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Tim Day was determined to bring a positive attitude to his treatment after a scary stage 4 cancer diagnosis in 2019. But he learned soon enough he'd need to bring a lot of money, too.

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Aggressive prostate cancer, already metastasized, meant surgery, chemo and other wildly expensive hormone therapy drugs, one that billed out to his insurance at $14,500 a month. Monthly bills he paid just for the hormone therapy drugs amounted to a hefty car payment. Day lost track of his out-of-pocket expenses when they reached around $26,000 within the first two years ― not at all unusual in a state like Iowa with surging cancer diagnoses, a growing survivor population, rising insurance premiums and health-care prices.

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Seven years later, the 67-year-old Iowa resident feels immense relief and gratitude knowing he's in remission. Prostate-specific antigen, or PSA, tests for the cancer marker that once read off the charts now come back undetectable.

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But after the University of Iowa Health Care’s system purchased the Des Moines metro's largest independent oncology practice, Mission Cancer + Blood, the price for the life-saving injections Day needs to keep the cancer at bay rose fivefold.

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That's made him consider all the patients in Iowa…

Original source: https://www.usatoday.com/money/

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