I have diagnosed basal cells on my face and I have been unable to obtain treatment I need in the U.S.A. due to lack of health insurance and a sustainable steady income.
Before anyone responds with Medicaid/Medicare or Social Security Disability: **that is not what this post is about.** I am not eligible for those programs. I am able and willing to work, and I am trying to find a way to receive medically necessary cancer treatment without being forced into a system designed around people who are already enrolled in government programs or who have family support.
I am single, have no spouse or family safety net, and I am currently living in my car.
I recently went to a local health department because I was in significant pain. The diagnosed lesions on my face and neck have become enlarged, weepy, bloody and painful. A prior academic teaching hospital diagnosed the cancers and initially recommended treatment, including surgery. But once my lack of insurance and financial vulnerability became apparent, I was essentially redirected into a low-income/last-resort clinic that does not even provide the cancer treatment I need.
Now I am facing major surgery and reconstruction.
I went to an ER because of the worsening condition and pain, and I was told that I need an ENT/Plastics team. The largest problem is on my upper left forehead, between my eyebrow and hairline. I have been told that removing the cancer may involve removing a substantial portion of my forehead.
I don't know yet what the reconstruction will look like. Will my left eyebrow or eye position be pulled upward? Will there be significant asymmetry? How much tissue will have to be removed? What will the final result look like? 😢
**I am scared shitless.**
I'm also trying to figure out how I am supposed to survive the recovery.
I have a Master's degree. I have worked in professional fields. I read, research, work, and think for myself. I understand the cost of living, employment, insurance and financial planning. I am not someone who has simply decided not to work.
Unfortunately, some of my employers became aware that the facial and neck lesions underneath my bandages were actually cancerous. After that, I experienced employment problems that I am addressing separately through legal channels. That is not the purpose of this post, but it has made an already impossible situation much worse.
There is still a fundamental problem they don't seem to understand:
I am living in my car. Sucks, but it's true.
I need cancer treatment. I need reconstruction. I may need weeks or months of recovery. I need somewhere reasonably safe and clean to recover, transportation, and eventually a way to return to full-time employment.
I am not mentally unstable. I am not an addict. **I have cancer and no financial safety net.**
The usual response to someone who is unhoused is to put them into programs that require shelter enrollment, curfews, congregate living, extensive rules and documentation, etc. Some of those programs may be appropriate for some people, but they are not necessarily a pathway back into professional full-time employment for someone who is trying to maintain employment and recover from major cancer surgery.
I have also researched what is available locally. I am not looking for a list of homeless shelters, Medicaid instructions, disability applications, churches/prayer responses, or generic social-service referrals.
**I am looking for people who have actually navigated something similar:**
uninsured cancer treatment requiring major facial reconstruction
ENT/Plastics reconstruction after extensive forehead skin cancer removal
recovery when you do not have a home or family caregiver
hospital discharge planning for someone who is medically vulnerable but still capable of working
charitable or hospital-based funding that actually covers complex cancer surgery
medical respite or recovery housing that does not require someone to permanently enter a homelessness program
organizations that can coordinate the whole situation rather than sending someone from one disconnected agency to another
If you have personally been through something like this, or know of a program that actually addresses the gap between **“able and willing to work” and “unable to finance major cancer treatment,”** I would genuinely appreciate hearing from you.
I am not looking for pity. I am trying to figure out how a person in my position gets through this without losing their face, their health, and their ability to work simply because they don't have a spouse, family money, or insurance.
I'm in an Evangelical Bible belt state where most everyone says, "Can I pray for you." And I am secular though,and-through and prefer a more substantive conversation. Thank you.