In US women with gynaecological cancer, lower income increases cancer worry and financial distress during the COVID-19 pandemic, according to findings of a survey published in Cancer.Telephone surveys conducted in March−April 2020 were used to investigate financial toxicity, anxiety and cancer worry in 100 women 19−86 years of age with Medicaid coverage who were receiving care for gynaecological cancer at two centres during the peak of the COVID-19 pandemic in New York City. Median age was 60 years and 71% of patients had an annual income below $40 000.Early stage cancer (stage I or II) was associated with financial toxicity (p=0.008) and worry about future finances (p=0.017). In addition, financial distress was significantly increased by change in employment status (p<0.001) and worry about future finances was significantly increased in patients participating in telehealth visits (p=0.04).Annual income below $40 000 was associated with greater cancer worry and anxiety compared with annual income above $40 000. Delay in medical care during the COVID-19 pandemic also increased anxiety."The ongoing COVID-19 pandemic has highlighted existing inequities in health care, and consideration of alternative methods to achieve health equity are pertinent. Increased screening for anxiety and financial toxicity in this population is essential, as is a restructuring of practices to minimize delays in care while maintaining appropriate social distancing and safe practices for both providers and patients," concluded the authors.