Abstract
One in three Americans experience medical cost distress, and more fear the cost of a serious illness more than getting seriously ill [1]. Individuals vulnerable to financial burden may decline care or take on debt, intensifying cost distress. Advanced imaging remains one of the most frequently ordered diagnostic tests, yet the financial burden associated with advanced imaging is rarely evaluated. Furthermore, identification of patients suffering from medically induced financial burden, regardless of the source of burden, is further hampered by heterogeneously implemented routine screening for financial fragility at the health system level.
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