can alert health care providers long before symptoms arise. A recent FDA rule requires mammography facilities to include a breast density assessment as part of a patient's medical report. Having this information can help lead to better patient outcomes. My wife Barbara is a 37-year breast cancer survivor. She credits early detection for putting her on the road to healing and recovery.

Q: What efforts have you led to help cancer patients survive and thrive?

A: From my consistent support for breast cancer research, including the Department of Defense Breast Cancer Research Program, I also steered bipartisan legislation across the finish line to enact the Lymphedema Treatment Act that closes a coverage gap for Medicare patients for physician-prescribed compression therapy items, including for breast cancer survivors. I'm a vocal champion for rural health care initiatives to ensure patients in Rural America aren't left behind, such as expanded medical residency positions to grow Iowa's health care workforce and efforts to strengthen stability and security for rural hospitals and clinics that are the safety net providers for millions of Americans. From the Senate Finance Committee, which has jurisdiction over federal health care programs, I champion policies to help ensure rural hospitals, local pharmacies and health care clinics keep their doors open for the community. I also keep the spotlight shining on market-driven solutions to reduce drug costs and lower barriers to care, such as expanding telehealth services and cutting red tape for kids with complex medical needs. Oncology patients can avoid the expense and tiring experience of a long road trip by seeing health care providers via the convenience and flexibility provided by a telehealth appointment. The bipartisan infrastructure law I supported is helping expand internet access needed for rural health clinics to provide telehealth services, including diagnosis and prescribing medicine. I've also joined a bipartisan effort to push for an expansion of Medicare coverage for telehealth services and make permanent pandemic-era telehealth flexibilities. I'll continue pushing to lower barriers to care and raise awareness so that the one in eight women diagnosed with breast cancer survives and thrives to enjoy a high quality of life for years to come.

October is National Breast Cancer Awareness Month. Free or low-cost screening services are available for eligible recipients, learn more at https://www.cdc.gov/breast-cervical-cancer-screening/about/screenings.html#IA

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