Abstract
In light of his experience as clinical bioethicist in a healthcare institution in the U.S.A. (i.e., Anne Arundel Medical Center in Annapolis, MD), Christian Cintron reflects on concrete challenges–from the COVID-19 pandemic to the increasing costs of cancer care for individuals and families–that test the ability of providing care to cancer patients. Hence, policy reforms are urgent. They should aim at transforming practices in prevention and in providing care, while avoiding what he calls “financial toxicity.” The stories of three patients exemplify both the ethical concerns and the needed structural solutions to foster prevention. The equitable participation of cancer patients through solidaristic practices exemplifies one approach leading to systemic improvements.
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