Ann Dunham - Illness and Death

Illness and Death

In late 1994, Dunham was living and working in Indonesia. One night, during dinner at a friend's house in Jakarta, she experienced stomach pain. A visit to a local physician led to an initial diagnosis of indigestion. Dunham returned to the United States in early 1995 and was examined at the Memorial Sloan–Kettering Cancer Center in New York City and diagnosed with uterine cancer. By this time, the cancer had spread to her ovaries. She moved back to Hawaii to live near her widowed mother and died on November 7, 1995, 22 days short of her 53rd birthday. Following a memorial service at the University of Hawaii, Obama and his sister spread their mother's ashes in the Pacific Ocean at Lanai Lookout on the south side of Oahu. Obama scattered the ashes of his grandmother (Madelyn Dunham) in the same spot on December 23, 2008, weeks after his election to the presidency.

Obama talked about Dunham's death in a 30-second campaign advertisement ("Mother") arguing for health care reform. The ad featured a photograph of Dunham holding a young Obama in her arms as Obama talks about her last days worrying about expensive medical bills. The topic also came up in a 2007 speech in Santa Barbara:

I remember my mother. She was 52 years old when she died of ovarian cancer, and you know what she was thinking about in the last months of her life? She wasn't thinking about getting well. She wasn't thinking about coming to terms with her own mortality. She had been diagnosed just as she was transitioning between jobs. And she wasn't sure whether insurance was going to cover the medical expenses because they might consider this a preexisting condition. I remember just being heartbroken, seeing her struggle through the paperwork and the medical bills and the insurance forms. So, I have seen what it's like when somebody you love is suffering because of a broken health care system. And it's wrong. It's not who we are as a people.

Dunham's employer-provided health insurance covered most of the costs of her medical treatment, leaving her to pay the deductible and uncovered expenses, which came to several hundred dollars per month. Her employer-provided disability insurance denied her claims for uncovered expenses because the insurance company said her cancer was a preexisting condition.