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Aaron Mitchell

@thewonkologist.bsky.social

365 Following1.1k Followers

Medical oncologist and health services researcher. Focusing on health care costs, physician-industry COI, and oncology reimbursement reform. Opinions mine.

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@thewonkologist.bsky.socialOct 16, 2026, 7:20 PM

Just finished presenting these new findings at #ASCOQLTY26

Industry payments to oncologists are associated with aggressive end-of-life care for patients with cancer.

HHannah R. Abrams@hannahrabrams.bsky.socialOct 16, 2026, 6:35 PM

Physician payments & end-of-life tx: -Slight ⬆️ aggressive EOL care among those who received payments -However, is this a function of 3' centers seeing more patients at later lines of tx? -Need to clarify research support vs personal $ #ASCOQLTY26 @thewonkologist.bsky.social @dusetzinas.bsky.social

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@thewonkologist.bsky.socialOct 13, 2026, 12:08 AM

I'll be presenting our latest this weekend at @ascocancer.bsky.social Quality Care Symposium!

On the association between industry money to oncologists their delivery of lower-quality, more-aggressive end-of-life care

@ryannipp.bsky.social @fumikochino.bsky.social

www.asco.org/abstracts-pr...

@thewonkologist.bsky.socialOct 9, 2026, 5:54 PM

“The contrast with financial toxicity is instructive. Financial toxicity, a term coined more than a decade earlier and serving as the explicit template for time toxicity, has never, to our knowledge, been used by a drug company to advertise a LOWER list price for a new drug.” 💯💯💯

@thewonkologist.bsky.socialOct 9, 2026, 5:52 PM

Must-read perspective in Journal of Clinical Oncology @ascocancer.bsky.social on how the concept of “time toxicity” is being appropriated for industry aims (profits).

I was not aware of this! Eye opening.

ascopubs.org/doi/10.1200/...

@thewonkologist.bsky.socialOct 5, 2026, 1:37 AM

Images of Freddy Kruger at the video store

@thewonkologist.bsky.socialOct 2, 2026, 3:04 AM

“Patients come to oncology with fear and uncertainty. They are asking for judgment they can trust. That judgment should not be shaped by a meal, an honorarium, or a branded invitation.”

Amazing editorial on our study from @sarojniraula.bsky.social

ascopubs.org/doi/10.1200/...

@thewonkologist.bsky.socialOct 2, 2026, 3:02 AM

I could not have asked for a better editorial! Thank you for writing this. And for not mincing words. I am in full agreement with your recommendations as well.

@thewonkologist.bsky.socialSep 16, 2026, 3:56 AM

@propublica.org @charlesornstein.bsky.social @medlawdan.bsky.social @profgenkanter.bsky.social @kffhealthnews.org @matthewherper.bsky.social @statnews.com @pharmalot.bsky.social @relentleshealth.bsky.social @armandalegshow.bsky.social @drrobinyabroff.bsky.social @yalecrrit.bsky.social

@thewonkologist.bsky.socialSep 16, 2026, 3:56 AM

Thanks to all my co-authors on this study! @dusetzinas.bsky.social @peterbachmd.bsky.social And to our funders at NCI, @commonwealthfund.org, @arnoldventures.bsky.social, and @nihcm.bsky.social

@thewonkologist.bsky.socialSep 16, 2026, 3:56 AM

Begs the question - why are we still accepting money and gifts from drug companies?

@thewonkologist.bsky.socialSep 16, 2026, 3:56 AM

...and the AMOUNT of money matters: The more money your oncologists get for the not-as-good drugs (orange), the LESS likely you are to receive treatment with a guideline-preferred drug.

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@thewonkologist.bsky.socialSep 16, 2026, 3:56 AM

Our latest, out today in JCO @ascocancer.bsky.social :
Industry payments to oncologists can sway us to prescribe, regardless of whether the drug is good or bad.

ascopubs.org/doi/10.1200/...

@bradlander.bsky.socialSep 7, 2026, 12:27 AMReposted by @thewonkologist.bsky.social

Gender-affirming care saves lives, respects the rights of patients, and reflects that healthcare is supposed to be between providers and patients, not between providers and the Trump Administration. (1/3)

gothamist.comMount Sinai reaches deal with Trump DOJ to end gender-affirming care for minorsMount Sinai is the latest in a string of U.S. hospitals to reach similar agreements with the Trump administration.
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@medlawdan.bsky.socialSep 3, 2026, 9:11 PMReposted by @thewonkologist.bsky.social

NEW: Draft white paper up on SSRN -

"Reimagining FDA’s Corporate Funding: Pathways to Reform or Abolition of User Fees"

FDA's corporate funding, aka "user fees," are not ancillary -- they have big implications for FDA policy & integrity. (1/x)

papers.ssrn.com/sol3/papers....

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