AYAs are uniquely vulnerable to the financial shock of cancer because it strikes during a key developmental phase of finishing education, entering the workforce, and achieving financial autonomy. Unlike established adults, they often lack the savings to cushion the blow, derailing their entire life-course trajectory.
The study reveals a devastating and permanent financial outcome for CNS cancer survivors. Unlike other groups who may recover, they experience a sustained income reduction of over 25% a decade post-diagnosis. This is attributed to the severe, long-lasting late effects of treatment on their workability.
The financial impact of cancer is not uniform over time. The most significant income reductions, between 15-20%, occur in the year of diagnosis and the two subsequent years. This period aligns with active treatment and time away from work, highlighting a critical window for targeted financial interventions and support.
A single solution is insufficient to address the financial toxicity of cancer. A multi-pronged strategy is required: clinical-level financial screening and literacy education, employer-level workplace accommodations to facilitate return-to-work, and governmental-level policy changes like tax breaks or fiscal stimulus for survivors.