News > Financial strain ranks as highest unmet need in breast cancer community survey

Financial strain ranks as highest unmet need in breast cancer community survey

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Cover image of the 2025 Community Needs Assessment report showing a design of overlapping multicolored speech bubbles and the report title.
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“As much as we have seen progress in available treatments for people with breast cancer over the last two  decades, the cost of going through breast cancer continues to be more than most families can manage,” says Jean A. Sachs, MSS, MLSP, chief executive officer of LBBC. “Our community also knows deeply that it’s not just medical bills. It’s a perfect storm of inability to work or earn as much, the time treatment takes away from their lives, and the stress of not knowing how they are going to pay for all of this.” 

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Infographic titled: What people with breast cancer struggle with the most followed by 3 graphics. Graphic 1 shows that 68% of people surveyed named financial strain and 23% named cost of basic needs as answers to that question. Graphic 2 shows that 29% named need for emotional support, 20% named stress from health systems, and 19% named need for support groups. Graphic 3 shows that 23% of respondents name need for trusted information.
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More than half of respondents said financial strain has had the greatest impact on their breast cancer experienceFinancial strain and the cost of affording basic needs like housing, food, and transportation were the first (54%) and third (29%) highest ranking unmet needs in the survey, conducted in June 2025.  

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“I have guilt because I think about all the money I have cost my family.”

Survey respondent

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Support to live better with breast cancer

Respondents called out emotional stress — particularly stress caused by complex healthcare and insurance systems — and the need for information to support a better quality of life as the other highest unmet needs for the community. 

Many respondents reported feeling overwhelmed by paperwork, coverage questions, and administrative hurdles at a time when their energy and health were already strained. 

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Graphic titled The cost of breast cancer. What has the most impact on your breast cancer experience? Graphic showing 54% of survey respondents reported financial struggle as an unmet need and 29% also reported meeting the cost of basic needs as an unmet need with the most impact.
Graphic titled Emotional strain and connection. What has the most impact on your breast cancer experience? Graphic describing 42% of respondents name emotional support as having the most impact, and 25% also name the lack of groups in similar situations as an unmet need.
Graphic titled Quality of life. What has the most impact on your breast cancer experience? Graphic describing 23% of respondents name the need for information that supports a better quality of life as an unmet need with the most impact.
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“People going through treatment spend much of their time trying to access care they should get but can’t access because of a range of barriers,” says Ashley Dedmon, vice president of mission and strategy at LBBC. “They learn along the way that getting through this labyrinth is, as one of our respondents said, like another full-time job.” 

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“I don’t have the energy to fight insurance things even when I know I should get it.”

Survey respondent

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LBBC’s needs assessment survey combined small focus groups with a large-scale survey of 1,001 respondents. Most respondents (87%) were people diagnosed with breast cancer, and the remaining participants were caregivers or healthcare professionals who work closely with people with breast cancer. 

The survey also asked participants to share solutions they feel would best meet the unmet needs they reported. Most (60%) said direct financial support and coordinated access to financial resources would be most helpful. Solutions that ranked second and third were support for services and programs that improve quality of life (57%) and emotional support resources (50%). 

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“Patient needs are so intense. You never feel like you are doing enough.”

Healthcare provider respondent

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Breast cancer provider voices

Healthcare providers were also asked about their experiences. They identified the same unmet needs as people with breast cancer, but at higher rates. 

In response to questions about provider burnout, 38% said they felt like they were not able to do enough to meet patients’ needs. Provider respondents also said they didn’t have the financial resources to fully support their patients, had too many patients to attend to all of them well, and had a general feeling of being overworked.  

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Graphic title what people with breast cancer say would help the most. Graphic describes 60% of respondents said Emotional support, 57% said supports for quality of life, and 50% said emotional support.
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Meeting the need

In response to these findings, LBBC reaffirmed its commitment to providing direct financial assistance, trusted educational resources, and peer-to-peer emotional support. Now celebrating the 35th anniversary of its founding in 1991, LBBC offers programs such as the Breast Cancer Helpline, online support groups, in-person and virtual education programs, and a training program to encourage those diagnosed with early-stage and metastatic breast cancer to have their voices heard.  

The organization also emphasized the importance of sharing real stories from the community to reduce isolation and help others with practical advice on navigating similar challenges. 

“Understanding what people with breast cancer need most helps us focus our work where it matters,” says Sachs. “This report reflects the voices of our community and guides us as we look to the future.”

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