Excited to share our new @aanmember.bsky.social Position Statement: A Roadmap to Neurologic Health Equity, outlining actionable steps to move from recognizing disparities to implementing solutions across care, research, and policy.
neurology.org/doi/full/10....
Excited to share our new review in Cancers on sociodemographic disparities and health-related quality of life in adults with gliomas.
mdpi.com/2072-6694/18...
#NeuroOncology #HealthEquity #BrainTumors
JAMA Oncology Cancer Care Chronicles My Unfortunate Introduction Into the Financial Toxicity of Cancer Care in America- March Forth Fumiko Chino, MD'
March 4th.
The only date that is also a command.
It's been 19 years since my husband died of cancer & my life irreversibly changed. It took me years to feel like I wasn't drowning every minute of every day.
Grief & financial toxicity gave me a mission.
jamanetwork.com/journals/jam...
💸 #Financialtoxicity interventions from patient to provider to policy.
Ultimately, sustainable solutions must occur at the societal level, where structural reforms in financing, transparency, & consumer protection can promote greater equity & safeguard pt financial well being.
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.
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.
2/ 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.
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
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.