Original Investigation

Medical Debt and Advanced Cancer Stage at Diagnosis

JAMA Network Open 10.1001/jamanetworkopen.2026.37508

October 01, 2026 at 11:00 AM EDT

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In this cross-sectional study of US counties, higher medical debt burden was associated with higher incidence rates of late-stage and overall cancer across multiple cancer types. These findings suggest that medical debt may reflect structural and financial barriers associated with cancer diagnosis and outcomes at the population level.

Corresponding Author: Changchuan Jiang, MD, MPH, Division of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390 (changchuan.jiang@utsouthwestern.edu).

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