Living with it: Financial implications
Because bowel (colorectal) cancer often develops later in life many people are retired by the time the illness affects them so it may not cause them significant financial difficulty. Households may also be unaffected if they do not depend on the cancer patient's income. But those still working at the onset of illness, people on fixed incomes, individuals who are self-employed, and those without adequate insurance may experience considerable hardship. Difficulties with bowel habit can persist for years even after successful treatment forcing some people into early retirement or a change of career.
One man whose job involved frequent travel explained how his unpredictable bowel habit led him to take early retirement. A young woman whose cancer coincided with a pregnancy wanted to be 'doing something' but felt unable to resume her career in teaching.
Households that relied on two incomes had to adjust to living under reduced circumstances. The transition from living on employment income to pensions or benifits can also be difficult. One man explained how he coped with this and how Macmillan Cancer Support were able to help with winter heating costs. People who are self-employed face particular difficulties. One man who ran a newsagents described how financially vulnerable his illness left him. Another man who works freelance explains how difficult life would have become if not for an insurance policy taken out years earlier. The importance of having adequate insurance cover was also emphasised by a man who believed that money related stress might have compromised the effectiveness of his chemotherapy.
Financial worries put a considerable strain on older people. A pensioner who had to go into hospital on short notice experienced anxiety before her operation because she needed someone else to collect her pension money and pay her rent. The wife of an older cancer patient who lived in a rural area and did not drive faced taxi fares of £40 a day in order to visit her husband in hospital.
People with bowel cancer are usually entitled to one or more government benefits, such as Statutory Sick Pay, Employment and Support Allowance (which has replaced Incapacity Benefit) and Disability Living Allowance. For more information on help with the cost of cancer see
Macmillan Cancer Support, Cancerhelp UK, Directgov, the DSS Benefit Enquiry Line tel: 0800 88 2200 and Citizen's Advice Bureau.
Last reviewed May 2010.
Last updated May 2010.