Why did former teen superstar James Van Der Beek need help to pay his medical bills?

BBC World

February 14, 2026

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James Van Der Beek, the former teen heartthrob from *Dawson's Creek*, has revealed how his family was left financially devastated after he underwent expensive cancer treatments following his diagnosis with colorectal cancer. Despite his fame, Van Der Beek had to rely on a fundraiser set up by his wife to cover their mounting medical bills, which have already totaled $2.3 million. The actor’s story highlights the precarious financial situation faced not only by actors but also by millions of Americans struggling with high healthcare costs. Van Der Beek, who passed away at 48, shared how the treatments drained his family’s savings. He even auctioned off cherished memorabilia from his career, including a shirt from *Dawson's Creek* and items from other iconic roles, to help alleviate the financial burden. The actor also admitted that he had earned “almost nothing” from residuals during his peak years, as his contract for *Dawson's Creek* did not include such payments. This lack of residual income, combined with the high cost of treatments, left him and his family in a dire situation. The actor’s struggle underscores broader issues in the entertainment industry, where declining residuals due to the rise of streaming platforms have left many performers without reliable health insurance. Van Der Beek was not alone in facing this challenge; other high-profile actors like Shannen Doherty have also spoken out about their lack of coverage during serious illnesses. Actors typically qualify for health insurance through unions like SAG-AFTRA only if they work a certain number of days or earn a specific income, making it difficult for many to maintain coverage. The financial strain faced by Van Der Beek and others in the industry highlights systemic issues in both healthcare and labor practices. While his story is unique due to his fame, it also reflects the struggles of everyday Americans who face overwhelming medical bills without adequate insurance or savings. His experience serves as a reminder of the fragility of financial security, even for those once considered successful.

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Originally published on BBC World on 2/14/2026