Make us your home page
Instagram

Today’s top headlines delivered to you daily.

(View our Privacy Policy)

HPV costs Americans nearly $2 billion to treat. Why so expensive?

LOS ANGELES — According to a study just released by the Centers for Disease Control, Americans contracted 20 million new sexually transmitted infections in 2008, and treating them will cost U.S. patients and insurance companies $15.6 billion over the course of the infections. After HIV - which will cost a projected $12.6 billion to treat - HPV is the most expensive STI to manage, running us a collective bill of $1.7 billion.

Most strains of HPV clear from the body safely within a couple of years. A handful of more dangerous strains, which cause cervical cancer and genital warts, are preventable by vaccine. Routine check-ups catch aggressive forms of the virus early. So why does it cost so much to treat HPV? Part of it is the sheer will of the virus - HPV is the most common of those 20 million STIs. But it's also because, as costly as treatment is, prevention isn't cheap, either.

In 2010, only 30 percent of American girls had received all three CDC-recommended doses of the HPV vaccine, according to a recent report from the National Cancer Institute. That sets us behind Canada, where between 50 to 85 percent of girls are vaccinated, and the United Kingdom and Australia, where over 70 percent of girls have completed the vaccine schedule. It's tempting to chalk this up to all-American prudishness over the idea of inoculating 12-year-old girls against STIs. But according to the report, the U.S. health care system is to blame. The main barriers to vaccination are inadequate provider recommendations, a broken reminder system for urging patients to complete their doses, and concerns over cost and insurance coverage. Vaccination rates are lowest among girls living below the poverty line. And when those girls become women, they make up a disproportionate number of cervical cancer cases.

Thanks to a combination of biology and policy, women bear a "disproportionate burden" of STI treatment costs, CDC epidemiologist Catherine Satterwhite told Bloomberg. "Young women in particular are at greater risk" of contracting STIs, she said, and are less likely to have access to superior health insurance and medical care for preventing and treating them. In 2011, the CDC voted to extend its recommendations for the HPV vaccine to boys, to prevent genital warts, cancers of the anus, head and neck - and, though it went unsaid, cervical cancer in their sex partners. But the CDC's educational materials still list the vaccination of boys and men as an afterthought to vaccinating girls.

Though huge percentages of men and women both carry the virus, preventing HPV is still seen as a women's issue. A 2009 BMJ study assessed the medical costs of vaccinating 12-year-old boys and girls against common strains of HPV. Researchers concluded that while vaccinating girls is a sound societal investment, "including boys in an HPV vaccination programme generally exceeds conventional thresholds of good value for money."

Because dangerous strains of HPV end up disproportionally harming - and costing - women, it makes more financial sense for girls to invest in the vaccination, as opposed to the boys who might be spreading the HPV to them. And since that level of investment is often cost-prohibitive for American girls, we need to make sure our health care system is there to foot the bill.

Amanda Hess is a writer and editor in Los Angeles. She blogs for DoubleX on sex, science, and health. Tweet at her amandahes

HPV costs Americans nearly $2 billion to treat. Why so expensive? 02/19/13 [Last modified: Tuesday, February 19, 2013 3:07pm]
Photo reprints | Article reprints

Copyright: For copyright information, please check with the distributor of this item, Slate.
    

Join the discussion: Click to view comments, add yours

Loading...
  1. Shooting sends man to hospital in St. Pete

    Crime

    ST. PETERSBURG — Police were investigating a shooting that occurred around 4:40 p.m. on Tuesday and sent a man to the hospital.

  2. Police: Man tries to lure child with puppy in Polk County

    Crime

    Times staff

    HAINES CITY — A man was arrested Sunday after he tried to entice a young girl into his camper to view a puppy, according to police.

    Dale Collins, 63, faces a charge of luring or enticing a child under the age of 12. [Photo courtesy of the Polk County Sheriff's Office]
  3. Editorial: Coming together to reduce car thefts

    Editorials

    The simple, knee-jerk response to the juvenile car theft epidemic in Pinellas County would be to crack down on offenders with an increased police presence and stiffer sentences. Thankfully, local community leaders did not stop there. As detailed in a recent Tampa Bay Times follow-up to its 
As detailed in a recent Tampa Bay Times follow-up to its "Hot Wheels" investigation into youth car thefts, a variety of ideas from multiple directions increases the odds of actually solving the cause and not just treating the symptoms.

  4. Editorial: Floridians' health care now at risk in Washington

    Editorials

    The health care for millions of Floridians is now at risk. The U.S. Senate's dramatic vote Tuesday to begin debate on repealing and replacing the Affordable Care Act with no idea what will happen is a dangerous gamble with American lives and the national economy. Barring an unexpected bipartisan compromise, a handful of …

    Sen. John McCain, R-Ariz., dramatically returned to the Senate for the first time since his brain cancer was diagnosed and cast the key vote that enabled Vice President Mike Pence to break the 50-50 tie and allow the health care debate to proceed.
  5. Former Marine from Florida dies fighting for Kurdish militia

    ORLANDO — A former Marine who secretly traveled to Syria earlier this year to battle the Islamic State was killed while fighting for a Kurdish militia, his father said Tuesday.

    David Taylor, with his father David Taylor Sr., was killed earlier this month in Syria while fighting for a Kurdish militia.