Excited to share our new review on financial toxicity in cancer.
We discuss how financial burden arises across multiple levels patients, providers, health systems, and policy and why solutions must extend beyond the individual.
tinyurl.com/5htzkrwf
@fumikochino.bsky.social @bthomphd.bsky.social
There are steps we can take to improve access to lifesaving drugs for patients, including the ones listed in this Health Affairs post. #pharmacoequity
Essential Drugs Must Be Affordable And Accessible www.healthaffairs.org/content/fore... by @jbudhu.bsky.social @eddiecliff.bsky.social
📌 CHPC leadership Dr. Beth McGinty, Dr. Will Schpero, & Weill Cornell Medical student Michael Liu have a piece out in Health Affairs Scholar: "Regional changes in inpatient psychiatric bed capacity and availability of alternative psychiatric services, 2012-2022"
👉 Read here:
For me, this hits close to home. We’ve seen what happened with lomustine and the impact on brain tumor patients when a life-saving therapy becomes inaccessible. These aren’t abstract policy issues — they have real consequences for people.
@eddiecliff.bsky.social @mskcancercenter.bsky.social
Proud of this new @healthaffairs.bsky.social piece: Essential Drugs Must Be Affordable and Accessible.
So proud of @cuny.edu Medicine student Merna Shohdy — she did an incredible job breaking down why essential meds remain out of reach for too many patients.
www.healthaffairs.org/content/fore...
6/ Check out our work and share your thoughts—how can we ensure AI truly drives equity in neurology?
neurology.org/doi/10.1212/...
5/ The takeaway: AI will not automatically produce equity. It requires equity-by-design—from dataset curation to deployment to continuous monitoring. Tools must be tested for whom they work, not just how well they work.
21.11.2025 15:55 — 👍 0 🔁 0 💬 1 📌 0
4/ We outline three principles for neurology:
• Engage diverse patient & community voices in AI design
• Build AI literacy across the neurology workforce
• Promote transparent policy & governance to monitor bias & impact
3/ But risks are equally real: biased datasets, under-representation of marginalized groups, “black-box” algorithms, and uneven implementation can magnify existing disparities.
21.11.2025 15:55 — 👍 0 🔁 0 💬 1 📌 02/ AI can expand access: earlier detection, language-accessible tools, smarter triage, and support for underserved settings. These are real opportunities to close long-standing gaps in neurologic care.
21.11.2025 15:55 — 👍 0 🔁 0 💬 1 📌 0
1/ 🧠 New in @greenjournal.bsky.social
: Our AAN DLP class explores how AI can advance—or worsen—health equity in neurology.
AI brings enormous promise, but only if we design and deploy it responsibly.
🔗 neurology.org/doi/10.1212/...
@mskcancercenter.bsky.social @aanmember.bsky.social
A graphic showing most campaigns don't meet anywhere near their fundraising goals
💸Cancer-related GoFundMe #crowdfunding raised $506M in 16 months in the US, which is ~ 1/3 of the total requested & a fraction of pts total out-of-pocket costs. Use of crowdfunding underscores substantial unmet financial needs among US cancer survivors.
jnccn.org/view/journal...
Excited to share our new review on Imaging in Neuro-oncology
We outline core & advanced MRI techniques, amino acid PET, RANO criteria, and where radiomics & AI are taking the field. Imaging remains central to precision neuro-oncology
@ecoffeemd.bsky.social
doi.org/10.1055/a-27...
DR. SHOSHANA UNGERLEIDER BEFORE WE GO 8H AGO - S2, E6 - 40 MIN - E Mark Cuban and Dr. Fumiko Chino Try to F-Up Healthcare Before We Go A PODCAST NYTION ORIGINAL • Play Today's episode features two people who are shaking up the U.S. Mark Cuban, best known as one of the "sharks" on Shark Tank, is healthcare system in very different but deeply humane ways. Dr. tackling the same problem from another angle. Through his Cost Plus Fumiko Chino knows firsthand how devastating medical debt can be. Drug Company, he's disrupting the industry with a transparent, After losing her husband to cancer and being left with overwhelming direct-to-consumer model that's already changing - and saving - bills, she went to medical school to become a radiation oncologist lives. and made it her mission to make care more affordable.
🎙️Before We Go @podcastnation.bsky.social
Mark Cuban and Dr. Fumiko Chino Try to F-Up Healthcare
Dr Shoshana hosts an incredible convo w @mcuban.bsky.social
("He had a good life & he f-up’d healthcare") & myself about how to fix our broken system from w/in or burn it down from the outside. 🔥
ICYMI - Our @NEJM Perspective argues that federal restrictions on Emergency Medicaid could restrict care for immigrants and strain safety-net hospitals.
Preserving state flexibility is both fiscally smart and morally necessary
www.nejm.org/doi/full/10....
Financial toxicity screening helps identify patients in need—but most still struggle to get help.
In our new study, 81% of patients screening positive didn’t receive an intervention, underscoring the need for stronger infrastructure & policy reform.
ascopubs.org/doi/full/10....
Financial toxicity screening helps identify patients in need—but most still struggle to get help.
In our new study, 81% of patients screening positive didn’t receive an intervention, underscoring the need for stronger infrastructure & policy reform.
ascopubs.org/doi/full/10....
Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens - Fumiko Ladd Chino
@fumikochino.bsky.social @chaewonhwangmd.bsky.social @jbudhu.bsky.social @bthomphd.bsky.social
oncodaily.com/voices/fumik...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedOnc #MedNews
Our @nejm.org perspective is now available - in it, we argue for the need for state flexibility in Emergency Medicaid. It's only a tiny percentage of overall Medicaid spending, is cost-effective, and helps sustain our safety net hospitals.
www.nejm.org/doi/full/10....
Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money.
Restricting it ignores evidence, burdens states, and harms communities.
Our latest via @nejm.org
Emergency Medicaid at Risk - Preserving State Authority and Access to Care
www.nejm.org/doi/full/10....
🧵1/6
@commonwealthfund.org @nejm.org @wschpero.bsky.social @larryau.bsky.social @mskcancercenter.bsky.social
06.10.2025 15:06 — 👍 0 🔁 0 💬 0 📌 0
6/6 🧵 We argue that states should have the flexibility to determine what works best for their populations.
A one-size-fits-all federal approach undermines effective, evidence-based care for immigrant communities — and burdens the hospitals that care for them.
5/6🧵Unauthorized immigrants contribute billions to the U.S. health system — more than they receive in care.
In 2017 alone, net contributions totaled:
$20.8B to Medicare
$21.3B to Medicaid
$14.7B to private insurance
They are net funders, not burdens.
4/6 🧵
Emergency Medicaid spending is tiny:
💰 FY2023 = $3.8B, just 0.44% of total Medicaid ($860B). Even at its pandemic peak, it stayed below 1%. Yet it supports hospitals serving millions with no other coverage options.
3/6 🧵
Emergency Medicaid was designed to reimburse hospitals for federally required emergency care — but some states have expanded coverage to include essential services like dialysis. This flexibility That flexibility has saved lives and reduced costs
2/6 🧵
In May 2025, CMS issued new guidance warning states that use federal dollars for care to unauthorized immigrants beyond emergencies could face audits and fund recoupment.
This marks a major shift from decades of state flexibility under Emergency Medicaid.
Emergency Medicaid accounts for <1% of Medicaid spending — yet saves lives & money.
Restricting it ignores evidence, burdens states, and harms communities.
Our latest via @nejm.org
Emergency Medicaid at Risk - Preserving State Authority and Access to Care
www.nejm.org/doi/full/10....
🧵1/6
For decades, the narrowly defined Emergency Medicaid (EM) program has reimbursed hospitals for emergency care provided to uninsured, low-income immigrants.
In @nejm.org, we write in defense of state flexibilities in EM, which seem at risk: www.nejm.org/doi/full/10....
cc @chpc-cornell.bsky.social
Our new NEJM commentary argues on the need to preserve state autonomy for Emergency Medicaid, and the critical role EM plays in supporting undocumented immigrants and safety net hospitals
www.nejm.org/doi/full/10....
Announcement of the 2025 AMWA Inspire Awardees with photos of each recipient. One of the awardees, Diana Cejas, MD, MPH, wears a bright yellow dress and white floral earrings in her photo.
Honored to share that I am a American Medical Women’s Association (AMWA) Inspire Award Recipient!
Congratulations to this incredible group of physicians!
www.amwa-doc.org/news/announc...
