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© Oxford University Press 2006.
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Agencies Look to Patient Navigators To Reduce Cancer Care Disparities
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When Harold Freeman, M.D., started his career as a breast cancer surgeon at Harlem Hospital in 1967, he began to see a pattern among his patients. By the time they made their way to him, many of them had late-stage cancers. Most of the patients were poor and had received little in the way of preventive care or screening services. He began asking questions and noting the challenges so many people face getting access to care. Thus began his nearly 40-year quest to improve outcomes for the poorest cancer patients.
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"We have, in my opinion, a broken health care system for many," said Freeman, now medical director of the Ralph Lauren Cancer Center in Harlem. "For some it is wonderful, but for many it is broken. Maybe we can't change the big picture of 45 million
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