Literature Review

Addressing financial toxicity for patients and families facing serious illnessCAPC position statement; 6/23/25The U.S. is reaching a point of crisis in health care affordability. People living with serious illness in the U.S. are not only navigating complex medical conditions—they’re also facing overwhelming financial hardship. A new position statement from CAPC highlights that the prevalence of financial distress for patients and caregivers can climb as high as 53%, depending on diagnosis. The consequences of financial toxicity are staggering, manifesting in medical debt, low credit scores, and bankruptcy. Financial toxicity can also lead to delayed treatment, skipped medications, or other cost-related coping mechanisms that worsen health outcomes and increasing costs for hospitals and payers alike. CAPC’s new position statement outlines eight recommendations that can ease hardship for patients and caregivers, while improving financial stability for hospitals.Guest Editor's Note, Ira Byock: The importance of CAPC’s new position statement cannot be overstated. This report highlights one of the most difficult problems seriously ill patients and families encounter and goes further to provide tangible ways to diminish the impacts of financial toxicity to patients and the healthcare system. Key actions include routine financial screening and availability of trained financial navigators. The value of this statement extends well beyond palliative care; it should be considered must reading for leaders of hospitals, cancer centers, heart failure programs, and dementia treatment centers.