I strongly oppose the elimination of funding for
proton therapy by Medicare. For thirty-three
years, I served as Associate Professor then
Professor of Medicine at the University of
Tennesee College of Medicine. [PHI Redacted] diagnosed
with prostate cancer in [PHI Redacted] and had proton
treatment in 1996. In the nearly 12 years since
that treatment, [PHI Redacted] PSA has remained in the range
of 0.3-0.4. It was 11.6 prior to treatment.
During that 12 year perion, [PHI Redacted] able to
maintain a fully functional lifestyle with no
side effects from the treament. I realize that
[PHI Redacted] experience is anecdotal but through the
newsletter of the proton therapy alumni group, I
have been able review hundreds of similar cases.
It is obvious that those espousing conventional
radiation therapy are beginning to feel the
competition and wish to destroy this treatment
modality for economic reasons regardless of the
obvious benefit to society. The minimal
morbidity and the positive effects on lifestyle
must be considered along with the obvious
effectiveness of proton therapy in making any
decision about future funding. I have reviewed
numerous papers on the topic and the statement
that there are no comparitive studies with older
forms of treatment are not true. While the
effectiveness of proton therapy may be no better
or worse than other forms of treatment, the
difference in lack of morbidity and maintenance
of lifestyle are striking with proton therapy far
superior.
I strongly urge that the CMS take these factors
into consideration and continue to fund proton
therapy. |