> can't afford the services, so they don't have to be serviced at all.

If that's true how could:

> The USA generally has higher 5-year cancer survival rates

Still be true? Not providing any services to a significant proportion of population would result in a much lower average.

Not if they are not part of statistic as they cant afford it.

Any evidence that a significant proportion of people (compared to other countries) who died of cancer in the US were never diagnosed?