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But some doctors are even rationing doses intended to cure. The 10 cancer clinicians KFF Health News interviewed for this story said that, given current shortages, they prioritize patients who can be cured over later-stage patients, in whom the drugs generally can only slow the disease, and for whom alternatives - though sometimes less effective and often with more side effects - are available. We got them vaccinated, kept them safe, and now I can’t get them a $10 drug.” Isabella McDonald with her father, Brent. Our office stayed open during covid we never had to stop treating patients. “All day, in between patients, we hold staff meetings trying to figure this out,” said Bonny Moore, an oncologist in Fredericksburg, Virginia. Results from a survey of academic cancer centers released June 7 found 93% couldn’t find enough carboplatin and 70% had cisplatin shortages. “It’s just a travesty that this is the level of health care in the United States of America right now,” said Stephen Divers, an oncologist in Hot Springs, Arkansas, who in recent weeks has had to delay or change treatment for numerous bladder, breast, and ovarian cancer patients because his clinic cannot find enough cisplatin and carboplatin. “Your roof is caving in, but you want to build a basketball court in the backyard because your wife is pregnant with twin boys and you want them to be NBA stars when they grow up?” “It’s just insane,” said Mark Ratain, a cancer doctor and pharmacologist at the University of Chicago.

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Subscribe to KFF Health News' free Morning Briefing. Indeed, existing brand-name cancer drugs often cost tens of thousands of dollars a year.īut what about the thousands of patients today who can’t get a drug like cisplatin, approved by the FDA in 1978 and costing as little as $6 a dose? President Joe Biden, whose son Beau died of an aggressive brain cancer, has focused his Cancer Moonshot on discovering cures - undoubtedly expensive ones. The problem isn’t new, and that’s particularly infuriating to many clinicians. Domestic manufacturers have little interest in making them, setting their sights instead on high-priced drugs with plump profit margins. Made mostly overseas, these old but crucial drugs are often sold at a loss or for little profit. Covid-hangover supply chain issues and limited FDA oversight are part of the problem, but the main cause, experts agree, is the underlying weakness of the generic drug industry. Their decisions are likely to result in preventable deaths.Ĭisplatin and carboplatin are among scores of drugs in shortage, including 12 other cancer drugs, attention-deficit/hyperactivity disorder pills, blood thinners, and antibiotics.

Seven months later, doctors and their patients are facing the unimaginable: In California, Virginia, and everywhere in between, they are being forced into grim contemplation of untested rationing plans for breast, cervical, bladder, ovarian, lung, testicular, and other cancers.