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Arch Intern Med. 2003;163:2123-2124.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

WHILE SCIENCE and technology have made a significant impact on cancer treatment in the last 10 years, access to health care through insurance appears to be an equally important predictor of cancer survival. Sociodemographic factors, such as income and education,^1-3 are known to affect treatment outcomes, but little has been documented about the specific role of health insurance.^3-10

Overall in 2001, more than 41 million Americans (14.6%) were uninsured, an increase of 1.4 million from the previous year.¹¹ According to the US Census Bureau,¹¹ coverage was associated with race/ethnicity⁷: 19% of blacks, 33% of Hispanics, and 10% of non-Hispanic whites were uninsured. Coverage was also associated with educational status and income: close to 28% of those with no high school diploma had no insurance but only 7.3% with a bachelor's degree had none; nearly 23% of those with incomes under $25 000 per year lacked insurance, but only 7% of . . . [Full Text of this Article]

Victor R. Grann, MD, MPH
Herbert Irving Comprehensive Cancer Center, PH18-201A
Columbia University
630 W 168th St
New York, NY 10032
(e-mail: vrg2@columbia.edu)

Judith S. Jacobson, DrPH, MBA
New York

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