iiinova — where your digital self keeps evolving

Joshua Budhu @jbudhu.bsky.social · 26/08/2026

🧠 Excited to share our new paper on patient navigation in neuro-oncology, now published in Equity Neuroscience! 📄 doi.org/10.1016/j.ne... @mskcancercenter.bsky.social @cuny.edu

doi.org

Redirecting

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Joshua Budhu @jbudhu.bsky.social · 24/08/2026

New review! Equity in Neurotoxicity Care in the Era of Cancer Immunotherapy We examine disparities in neurotoxicity care and opportunities to advance equity through navigation, specialty access, telemedicine & AI. www.thieme-connect.com/products/ejo... @mskcancercenter.bsky.social

thieme-connect.com

Thieme E-Books & E-Journals

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Joshua Budhu @jbudhu.bsky.social · 28/04/2026

As neurology enters the era of high-cost therapies, financial toxicity is becoming a key determinant of access, adherence, and equity. Proud to work with superstar resident Dr. Gotlieb on this viewpoint in @greenjournal.bsky.social neurology.org/doi/full/10.... @mskcancercenter.bsky.social

Joshua Budhu @jbudhu.bsky.social · 08/04/2026

Neurology® Journals

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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....

A Roadmap to Neurologic Health Equity | Neurology

Neurologic disorders affect more than 200 million people in the United States, yet inequities in neurologic health persist particularly among marginalized populations. These disparities are rooted not...

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Joshua Budhu @jbudhu.bsky.social · 16/03/2026

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

mdpi.com

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Reposted by Joshua Budhu

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 04/03/2026

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...

JAMA Oncology
Cancer Care Chronicles
My Unfortunate Introduction Into the Financial Toxicity of Cancer Care in America-
March Forth
Fumiko Chino, MD'

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Reposted by Joshua Budhu

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 23/02/2026

💸 #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.

journals.lww.com

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Joshua Budhu @jbudhu.bsky.social · 23/02/2026

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

journals.lww.com

Cornell Health Policy Center @chpc-cornell.bsky.social · 04/12/2025

Reposted by Joshua Budhu

📌 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:

academic.oup.com

Regional changes in inpatient psychiatric bed capacity and availability of alternative psychiatric services, 2012-2022

AbstractIntroduction. The US faces a growing mismatch between demand for inpatient psychiatric care and available capacity. Little is known about the chara

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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

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Essential Drugs Must Be Affordable And Accessible | Health Affairs Forefront

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...

healthaffairs.org

When the sole manufacturer withdrew a critical cancer drug from Medicare and Medicaid, patients were left without options. Policy makers must act to ensure that essential drugs remain affordable and a...

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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.

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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

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3/ But risks are equally real: biased datasets, under-representation of marginalized groups, “black-box” algorithms, and uneven implementation can magnify existing disparities.

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 13/11/2025

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.

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Reposted by Joshua Budhu

💸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...

A graphic showing most campaigns don't meet anywhere near their fundraising goals

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Joshua Budhu @jbudhu.bsky.social · 04/11/2025

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...

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Reposted by Joshua Budhu

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 23/10/2025

🎙️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. 🔥

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.

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Joshua Budhu @jbudhu.bsky.social · 17/10/2025

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....

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

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Reposted by Joshua Budhu

Joshua Budhu @jbudhu.bsky.social · 14/10/2025

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....

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Joshua Budhu @jbudhu.bsky.social · 14/10/2025

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Joshua Budhu @jbudhu.bsky.social · 10/10/2025

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 at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

Reposted by Joshua Budhu

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

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

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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.

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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.

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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.

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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

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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.

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Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

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Reposted by Joshua Budhu

William Schpero @wschpero.bsky.social · 06/10/2025

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

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

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Reposted by Joshua Budhu

Larry Au @larryau.bsky.social · 04/10/2025

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....

Emergency Medicaid at Risk — Preserving State Authority and Access to Care | NEJM

States that use federal dollars to provide health care to unauthorized immigrants, beyond narrowly defined emergency services, will now face enforcement actions and potential recoupment of funds.

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Reposted by Joshua Budhu

Diana Cejas, MD, MPH @dianacejasmd.bsky.social · 16/09/2025

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...

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.

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Reposted by Joshua Budhu

Joshua Budhu @jbudhu.bsky.social · 10/09/2025

Disparities in neurology are not random. They stem from upstream determinants (classism, poverty, environment) & downstream barriers (access, treatment gaps). Our @natrevneurol.nature.com review maps these drivers & highlights interventions to advance equity. rdcu.be/eFqGX

rdcu.be

Health disparities in neurology

Nature Reviews Neurology - This Review considers the aetiology of health disparities in neurology at an individual, interpersonal, community and societal level, and suggests practical interventions...

Joshua Budhu @jbudhu.bsky.social · 10/09/2025

rdcu.be

Health disparities in neurology

Joshua Budhu @jbudhu.bsky.social · 09/09/2025

Nearly 1 in 3 neurologists in the US trained abroad. Immigrant neurologists fill critical gaps in underserved communities but face visa barriers & uncertainty. Supporting them is essential for equitable neurologic care. My latest in @greenjournal.bsky.social www.neurology.org/doi/10.1212/...

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

Joshua Budhu @jbudhu.bsky.social · 31/08/2025

Reposted by Joshua Budhu

Immigrant neurologists face uncertainty about visas, careers, and families. They care for some of our most vulnerable patients. Supporting them is both a moral obligation and essential to the future of our field. My viewpoint in @greenjournal.bsky.social www.neurology.org/doi/10.1212/...

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

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Joshua Budhu @jbudhu.bsky.social · 31/08/2025

From Many Nations, One Mission—The Importance of Immigrant Neurologists in US Health Care | Neurology

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Reposted by Joshua Budhu

Joshua Budhu @jbudhu.bsky.social · 21/06/2025

Father’s Day marked 17 years since my brother died—sedated, shackled, and alone in a hospital bed. His death wasn’t inevitable. It was systemic. I share his story, and what it taught me about health, justice, and memory. Thank you @nejm.org www.nejm.org/doi/full/10....

My Brother’s Keeper | NEJM

Intubated, chemically sedated, and immobilized, Ravi developed a massive pulmonary embolism and died handcuffed to a hospital bed. He’d been caught in a system that worked against him at every turn.

Joshua Budhu @jbudhu.bsky.social · 21/06/2025

My Brother’s Keeper | NEJM

Joshua Budhu @jbudhu.bsky.social · 06/04/2025

So excited for #AANAM 2025! Join us for a session on Neurologic Consultations in Cancer Patients on Sunday, 4/6/25 at 3:30pm!