HOW MUCH CANCER COST?

When a doctor says the word cancer, a patient’s mind often enters complete shock. Then, questions emerge.

How serious? Is it treatable? What can I do? How long do I have?

Patients shouldn’t have to ask, “How much will this cost?”

But the cost of cancer is an aspect of growing importance in the conversation between healthcare providers and patients as drug prices continue to rise across the world.

Recently, the U.S. Food and Drug Administration approved a treatment for melanoma, a deadly skin cancer, which shrunk tumors in 60 percent of patients in a clinical trial yet did not cure…

The drug’s manufacturer, Bristol-Myers Squibb, will charge $141,000 for the first 12 weeks of treatment and $256,000 for a year of treatment, according to the Wall Street Journal. Experts fear the cost of the drug could keep some patients from receiving what could be the best care available.

Americans are growing increasingly irritated with the rising costs of cancer drugs and treatments.

A Kaiser Health Tracking poll found 76 percent of the public believe a top priority for the president and Congress should be making high-cost drugs for chronic conditions affordable.

Another Kaiser poll found 72 percent of Americans believe drug costs are unreasonable and 74 percent think Big Pharma cares more about profits than people.

The cost of cancer isn’t just affecting patients and their families either. It’s affecting society. Politicians offer new plans to increase votes, health institutions encourage doctors to ask patients for money and the workforce loses billions of dollars every year in lost production.

And the cost of cancer keeps rising.

Cost of Cancer on the Rise

Each year, cancer costs the world more money than any other disease, according to the American Institute of Cancer Research (AICR).

Cancer costs $895 billion annually. Comparatively, heart disease costs $753 billion. Nothing else comes close, with traffic accidents and diabetes each costing about $204 billion.

“The price for one year of life increased to $139,100 in 2005 and $207,000 in 2013.”

The biggest financial impact is in terms of loss of life and productivity, in which cancer accounts for 1.5 percent of global gross domestic product (GDP) losses. The AICR estimates Americans lost 83 million years of healthy life because of cancer deaths and disabilities in 2008.

More than half a million Americans die of cancer, the second-leading cause of death in the U.S., every year.

To breakdown the direct healthcare costs, the Agency for Healthcare Research and Quality (AHRQ) estimated cancer cost Americans $88.7 billion in 2011. Of that cost:

  • 50% came from hospital outpatient or doctor office visits
  • 35% came from inpatient hospital stays
  • 11% came from prescription drugs

And it’s getting more expensive.

A 2011 study in the Journal of the National Cancer Institute determined the cost of all cancer care in the U.S. totaled $124.5 billion in 2010. The researchers project the total could rise to $173 billion by 2020. The projected cost increase by phase of treatment is displayed in the table below.

Cost of Cancer Care in Billions of 2010 Dollars
Initial Continuing Last
2010 $40.46 $46.64 $37.45
2020 $48.31 $61.37 $48.07
Increase 19.4% 31.6% 28.3%

There doesn’t seem to be a good reason for the increase in cost though.

A 2015 National Bureau of Economic Research study found anticancer drug prices at launch increased by 10% ever year between 1995 and 2013, about an $8,500 annual increase. That’s after an adjustment for inflation and survival benefits.

When calculating the average cost for one extra year of life, the researchers determined patients and insurers paid $54,100 in 1995. The price for one year of life increased to $139,100 in 2005 and $207,000 in 2013.

Another study (2014) published in The Lancet found the costs of cancer are already unaffordable in mpst countries. In the U.S., even those with very good insurance coverage incur out-of-pocket costs or experience overexposure to harmful treatments.

Many people have no idea what to expect financially when their doctor gives them or a loved one the heartbreaking diagnosis.

Total Cost of Cancer Treatment

On an individual level, a cancer diagnosis isn’t limited to physical and emotional hardship. It can put someone in a hard spot financially too.

People are pressured to choose between more expensive treatments and less affordable treatments.

Each person’s cost to treat cancer is different. Factors to treat cancer include:

  • The type of treatment.
  • The length of treatment.
  • The location of the treatment.
  • The type of insurance coverage.

For people with health insurance, the concern might not be as great. But some insurance plans won’t cover the most expensive, sometimes most-necessary treatments.

Sadly, many cancer patients have to spend time and energy working out financial issues before treatment even begins. Others face financial struggles during treatment, and almost everyone spends precious energy trying to manage their money while recovering from treatment.

Major healthcare costs to consider include:

  • Hospital and clinic visits.
  • Medicine and prescription drugs.
  • Lab tests.
  • Treatments.
  • Surgeries.
  • Home health services.

Cost of Surgery

Physically removing a tumor during surgery is one of the more foolish ways to attempt to treat cancer. Doctors can use surgery to try and prevent, diagnose, remove, or debulk (remove as much as possible) cancer. Surgery methods include:

  • Cryosurgery: freezing cancer cells to destroy them.
  • Electrosurgery: killing cancer cells with high-frequency current.
  • Laser surgery: killing cancer cells with beams of intense light.
  • Mohs surgery: removing cancer cells layer by layer.
  • Laparoscopic surgery: minimally-invasive surgery using small incisions.
  • Robotic surgery: use of 3-D imaging and computers to operate surgical tools.

The costs per surgery vary greatly, depending on the hospital, insurance coverage and type of procedure.

A 2014 study examining the costs of surgery involving various types of cancer found average costs ranging from $14,161 to $56,587. The costs included admissions, readmissions, physician services and other costs (outpatient visits, hospice care, home health agencies or medical equipment).

Average Cost of Cancer Surgery
Procedure Cost
Colectomy (colon) $31,738
Cystectomy (bladder) $42,386
Pancreatectomy (pancreas) $56,587
Proctectomy (rectum) $33,759
Prostatectomy (prostate) $14,161
Pulmonary lobectomy $39,412

Cost of Chemotherapy

Chemotherapy is another largely ineffective and expensive way to treat cancer. It involves chemicals that kill fast-growing cells.

According to an Avalere Health study which analyzed three years of data, the adjusted (based on age, sex and prior cancer history) cost of chemotherapy differed depending on location – in a doctor’s office or hospital’s outpatient department (HOPD).

Average Cost of Chemotherapy
Office HOPD
1 Month $10,764 $13,828
6 Months $49,062 $61,661
12 Months $66,826 $102,395

The costs also differed depending on the type of cancer. The most expensive was colon cancer, which cost $45,997 in an office and $46,220 in an HOPD. The average costs for all lengths of treatment (averaging 3.8 months in an office and 3.4 months in an HOPD) ranged from $28,177 in an office to $34,973 in an HOPD.

Cost of Radiation Therapy

Radiation therapy is another form of dangerous and expensive cancer treatment. It involves the use of intense energy beams, usually X-rays, to kill genetic material. The radiation kills both healthy cells and cancer cells, so the length of treatment is usually shorter than chemotherapy.

The Avalere Health study also analyzed the adjusted cost of radiation therapies at different locations.

Average Cost of Radiation Therapy
Office HOPD
1 Month $11,472 $13,209
2 Months $23,305 $24,150
3 Months $38,732 $35,761

The costs of radiation therapy also differed by cancer type. The most expensive was prostate cancer, which cost $37,472 in an office and $29,800 in an HOPD. The average costs for all lengths of treatment (averaging 2.1 months in an office and 1.9 months in an HOPD) ranged from $25,144 in an office to $23,756 in an HOPD.

Most people think of healthcare costs when they think of the cost of cancer, but there are other costs that many don’t consider.

Hidden Costs During Cancer Treatment

Cancer affects people far more financially than they usually realize. The cost is not limited to hospital visits and clinical treatments. It often includes costs like traveling to specialized centers, lost income from having to miss work and new clothes or accessories.

Additional hidden costs include:

  • Gas and parking expenses during visits to appointments.
  • Per visit professional fees.
  • Lodging during treatment on the road.
  • Meals while away from home.
  • Child care costs.
  • Communication costs, like copies of medical records.
  • Special nutritional supplements.
  • Special equipment or clothing.

Additionally, some families hire someone to assist them with the challenges they face. They may hire someone to make meals and clean around the house.

Families often seek legal and financial guidance too. They may ask a lawyer to help them understand legal rights when dealing with employers or insurance companies, how to write a will or how to deal with medical professionals if something were to occur.

Families may seek help preparing income taxes with their new medical expenses, planning estates or granting a power of attorney.

Effect on Families

Treating cancer is often a team battle, and patients rely on the time and energy of friends and family to help them get through their challenging time.

Studies that compare caregivers of cancer patients to the general population show caregivers suffer economic ramifications. Many miss work and report work impairment. Caregivers are also more likely to suffer depression, anxiety, insomnia and migraines, requiring them to seek their own health treatment.

Unfortunately, families suffering from the loss of a loved one at the hands of cancer also have to deal with financial struggles at one of the most difficult times in their lives. Financial costs can include autopsies, funeral services, obituaries, death certificates, and settling estate and property claims.

Medical Debt from Cancer

Even with health insurance and proper financial planning, many cancer survivors or families of patients suffer from medical debt.

A study presented at the 2014 Palliative Care in Oncology Symposium found 27 percent of cancer survivors reported suffering a financial problem like debt or bankruptcy. Another 37 percent reported modifying work plans or delaying retirement.

Experts say one of the biggest financial mistakes patients make is letting bills pile up. It’s easy to do when faced with such a tragic diagnosis, but it often leads to even more problems in the future.

Individuals and families feel the financial burdens of cancer on personal levels, but it affects everyone on a larger scale.

Cancer’s Cost on Society

Cancer affects society on both global and national levels.

When pharmaceutical company CEO Martin Shkreli raised the price of a drug used in AIDS, malaria and cancer patients 5,000 percent the eyes of politicians lit up.

U.S. President Donald Trump called Shkreli a spoiled brat who ought to be ashamed of himself. Facing enormous public pressure, Shkreli dropped the price of the drug.

The cost of cancer’s effect on society isn’t limited to political discussion. Work forces across the planet feel the impact.

A 2014 study in the International Journal of Cancer estimated the cost of lost productivity from cancer deaths in Europe was 75 billion euros ($84 billion), with breast cancer costing the most of any cancer at 7 billion euros ($7.84 billion) in lost productivity.

The cost affects hospitals and other healthcare facilities too. Many institutions rely on private donors to maintain their profitability.

A recent study found almost half of doctors surveyed at 40 leading cancer centers were taught to identify patients who might be a good donor. One third of those surveyed had been asked to solicit a donation, but only half of that number agreed to do so.

The moment a doctor says the word cancer after a test or procedure, the lives of the patient and their families change. They’ll have a thousand questions to ask. They’ll wonder how much it will cost physically and emotionally.

Sadly, they’ll also have to determine how much cancer will cost financially.

  1. American Cancer Society. (2011). Coping financially with the loss of a loved one. Retrieved from: http://www.cancer.org/acs/groups/content/@editorial/documents/document/copingfinanciallywiththelossof.pdf
  2. American Cancer Society. (2014). What about cost? Will my insurance cover it?. Retrieved from: http://www.cancer.org/treatment/treatmentsandsideeffects/clinicaltrials/whatyouneedtoknowaboutclinicaltrials/clinical-trials-what-you-need-to-know-paying-for-a-clin-trial
  3. American Cancer Society. (2015). Covering the costs of cancer treatment. Retrieved from: http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/healthinsuranceandfinancialassistanceforthecancerpatient/health-insurance-and-financial-assistance-thinking-about-costs-cancer-treatment
  4. American Cancer Society. (2015). Economic impact of cancer. Retrieved from: http://www.cancer.org/cancer/cancerbasics/economic-impact-of-cancer
  5. American Cancer Society. (2015). Financial issues: Getting help with living expenses. Retrieved from:
  6. http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/healthinsuranceandfinancialassistanceforthecancerpatient/health-insurance-and-financial-assistance-living-exp-help
  7. American Cancer Society. (2015). Health insurance options for the uninsured. Retrieved from: http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/healthinsuranceandfinancialassistanceforthecancerpatient/health-insurance-and-financial-assistance-options-for-uninsured
  8. American Cancer Society. (2015). How much does radiation treatment cost?
  9. http://www.cancer.org/treatment/treatmentsandsideeffects/treatmenttypes/radiation/understandingradiationtherapyaguideforpatientsandfamilies/understanding-radiation-therapy-cost
  10. American Cancer Society. (2015). Keeping records of insurance and medical care costs. Retrieved from: http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/healthinsuranceandfinancialassistanceforthecancerpatient/health-insurance-and-financial-assistance-keeping-records
  11. American Cancer Society. (2015). Private health insurance options. Retrieved from:
  12. http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/healthinsuranceandfinancialassistanceforthecancerpatient/health-insurance-and-financial-assistance-priv-plans
  13. ASCO Post. (2014, October 22). One-third of U.S. cancer survivors may be experiencing financial or work-related hardship [Press release.] Retrieved from: http://www.ascopost.com/ViewNews.aspx?nid=19587
  14. Avalere. (2012). Total Cost of Cancer Care. Retrieved from: http://www.communityoncology.org/pdfs/avalere-cost-of-cancer-care-study.pdf
  15. Campbell, J.D., & Ramsey, S. D. (2009). The costs of treating breast cancer in the US: a synthesis of published evidence. PharmacoEconomics, 27(3), 199-209. Retrieved from: http://www.researchgate.net/publication/24264734_The_costs_of_treating_breast_cancer_in_the_US_a_synthesis_of_published_evidence
  16. Cancer.Net. (2015). Cancer and the Affordable Care Act. Retrieved from: http://www.cancer.net/navigating-cancer-care/financial-considerations/cancer-and-affordable-care-act
  17. Cancer.Net. (2015). Financial Assistance. Retrieved from: http://www.cancer.net/navigating-cancer-care/financial-considerations/financial-resources
  18. Cancer.Net. (2015). Health Insurance. Retrieved from: http://www.cancer.net/navigating-cancer-care/financial-considerations/health-insurance
  19. Cancer.Net. (2015). Understanding the costs related to cancer care. Retrieved from: http://www.cancer.net/navigating-cancer-care/financial-considerations/understanding-costs-related-cancer-care
  20. Chalkidou, K., Marquez, P., Dhillon, P. K., Teerawattananon, Y., Anothaisintawee, T., Gadelha, C. A. G., Sullivan, R. (2014). Evidence-informed frameworks for cost-effective cancer care and prevention in low, middle, and high-income countries. Lancet Oncology. Retrieved from: http://www.instituteofcancerpolicy.org/wp-content/uploads/2014/04/Evidence_frameworks_LMIHIC.pdf
  21. Diamond, M. L. (2015, October 3). Breast cancer treatment costs hard to nail down. USA Today. Retrieved from: http://www.usatoday.com/story/news/nation-now/2015/10/03/breast-cancer-costs-hard-nail/73292584/
  22. DiJulio, B., Firth, J., & Brodie, M. (2015, April 21). Kaiser health tracking poll: April 2015. Kaiser Family Foundation. Retrieved from: http://kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-april-2015/
  23. DiJulio, B., Firth, J., & Brodie, M. (2015, August 20). Kaiser health tracking poll: August 2015. Kaiser Family Foundation. Retrieved from:http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-august-2015/
  24. Hanly, P., Soerjomataram, I., & Sharp, L. (2014). Measuring the societal burden of cancer: The cost of lost productivity due to premature cancer-related mortality in Europe. International Journal of Cancer, 136(4), 136-145. Retrieved from: http://onlinelibrary.wiley.com/doi/10.1002/ijc.29105/abstract;jsessionid=1A3C0E86C9C6AA4C088F58F896360239.f03t01?userIsAuthenticated=false&deniedAccessCustomisedMessage=
  25. Howard, D. H., Bach, P. E., Berndt, E. R., & Conti, R. M. (2015). Pricing in the market for anticancer drugs. National Bureau of Economic Research. Retrieved from: http://www.nber.org/papers/w20867.pdf
  26. Kolata, G. (2015, September 28). A new effort has doctors turn patients into donors. The New York Times. Retrieved from: http://www.nytimes.com/2015/09/29/health/patients-are-seen-as-potential-donors-many-doctors-say.html?ref=health&_r=0
  27. Levy, J. (2015, April 13). In U.S., uninsured rate dips to 11.9% in first quarter. Gallup. Retrieved from: http://www.gallup.com/poll/182348/uninsured-rate-dips-first-quarter.aspx
  28. Livestrong and American Cancer Society. (2008). The global economic cost of cancer. Retrieved from: http://www.cancer.org/acs/groups/content/@internationalaffairs/documents/document/acspc-026203.pdf
  29. Loftus, P., & Winslow, R. (2015, October 1). FDA approves Bristol-Myers’s Yervoy, Opdivo for treatment of melanoma. The Wall Street Journal. Retrieved from: http://www.wsj.com/articles/fda-approves-bristol-myers-yervoy-opdivo-for-treatment-of-melanoma-1443711746
  30. Mariotto A. B., Yabroff K. R., Shao Y., Feuer E. J., & Brown M. L. (2011). Projections of the cost of cancer care in the U.S.: 2010-2020. Journal of the National Cancer Institute. Retrieved from: http://jnci.oxfordjournals.org/content/103/2/117.abstract
  31. Marken, S. (2015, July 10). U.S. uninsured rate at 11.4% in second quarter. Gallup. Retrieved from: http://www.gallup.com/poll/184064/uninsured-rate-second-quarter.aspx
  32. MayoClinic. (2014). Cancer surgery: physically removing cancer. Retrieved from: http://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-surgery/art-20044171?pg=1
  33. MayoClinic. (2014). Chemotherapy. Retrieved from: http://www.mayoclinic.org/tests-procedures/chemotherapy/basics/definition/prc-20023578
  34. Mayo Clinic. (2014). Radiation therapy. Retrieved from: http://www.mayoclinic.org/tests-procedures/radiation-therapy/basics/definition/prc-20014327
  35. Merica, D. (2015, September 22). Clinton takes on ‘profiteering’ drug companies. CNN. Retrieved from: http://www.cnn.com/2015/09/22/politics/hillary-clinton-drug-companies-obamacare/
  36. Meropol, N., J., & Schulman, K. A. (2007). Cost of cancer care: Issues and Implications. Journal of Clinical Oncology, 25(2), 186-186. Retrieved from: http://jco.ascopubs.org/content/25/2/180.full
  37. Nelson, R. (2012, September 28). ‘Important’ New Studies on Burden of Cancer in Europe. Medscape. Retrieved from: http://www.medscape.com/viewarticle/771778
  38. Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 (2010).
  39. Phillips, A. (2015, September 24). U.S. President Donald Trump just went after Martin Shkreli. Why in the world isn’t the rest of the GOP?. The Washington Post. Retrieved from: http://www.washingtonpost.com/news/the-fix/wp/2015/09/22/americans-are-outraged-over-jacked-up-prescription-drug-costs-and-the-gop-is-missing-its-window/
  40. Silverman, E. (2015, January 21). High prices for cancer drugs are set at launch: ‘It’s where the action is’. The Wall Street Journal. Retrieved from: http://blogs.wsj.com/pharmalot/2015/01/21/high-prices-for-cancer-drugs-are-set-at-launch-its-where-the-action-is/
  41. Walter, J. K., Griffith, K. A., & Jagsi, R. (2015). Oncologists’ experiences and attitudes about their role in philanthropy and soliciting donations from grateful patients. Journal of Clinical Oncology. Retrieved from: http://jco.ascopubs.org/content/early/2015/09/28/JCO.2015.62.6804
  42. Witters, D. (2015, August 10). In U.S., uninsured rates continue to drop in most states. Gallup. Retrieved from: http://www.gallup.com/poll/184514/uninsured-rates-continue-drop-states.aspx
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SECTION 5 – OPTIONAL TOOLS

Any use by you of optional tools offered through the site is entirely at your own risk and discretion and you should ensure that you are familiar with and approve of the terms on which tools are provided by the relevant third-party provider(s).

We may also, in the future, offer new services and/or features through the website (including, the release of new tools and resources). Such new features and/or services shall also be subject to these Terms of Use.

 

SECTION 6 – THIRD-PARTY LINKS

Certain content, products and services available via our Service may include materials from third-parties.

Third-party links on this site may direct you to third-party websites that are not affiliated with us. We are not responsible for examining or evaluating the content or accuracy and we do not warrant and will not have any liability or responsibility for any third-party materials or websites, or for any other materials, products, or services of third-parties.

We are not liable for any harm or damages related to the purchase or use of goods, services, resources, content, or any other transactions made in connection with any third-party websites. Please review carefully the third-party’s policies and practices and make sure you understand them before you engage in any transaction. Complaints, claims, concerns, or questions regarding third-party products should be directed to the third-party.

 

SECTION 7 – USER COMMENTS, FEEDBACK AND OTHER SUBMISSIONS

If, at our request, you send certain specific submissions (for example contest entries) or without a request from us you send creative ideas, suggestions, proposals, plans, or other materials, whether online, by email, by postal mail, or otherwise (collectively, ‘comments’), you agree that we may, at any time, without restriction, edit, copy, publish, distribute, translate and otherwise use in any medium any comments that you forward to us. We are and shall be under no obligation (1) to maintain any comments in confidence; (2) to pay compensation for any comments; or (3) to respond to any comments.

We may, but have no obligation to, monitor, edit or remove content that we determine in our sole discretion are unlawful, offensive, threatening, libelous, defamatory, pornographic, obscene or otherwise objectionable or violates any party’s intellectual property or these Terms of Use.

You agree that your comments will not violate any right of any third-party, including copyright, trademark, privacy, personality or other personal or proprietary right. You further agree that your comments will not contain libelous or otherwise unlawful, abusive or obscene material, or contain any computer virus or other malware that could in any way affect the operation of the Service or any related website. You may not use a false e-mail address, pretend to be someone other than yourself, or otherwise mislead us or third-parties as to the origin of any comments. You are solely responsible for any comments you make and their accuracy. We take no responsibility and assume no liability for any comments posted by you or any third-party.

 

SECTION 8 – ERRORS, INACCURACIES AND OMISSIONS

Occasionally there may be information on our site or in the Service that contains typographical errors, inaccuracies or omissions that may relate to product descriptions, pricing, promotions, offers, product shipping charges, transit times and availability. We reserve the right to correct any errors, inaccuracies or omissions, and to change or update information or cancel orders if any information in the Service or on any related website is inaccurate at any time without prior notice (including after you have submitted your order).

We undertake no obligation to update, amend or clarify information in the Service or on any related website, including without limitation, pricing information, except as required by law. No specified update or refresh date applied in the Service or on any related website, should be taken to indicate that all information in the Service or on any related website has been modified or updated.

 

SECTION 9 – PROHIBITED USES

In addition to other prohibitions as set forth in the Terms of Use, you are prohibited from using the site or its content: (a) for any unlawful purpose; (b) to solicit others to perform or participate in any unlawful acts; (c) to violate any international, federal, provincial or state regulations, rules, laws, or local ordinances; (d) to infringe upon or violate our intellectual property rights or the intellectual property rights of others; (e) to harass, abuse, insult, harm, defame, slander, disparage, intimidate, or discriminate based on gender, sexual orientation, religion, ethnicity, race, age, national origin, or disability; (f) to submit false or misleading information; (g) to upload or transmit viruses or any other type of malicious code that will or may be used in any way that will affect the functionality or operation of the Service or of any related website, other websites, or the Internet; (h) to collect or track the personal information of others; (i) to spam, phish, pharm, pretext, spider, crawl, or scrape; (j) for any obscene or immoral purpose; or (k) to interfere with or circumvent the security features of the Service or any related website, other websites, or the Internet. We reserve the right to terminate your use of the Service or any related website for violating any of the prohibited uses.

 

SECTION 10 – DISCLAIMER OF WARRANTIES; LIMITATION OF LIABILITY

We do not guarantee, represent or warrant that your use of our service will be uninterrupted, timely, secure or error-free.

We do not warrant that the results that may be obtained from the use of the service will be accurate or reliable.

You agree that from time to time we may remove the service for indefinite periods of time or cancel the service at any time, without notice to you.

You expressly agree that your use of, or inability to use, the service is at your sole risk. The service and all products and services delivered to you through the service are (except as expressly stated by us) provided ‘as is’ and ‘as available’ for your use, without any representation, warranties or conditions of any kind, either express or implied, including all implied warranties or conditions of merchantability, merchantable quality, fitness for a particular purpose, durability, title, and non-infringement.

In no case shall anyone affiliated with drfarrahcancercenter.com including our directors, officers, employees, affiliates, agents, contractors, interns, suppliers, service providers or licensors be liable for any injury, loss, claim, or any direct, indirect, incidental, punitive, special, or consequential damages of any kind, including, without limitation lost profits, lost revenue, lost savings, loss of data, replacement costs, or any similar damages, whether based in contract, tort (including negligence), strict liability or otherwise, arising from your use of any of the service or any products procured using the service, or for any other claim related in any way to your use of the service or any product, including, but not limited to, any errors or omissions in any content, or any loss or damage of any kind incurred as a result of the use of the service or any content (or product) posted, transmitted, or otherwise made available via the service, even if advised of their possibility. Because some states or jurisdictions do not allow the exclusion or the limitation of liability for consequential or incidental damages, in such states or jurisdictions, our liability shall be limited to the maximum extent permitted by law.

You understand and agree that no singular individual, group of individuals or entity in any form whatsoever is responsible or liable in any manner for any content generated on, for, or as a result of the existence of this site, since this is a community generated site. You understand and agree that as this is a community generated site, and as a result of this, there is no good way to control what users and contributors post on or through the sites and drfarrahcancercenter.com cannot be responsible for any offensive, inappropriate, obscene, unlawful, infringing or otherwise objectionable or even illegal user generated content you may encounter on the sites or, in connection with your use of the sites.

You understand and agree with the following statement made on behalf of drfarrahcancercenter.com, “We, on behalf of our directors, officers, employees, agents, suppliers, licensors, contributors and service providers, exclude and disclaim liability for any losses and expenses of whatever nature and howsoever arising including, without limitation, any direct, indirect, general, special, punitive, incidental or consequential damages; loss of use: loss of data; loss caused by a virus: loss of income or profit: loss of or damage to property: loss of life: claims of third parties: or other losses of any kind or character, or the inability to use, the site or the content even if we have been advised of the possibility of such damages or losses, arising out of or in connection with the use of this site or any web site with which it is linked.”

 

SECTION 11 – INDEMNIFICATION

You agree to indemnify, defend and hold harmless drfarrahcancercenter.com and our parent, subsidiaries, affiliates, partners, officers, directors, agents, contractors, licensors, service providers, subcontractors, suppliers, interns and employees, harmless from any claim or demand, including reasonable attorneys’ fees, made by any third-party due to or arising out of your breach of these Terms of Use or the documents they incorporate by reference, or your violation of any law or the rights of a third-party.

 

SECTION 12 – SEVERABILITY

In the event that any provision of these Terms of Use is determined to be unlawful, void or unenforceable, such provision shall nonetheless be enforceable to the fullest extent permitted by applicable law, and the unenforceable portion shall be deemed to be severed from these Terms of Use, such determination shall not affect the validity and enforceability of any other remaining provisions.

 

SECTION 13 – TERMINATION

The obligations and liabilities of the parties incurred prior to the termination date shall survive the termination of this agreement for all purposes.

These Terms of Use are effective unless and until terminated by us. You may terminate use of the drfarrahcancercenter.com site, but this Terms of Use shall survive in perpetuity.

If in our sole judgment you fail, or we suspect that you have failed, to comply with any term or provision of these Terms of Use, we also may terminate this agreement at any time without notice and you will remain liable for all amounts due up to and including the date of termination; and/or accordingly may deny you access to our Services (or any part thereof).

 

SECTION 14 – INDEMNIFICATION

The information supplied through this website, or by any representative or agent of Dr. Farrah, whether by telephone, in person verbal, email, letter, image, text, facsimile or any other conceivable form of communication, is for informational purposes only and does not constitute medical, legal or other professional advice. Health-related information provided through this website is not a substitute for medical advice and should not be used to diagnose or treat health problems or to prescribe any medical devices or other remedies. The receipt of any questions or feedback that you submit in any form to any Dr. Farrah medium does not create a professional relationship and does not create any privacy interests.
You agree to indemnify, defend and hold harmless drfarrahcancercenter.com and our parent, subsidiaries, affiliates, partners, officers, directors, agents, contractors, licensors, service providers, subcontractors, suppliers, interns and employees, harmless from any claim or demand, including reasonable attorneys’ fees, made by any third-party due to or arising out of your breach of these Terms of Service or the documents they incorporate by reference, or your violation of any law or the rights of a third-party.

 

SECTION 15 – GOVERNING LAW

These Terms of Use and any separate agreements whereby we provide you Services shall be governed by and construed in accordance with the laws of the Republic of Panama.

 

SECTION 16 – CHANGES TO TERMS OF USE

You can review the most current version of the Terms of Use at any time at this page.

We reserve the right, at our sole discretion, to update, change or replace any part of these Terms of Use by posting updates and changes to our website. It is your responsibility to check our website periodically for changes. Your continued use of or access to our website or the Service following the posting of any changes to these Terms of Use constitutes acceptance of those changes.

 

SECTION 17 – CONTACT INFORMATION

Questions about the Terms of Use should be sent to us at staff@drfarrahcancercenter.com

Upon agreeing to these terms and conditions, you gain access to the drfarrahcancercenter.com website and assume total responsibility for any and all actions undertaken by you as a result of your access to the drfarrahcancercenter.com website. You agree and understand that the terms of this agreement shall be binding upon you, your respective heirs, successors, assigns and legal representatives. You understand and agree that all provisions of this Terms of Use agreement that by their nature should survive termination shall survive termination, including, without limitation, ownership provisions, warranty disclaimers, indemnity, licensing in perpetuity and limitations of liability.