Sandeep Sehdev, an oncologist at The Ottawa Hospital's Cancer Centre, said he's seen patients defer treatment so they can work.
In one case, a patient in Toronto with Hodgkin's lymphoma died because he couldn't take time off work for cancer treatment.
Federal employment insurance (EI) covers up to 26 weeks of leave for medical reasons. But in Ontario, jobs are only protected under the current Employment Standards Act for three days
of sick leave. After that, it's up to the employer.
For patients with cancer, this can impede their recovery.
"I had a patient recently who had to work operating a backhoe in the winter, all through her four and a half months of chemo, for this exact reason," Sehdev said.
Limited options
Olivia Desjardins, intake co-ordinator and social worker with The Ottawa Hospital's cancer program, said she's also seen patients face this difficult choice.
Patients who are forced to stop working and rely on EI or disability benefits often struggle financially, Desjardins said.
"The reality is that their incomes end up lower but their expenses remain the same, with the additional expenses that come with cancer," she said.
Most unionized employees have some disability coverage, but those who don't or who are precariously employed often face difficult choices.
While Sehdev said it's still rare for patients to choose working over treatment, for those who do, the decision comes at a cost.
Leave protection
Sehdev said financial support is only part of the puzzle. He said unpaid leave protection is essential to protecting cancer patients.
Quebec patients already have 26 weeks of leave protection. Earlier this month, Manitoba introduced legislation that would align that province's leave protection with federal policy.
