OnCo
ideasIdea

Earmark a fixed share of every national cancer budget for palliative care

Most of the money in cancer goes to treatments that help a few people for a short time, while pain relief for the dying, which is cheap and works, gets almost nothing. Ring-fencing a small fixed share would change that.

Palliative care receives a tiny fraction of cancer spending in most countries despite reaching more patients per dollar than most therapies. A policy earmarking a minimum share (for example, 5%) of national cancer control budgets for palliative care, including morphine supply, workforce training, and community services, would guarantee a floor. Earmarking has drawbacks but is a proven way to protect neglected functions.

Hypothesis
Countries adopting an earmark will at least double palliative care coverage within four years, with the earmark spent rather than reallocated.
Rationale
Public health functions that lack a constituency are systematically underfunded; earmarks have protected immunisation and mental health budgets in similar situations.
What would test it
Track palliative expenditure, coverage, and morphine consumption in adopting versus non-adopting countries over five years.
Maturity
speculative
Who has to act
policy
Cost to try
Medium ($1M to $50M)
Years to first evidence
4
Bottlenecks it attacks

Connected

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