Cancer Survivors Hit Harder with Job Losses

Experts offer advice to survivors after a study shows people with cancer have a higher risk of being unemployed than people without a history of cancer.

When the Journal of the American Medical Association published a study in late February that showed people with cancer had a higher risk of being unemployed, it wasn’t surprising to some survivors.  

The Danish study analyzed 36 previous studies on the subject, 16 of which were from the United States, and found that of the nearly 180,000 participants, including more than 20,000 people with a history of cancer, survivors were 1.37 times more likely to be unemployed than healthy people (33.8 percent compared with 15.2 percent)—and that was before the world economy turned south. Now experts are wondering if that gap could be widening.

Authors of the JAMA article noted that cancer survivors who live in countries or time periods—such as the current economic climate we have today—with high unemployment rates may especially be at risk. The JAMA analysis also showed risk of unemployment was higher in survivors of breast cancer, gastrointestinal cancers, and gynecological cancers than compared with other cancers, such as prostate, testicular, or hematological cancers, which did not appear to have a higher unemployment risk than healthy people.

Joanna Morales, director of the Cancer Legal Resource Center, a joint program of the Disability Rights Legal Center and Loyola Law School in Los Angeles, says she’s noticed more calls to the Center since the economy took a downturn. Not only are people worried about their jobs, but questions about their rights after a layoff, insurance benefits, and discrimination are coming into the call center.

“It’s not just that employers may be discriminating against people with cancer, but people with cancer are disproportionately feeling the effects of the economy because they are often the first people to be laid off,” she says. “There may be 100 people being laid off, but employers may take the opportunity to include people who have been on leave, who require reasonable job accommodations, or who are more expensive for the company to insure.”

Columbia Law School professor, Suzanne Goldberg, says that if a person is let go because of possible discrimination, the current state of the economy may make it harder to prove, especially when they are one of many being laid off by the employer.

“Even if discrimination is the reason for the layoff, unfortunately, the employer can easily point to others and say, in effect, we’re laying off all sorts of people,” she says. For patients and survivors who may be worried about discrimination, Goldberg recommends keeping a detailed journal about workplace incidences and keep copies of your employment records.

“The best thing any employee who is concerned about discrimination can do is to keep careful records of incidences or conversations that reflect a negative view about the employee having cancer or any another illness,” she says, including keeping track of the time, date, and any meaningful details. She also notes that many people, including those with no cancer history, are worried about their jobs in this economy, so survivors are not alone in that fear.

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