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    Signs That It Might Be Time To Get a New Car

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    Ways To Surprise Your Partner Who Loves Cars

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    5 Important Tips for Every New Jeep Owner

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    The Best Ways To Increase the Value of Your Car

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    Tips for Designing an Industrial-Style Restaurant

    Tips for Designing an Industrial-Style Restaurant

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Working shorter hours: 38 companies in the USA are testing the 4-day week

    Working shorter hours: 38 companies in the USA are testing the 4-day week

    World’s largest trial in the UK: 86 percent want to keep 4-day week

    World’s largest trial in the UK: 86 percent want to keep 4-day week

    Rewarding “Good” Companies—How the Economy for the Common Good Wants to Change the World

    Rewarding “Good” Companies—How the Economy for the Common Good Wants to Change the World

    Redistributing 11 billion dollars: Colombia’s left-wing president wants to fight poverty with a wealth tax

    Redistributing 11 billion dollars: Colombia’s left-wing president wants to fight poverty with a wealth tax

    Ban or regulate: The world searches for a way to deal with cryptocurrencies

    Ban or regulate: The world searches for a way to deal with cryptocurrencies

    Bolivia: Less poverty and booming economy through nationalisation of mineral resources

    Bolivia: Less poverty and booming economy through nationalisation of mineral resources

    “Creating Prosperity Together”: How the social economy model saved the English city of Preston

    “Creating Prosperity Together”: How the social economy model saved the English city of Preston

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    • Fashion
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      Essential Tips for Planning a Great Fashion Show

      Signs That Your Tuxedo Doesn’t Fit Right

      Signs That Your Tuxedo Doesn’t Fit Right

      Make a Bold Style Statement With These Wide-Leg Pants

      Make a Bold Style Statement With These Wide-Leg Pants

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      The Ultimate Watch Buying Guide

      The Ultimate Watch Buying Guide

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

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      Our 7 Favorite Field Jackets for Tackling Fall Weather

      Our 7 Favorite Field Jackets for Tackling Fall Weather

      The Best Leather Jackets for Guys – No Matter Your Budget

      The Best Leather Jackets for Guys – No Matter Your Budget

      Campus-Ready Backpacks for Storing *All* the Books

      Campus-Ready Backpacks for Storing *All* the Books

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        Cheese Tortellini in Creamy Marinara

        Cheese Tortellini in Creamy Marinara

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        Unusual Products That Come From Animals and Their Uses

        Tips for Creating a Homemade Wine Cellar

        Tips for Creating a Homemade Wine Cellar

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        How the Wine You Choose Can Help You have an Eco-Friendly Home

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        The Most Beautiful Liquor Bottles in the World

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          Dental Therapists Help Patients in Need of Care Avoid the Brush-Off

          Dental Therapists Help Patients in Need of Care Avoid the Brush-Off

          Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds

          Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds

          How the Mixed Messaging of Vaccine Skeptics Sows Seeds of Doubt

          How the Mixed Messaging of Vaccine Skeptics Sows Seeds of Doubt

          Burnout Threatens Primary Care Workforce and Doctors’ Mental Health

          Burnout Threatens Primary Care Workforce and Doctors’ Mental Health

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          Debt Deal Leaves Health Programs (Mostly) Intact

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          A Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds

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          Massage Therapists Ease the Pain of Hospice Patients — But Aren’t Easy to Find

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          A ‘Payday Loan’ From a Health Care Behemoth

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          As Fewer MDs Practice Rural Primary Care, a Different Type of Doctor Helps Take Up the Slack

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            Ways To Make Your Partner Feel Loved and Appreciated

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            Acknowledging Racism within Familial and Social Circles: An Examination of Cognitive Dissonance and Socio-Cultural Factors

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            Tips for Growing a Fuller and Healthier Beard

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            • Politics
              LIV Golf’s opaque lobbying operations raise questions around foreign influence amid PGA Tour merger

              LIV Golf’s opaque lobbying operations raise questions around foreign influence amid PGA Tour merger

              Companies that publicly condemned legislation targeting the LGBTQ+ community send political contributions to state lawmakers who advanced anti-LGBTQ+ bills

              Companies that publicly condemned legislation targeting the LGBTQ+ community send political contributions to state lawmakers who advanced anti-LGBTQ+ bills

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              Chris Christie launches 2024 campaign following years of lobbying and staying close to donors

              SEC sues Coinbase, Binance in blow to crypto industry efforts to shape cryptocurrency regulations

              SEC sues Coinbase, Binance in blow to crypto industry efforts to shape cryptocurrency regulations

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              WEBINAR SERIES: Federal and State Lobbying Masterclass for Journalists

              OpenSecrets releases report on out-of-state donations’ rising role

              OpenSecrets releases report on out-of-state donations’ rising role

              Independent Sen. Krysten Sinema continues using liberal platforms to fundraise for 2024 reelection campaign

              Independent Sen. Krysten Sinema continues using liberal platforms to fundraise for 2024 reelection campaign

              Watchdog bites Ron DeSantis for alleged “soft money” campaign finance violation

              Watchdog bites Ron DeSantis for alleged “soft money” campaign finance violation

              Press Release: Over 30,000 White House financial disclosures to be made public in first for transparency and accountability

              Press Release: Over 30,000 White House financial disclosures to be made public in first for transparency and accountability

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                Things To Consider Before Investing in Real Estate Overseas

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                Incredible Areas in Florida To Buy a Vacation Home

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                Helpful Home Staging Tips for Virtual Tours

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                Ways To Decorate and Design a Lake House

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                Challenges To Managing a Rental Property

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                The Best Landlord: How To Show Tenants You Care

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                  Tips for Crossing Water in Your Jeep Wrangler

                  Tips for Crossing Water in Your Jeep Wrangler

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Common Mistakes To Avoid With Car Restorations

                  4 Common Mistakes To Avoid With Car Restorations

                  Signs That It Might Be Time To Get a New Car

                  Signs That It Might Be Time To Get a New Car

                  Mercedes-Benz Charging Network

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                  Ways To Surprise Your Partner Who Loves Cars

                  Ways To Surprise Your Partner Who Loves Cars

                  5 Important Tips for Every New Jeep Owner

                  5 Important Tips for Every New Jeep Owner

                  The Best Ways To Increase the Value of Your Car

                  The Best Ways To Increase the Value of Your Car

                  Why Jeeps Are Awesome for Off-Roading Adventures

                  Why Jeeps Are Awesome for Off-Roading Adventures

                  Trending Tags

                  • Mercedes-Benz
                  • Mustang
                • Business
                  Tips for Designing an Industrial-Style Restaurant

                  Tips for Designing an Industrial-Style Restaurant

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  World’s largest trial in the UK: 86 percent want to keep 4-day week

                  World’s largest trial in the UK: 86 percent want to keep 4-day week

                  Rewarding “Good” Companies—How the Economy for the Common Good Wants to Change the World

                  Rewarding “Good” Companies—How the Economy for the Common Good Wants to Change the World

                  Redistributing 11 billion dollars: Colombia’s left-wing president wants to fight poverty with a wealth tax

                  Redistributing 11 billion dollars: Colombia’s left-wing president wants to fight poverty with a wealth tax

                  Ban or regulate: The world searches for a way to deal with cryptocurrencies

                  Ban or regulate: The world searches for a way to deal with cryptocurrencies

                  Bolivia: Less poverty and booming economy through nationalisation of mineral resources

                  Bolivia: Less poverty and booming economy through nationalisation of mineral resources

                  “Creating Prosperity Together”: How the social economy model saved the English city of Preston

                  “Creating Prosperity Together”: How the social economy model saved the English city of Preston

                  Trending Tags

                  • Fashion
                    Essential Tips for Planning a Great Fashion Show

                    Essential Tips for Planning a Great Fashion Show

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    The Ultimate Watch Buying Guide

                    The Ultimate Watch Buying Guide

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    Campus-Ready Backpacks for Storing *All* the Books

                    Campus-Ready Backpacks for Storing *All* the Books

                    Trending Tags

                    • Food & Drink
                      Cheese Tortellini in Creamy Marinara

                      Cheese Tortellini in Creamy Marinara

                      Unusual Products That Come From Animals and Their Uses

                      Unusual Products That Come From Animals and Their Uses

                      Tips for Creating a Homemade Wine Cellar

                      Tips for Creating a Homemade Wine Cellar

                      How the wine you choose can help you have an eco-friendly home

                      How the Wine You Choose Can Help You have an Eco-Friendly Home

                      Rum and Cola Holiday Ham

                      Special Centerpieces for Holiday Celebrations

                      ChefsGiving 2020

                      This Holiday Season, How about Cooking for a Cause?

                      Iced Cold Moscow Mule cocktail with lime and pomegranate

                      Holiday Spirits: The Cranberry Smash Moscow Mule

                      The Most Beautiful Liquor Bottles in the World

                      The Most Beautiful Liquor Bottles in the World

                      Tao Group Virtual Chef Experience

                      Entertain Your Guests Virtually This Fall ?

                      Trending Tags

                      • Health
                        Dental Therapists Help Patients in Need of Care Avoid the Brush-Off

                        Dental Therapists Help Patients in Need of Care Avoid the Brush-Off

                        Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds

                        Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds

                        How the Mixed Messaging of Vaccine Skeptics Sows Seeds of Doubt

                        How the Mixed Messaging of Vaccine Skeptics Sows Seeds of Doubt

                        Burnout Threatens Primary Care Workforce and Doctors’ Mental Health

                        Burnout Threatens Primary Care Workforce and Doctors’ Mental Health

                        Debt Deal Leaves Health Programs (Mostly) Intact

                        Debt Deal Leaves Health Programs (Mostly) Intact

                        A Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds

                        A Windfall in Health Insurance Rebates? It’s Not as Crazy as It Sounds

                        Massage Therapists Ease the Pain of Hospice Patients — But Aren’t Easy to Find

                        Massage Therapists Ease the Pain of Hospice Patients — But Aren’t Easy to Find

                        A ‘Payday Loan’ From a Health Care Behemoth

                        A ‘Payday Loan’ From a Health Care Behemoth

                        As Fewer MDs Practice Rural Primary Care, a Different Type of Doctor Helps Take Up the Slack

                        As Fewer MDs Practice Rural Primary Care, a Different Type of Doctor Helps Take Up the Slack

                        Trending Tags

                        • Lifestyle

                          The History and Meaning of Memorial Day

                          Ways To Make Your Partner Feel Loved and Appreciated

                          Ways To Make Your Partner Feel Loved and Appreciated

                          Values and principles, even when faced with temptations, challenges, or potential negative consequences.

                          Acknowledging Racism within Familial and Social Circles: An Examination of Cognitive Dissonance and Socio-Cultural Factors

                          Definition of ethics

                          The Interconnectedness of Racial Opinions and Ethics

                          Sacrifice States: the US Nuclear Sponge

                          woman with gun near thief at night in parking lot

                          Why it’s Important to know Your 2nd Amendment Rights

                          Tips for Growing a Fuller and Healthier Beard

                          Tips for Growing a Fuller and Healthier Beard

                          Fulfilling Side Hustles for Good Money in 2023

                          Fulfilling Side Hustles for Good Money in 2023

                          5 Tips on How To Run Your First Charity Event

                          5 Tips on How To Run Your First Charity Event

                          Trending Tags

                          • Politics
                            LIV Golf’s opaque lobbying operations raise questions around foreign influence amid PGA Tour merger

                            LIV Golf’s opaque lobbying operations raise questions around foreign influence amid PGA Tour merger

                            Companies that publicly condemned legislation targeting the LGBTQ+ community send political contributions to state lawmakers who advanced anti-LGBTQ+ bills

                            Companies that publicly condemned legislation targeting the LGBTQ+ community send political contributions to state lawmakers who advanced anti-LGBTQ+ bills

                            Chris Christie launches 2024 campaign following years of lobbying and staying close to donors

                            Chris Christie launches 2024 campaign following years of lobbying and staying close to donors

                            SEC sues Coinbase, Binance in blow to crypto industry efforts to shape cryptocurrency regulations

                            SEC sues Coinbase, Binance in blow to crypto industry efforts to shape cryptocurrency regulations

                            WEBINAR SERIES:  Federal and State Lobbying Masterclass for Journalists

                            WEBINAR SERIES: Federal and State Lobbying Masterclass for Journalists

                            OpenSecrets releases report on out-of-state donations’ rising role

                            OpenSecrets releases report on out-of-state donations’ rising role

                            Independent Sen. Krysten Sinema continues using liberal platforms to fundraise for 2024 reelection campaign

                            Independent Sen. Krysten Sinema continues using liberal platforms to fundraise for 2024 reelection campaign

                            Watchdog bites Ron DeSantis for alleged “soft money” campaign finance violation

                            Watchdog bites Ron DeSantis for alleged “soft money” campaign finance violation

                            Press Release: Over 30,000 White House financial disclosures to be made public in first for transparency and accountability

                            Press Release: Over 30,000 White House financial disclosures to be made public in first for transparency and accountability

                            Trending Tags

                            • Real Estate
                              Ways To Invest in Real Estate With No Experience

                              Ways To Invest in Real Estate With No Experience

                              How To Make Your Rental Property More Eco-Friendly

                              How To Make Your Rental Property More Eco-Friendly

                              Things To Consider Before Investing in Real Estate Overseas

                              Things To Consider Before Investing in Real Estate Overseas

                              Incredible Areas in Florida To Buy a Vacation Home

                              Incredible Areas in Florida To Buy a Vacation Home

                              Helpful Home Staging Tips for Virtual Tours

                              Helpful Home Staging Tips for Virtual Tours

                              Ways To Decorate and Design a Lake House

                              Ways To Decorate and Design a Lake House

                              Challenges To Managing a Rental Property

                              Challenges To Managing a Rental Property

                              The Best Landlord: How To Show Tenants You Care

                              The Best Landlord: How To Show Tenants You Care

                              The Best Locations To Invest in a Second Home

                              The Best Locations To Invest in a Second Home

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                              Racial Disparities in Lung Cancer Start With Research

                              by Staff Writer
                              November 30, 2022
                              in Health
                              Racial Disparities in Lung Cancer Start With Research
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                              By Melba Newsome

                              During a routine visit to the Good Samaritan Clinic in Morganton, North Carolina, in 2018, Herbert Buff casually mentioned that he sometimes had trouble breathing.

                              He was 55 years old and a decades-long smoker. So the doctor recommended that Buff schedule time on a 35-foot-long bus operated by the Levine Cancer Institute that would roll through town later that week offering free lung-cancer screenings.

                              Buff found the “lung bus” concept odd, but he’s glad he hopped on.

                              “I learned that you can have lung cancer and not even know it,” said Buff, who was diagnosed at stage 1 by doctors in the rolling clinic. “The early screening might have saved my life. It might’ve given me quite a few more years.”

                              The lung bus is a big draw in this rural area of western North Carolina because some people aren’t comfortable going — and in many cases have no access — to a hospital or doctor’s office, said Darcy Doege, coordinator for the screening program. 

                              “Our team makes people feel welcome,” she said. “We can see up to 30 patients a day who get referred by their primary care doctor or their pulmonologist, but we also accommodate walk-ups.”

                              Lung cancer is the deadliest of all cancers. It grows quietly and is usually not detected until it has spread to other parts of the body. Early detection is key to survival, especially for someone at high risk like Buff, who is African American and has a history of smoking.

                              Although it is well documented that Black smokers develop lung cancer at younger ages than white smokers even when they smoke fewer cigarettes, the guidelines that doctors use to recommend patients for screening have been slow to reflect the disparity. If Buff had the same conversation with his doctor one year earlier, he would not have qualified for the CT scan that detected a nickel-sized growth on his left lung.

                              But screening is only part of the issue, said experts who evaluate what happens both before and after a person is checked for signs of cancer.

                              Researchers are concerned about the lack of diverse representation in the clinical studies on which the screening recommendations are based. For example, about 13% of the U.S population is Black, but Black people made up just 4.4% of participants in the National Lung Screening Trial, a large, multiyear study in the early 2000s that looked at whether screening with low-dose CT scans could reduce mortality from lung cancer. 

                              Basing guidelines on trials with so little diversity can lead to delayed disease detection and higher mortality rates, said Dr. Carol Mangione, chair of the U.S. Preventive Services Task Force, a panel of national experts who make recommendations about services such as screenings, behavioral counseling, and preventive medications. Its recommendations play a major role in determining which tests and procedures health insurance companies will agree to pay for.

                              “We know that Black people get diagnosed with and tend to die more from colon cancer, for example,” Mangione said. “But we don’t have sufficient evidence to say that there should be a different recommendation for Black people, because Black people have not historically been well represented in the clinical trials.”

                              When Buff was diagnosed with lung cancer, the U.S. Preventive Services Task Force recommended screening for people who were 55 and older and had a smoking history of 30 “pack years,” which means the person smoked an average of one pack of cigarettes a day for three decades. Buff made the cut.

                              But a 2019 study published in JAMA Oncology found that under those parameters, 68% of Black smokers would have been ineligible for screening at the time of their lung cancer diagnosis, compared with 44 percent of white smokers. In 2021, the U.S. Preventive Services Task Force lowered the recommended screening age for lung cancer to 50 and reduced the number of pack years to 20.

                              The new guidelines make 8 million more Americans eligible to be screened. But that’s not the only problem that needs to be addressed, said Dr. Gerard Silvestri, a lung cancer pulmonologist at the Medical University of South Carolina.

                              “It doesn’t matter if a bunch more African Americans are eligible if they have no coverage, distrust the medical system, and have no access,” Silvestri said.

                              “You might exacerbate this disparity,” he said, “because more whites will also become eligible and are likely to have more access.” 

                              Silvestri co-leads the Medical University of South Carolina’s portion of a $3 million, four-year Stand Up to Cancer grant-funded project focused on addressing lung cancer disparities. Researchers in the multicenter collaboration — which also includes the Lineberger Comprehensive Cancer Center at the University of North Carolina-Chapel Hill and the Massey Cancer Center at Virginia Commonwealth University — said better screening rates will improve outcomes in underserved communities.

                              “Patients of color, particularly Black patients, tend to have less access to care, less timely follow-up when there’s an abnormal finding, and later stages of diagnosis,” said epidemiologist Louise Henderson, principal investigator for the study at the Lineberger center.

                              It takes concerted community efforts to contend with the suite of health disparities that result in poor outcomes for communities of color, experts said. The lung bus that Buff visited is just one example of how cancer researchers are rolling out programs in rural communities. The Atrium Health Levine Cancer Institute in Charlotte, North Carolina, launched the effort in March 2017 to make screening more accessible to underserved people in vulnerable communities who are either uninsured or underinsured.

                              The bus operates in 19 counties in North and South Carolina. In an analysis published in the journal The Oncologist in 2020, the Levine Cancer Institute said the project had identified 12 cancers in 550 patients and called the results “policy changing.”

                              By September 2021, the researchers said, the bus had identified 30 cancers in 1,200 screened patients. “Of which 21 were at the potentially curable stage,” said Dr. Derek Raghavan, president of the Levine Cancer Institute and lead author of the analysis. About 78% of the people screened were poor and from rural areas, he said, and 20% were Black Americans.

                              “You can overcome disparities of care if you really want to,” Raghavan said.

                              The Lineberger center also partnered with federally qualified health centers in the Raleigh-Durham area and recruited community health advisers to educate patients about the risks of lung cancer and the ease of being screened. It also trained patient and financial navigators to assist with the often-overwhelming aftermath of a diagnosis.

                              Recent studies in JAMA Oncology and the Journal of the National Cancer Institute have found that Medicaid expansion under the Affordable Care Act improves overall cancer survival among all racial and ethnic groups and reduces racial disparities in cancer survival. Among the three research sites participating in the lung cancer disparities project, the Massey Cancer Center in Virginia is the only one in a state that expanded Medicaid.

                              Vanessa Sheppard, associate director of community outreach engagement and health disparities at the center, said she has seen anecdotal evidence that expanding health care coverage improves cancer screening rates.

                              Nonetheless, awareness about screening remains low in the Black community. Sheppard believes that may be because general health care providers are not educating patients on the available screening tools.

                              A low-dose CT scan, for example, is one of the most powerful tools available for detecting lung cancer early and reducing deaths. But according to the 2022 Lung Health Barometer from the American Lung Association, nearly 70% of people don’t even know that type of screening is available. And according to Silvestri, only a small percentage of those who are eligible actually get screened.

                              Perhaps the final hurdle is erasing disparities in who gets follow-up care after screening. A study published in 2020 in the journal BMC Cancer found that Black patients who had been referred to a lung cancer screening program were still less likely than white patients to get screened and that they had longer delays in seeking follow-up care when they did get screened.

                              Henderson said some patients may mistakenly believe lung cancer is untreatable and simply don’t want to hear bad news.

                              Sheppard said screening can be used to educate and build trust with patients.

                              “Once we get people in the system, it’s up to us to make sure they know what’s expected, that it’s not a one-time thing, and that we are embedding them within the system of care,” she said. “I think that’s going to help a lot.”

                              This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

                              KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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