Fumiko Ladd Chino, MD FASCO
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fumikochino.bsky.social
Fumiko Ladd Chino, MD FASCO
@fumikochino.bsky.social

#RadOnc. Reformed Artist. Cancer Widow. I study #FinancialToxicity #Access #Equity MD Anderson Cancer Center 📲me COI http://bit.ly/3OBu0Cn 🐦🪶🕊️ #medSky #oncSky migration

Economics 64%
Public Health 16%
Pinned
"For both patients and providers, prior authorization can feel like an unfair game they are designed to lose."

Honored to work w/ Dr @nathangray.bsky.social on a graphic op-ed out now @usatoday.com on how #PriorAuth can leave some patients literally dying in pain.

www.usatoday.com/story/opinio...
For patients and doctors, insurance prior authorization can be a dangerous game | Opinion
Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.
www.usatoday.com

🧑🏻‍⚕️🩺⚕️From active obstruction to transparency, how the Leapfrog Group helped create the sea change 🌊 forcing hospitals to move away from "Deny and defend" to embrace patient-centered quality and safety measures.

Measurement is the engine that will drive improvement.

At the Leapfrog Group Annual Meeting: 25 Years of Action, Reflection on "To Err is Human" and the Leapfrog Legacy.

"Break some glass and make some enemies... we didn't want incremental change." Engaging those who are dedicated and devoted to improving quality in healthcare. 🏥

#ThreeGoodThings:
1️⃣ @mdanderson.bsky.social #Radonc holiday celebration 🎄🎁🎉
2️⃣ Wake Up Dead Man; A Knives Out Mystery and Daniel Craig's floppy hair👱
3️⃣ completing Christmas shopping ✅

#ThreeGoodThings:
1️⃣ sleeping in on Saturdays is highly underrated 😴
2️⃣ Holiday craft fairs
3️⃣ we Christmas-ified Rattles our kitchen skeleton 🎄🎅

Don't mistake my concern. Giredestrant is an EXCITING new tx. I just want it to be ACTUALLY available/affordable for real people.

Cost is likely >$250k/yr for <3% absolute benefit. Some people will think it's worth it ...but others would rather have that 💸 to pay rent. #SABCS25

#Giredestrant oral SERD ➡️ incredible 30% benefit for those with early stage ER+ #breastcancer.

It's not on the market yet but other similar #bcsm 💊 cost >$20k/mo vs generic AI $7.50 (on CPD w/o insurance). Let's see some affordable pricing please.🙏
#SABCS25 #financialToxicity

#ThreeGoodThings:
1️⃣ the Annual #AdoptAFamily @mdanderson.bsky.social wreath auction raises funds to directly support brighter holidays for our patients and their families is about to close ⏰
2️⃣ this LEGO wreath from the auction is just STUNNING 🤩
3️⃣ I currently have the high bid 🤞

#ThreeGoodThings:
1️⃣ taking a #SoMe holiday before the actual holidays
2️⃣ the first lentil soup of the season
3️⃣ the art and precision of wrapping presents 🎁

I'm not getting older. The text just keeps getting smaller. 🧐🤨🤓
a cartoon character is reading a newspaper with a lamp in the background
ALT: a cartoon character is reading a newspaper with a lamp in the background
media.tenor.com

I'm "taking pictures of something on my phone so that I can zoom in on it to read the ingredients" years old. 👀🔎🔦🕵🏻‍♀️

Getting the best "deal" shouldn't be top of mind when facing serious illness. High deductible plans ⬆️debt, ⬇️access & ⬇️survival.

"You're not going be able to actually [price shop] effectively, & certainly not within the time frame that you would need"
@npr.org @barnesjm.bsky.social
Republicans push high deductible plans and health savings accounts
A Republican call to give Americans cash instead of health insurance subsidies revives an old idea that has left millions with medical debt.
www.npr.org

Today's thrift store find (maneki neko) #weekendsInHouston

🚑🏥 "When patients & families have no option but to dial 911 in a moment of crisis because we, as a society, do not invest in robust home-based care, it is hardly surprising that care defaults to hospitalization"

Thoughtful @jamanetworkopen.com @jama.com #pallonc #hpm commentary:
The Tyranny of Autonomy in Medical Decision-Making for Serious Illness
Advance Care Planning (ACP) evolved as an alternative paradigm to the legal transactional framework for advance directives (ADs) that emerged from the 1970s patients’ rights and bioethics movement.1 T...
jamanetwork.com

🍎 Overjoyed to have worked with beloved friends, colleagues, & multidisciplinary team members on #HCWvsHunger 2025. Collectively we raised >$1M and fed JUST SO MANY PEOPLE. The competition was fierce; I am incredibly grateful to be part of this community doing good in the world.
a thank you card with watercolor hearts on a white background
ALT: a thank you card with watercolor hearts on a white background
media.tenor.com

Ultimate #HCWvsHunger BlueSky flex 💪 🍎💪🍎💪🍎💪🍎💪🍎
a cartoon duck is hanging upside down on a beach .
ALT: a cartoon duck is hanging upside down on a beach .
media.tenor.com

#ThreeGoodThings:
1️⃣ 4/4 #radonc in my family donated this year to #HCWvsHunger for our #oncTwitter team
2️⃣ my 🍎order arrived just in time for our last day
3️⃣ honored to run #DiagnoseAndTreats with Drs @kemimdrad.bsky.social @tmprowell.bsky.social @rovingatuscap.bsky.social
@01sth02.bsky.social 🙏