Cary Gross
carygross.bsky.social
Cary Gross
@carygross.bsky.social

Professor of Medicine & Public Health @Yale, working to improve cancer care for all.
Director, #Cancer Outcomes (COPPER) Center & Yale Nat'l Clinician Scholars Program. Associate Editor, JAMA Internal Med (posts = own views, not employer’s) .. more

Economics 51%
Public Health 22%
What would be the real world impacts of the loss of federal funding for Housing First programs? We modeled it: an additional 44,590 ppl beyond anticipated growth due to economic factors. @jabarocas.bsky.social @kirkfetters.bsky.social @ucsfbhhi.bsky.social url: jamanetwork.com/journals/jam...
Potential Changes in US Homelessness by Ending Federal Support for Housing First Programs
This decision analytical model estimates the change in the number of people experiencing homelessness in a year following termination of federal support for Housing First programs.
jamanetwork.com

Reposted by Cary P. Gross

After tragedies like those this weekend, particularly when the horror of gun violence hits so close to home:

First, we grieve. Then, turn to facts. Then, with understanding rather than anger or fear, we must act - with community and heart at the center. 💜

www.theatlantic.com/ideas/2025/1...
First We Grieve
Then we must act.
www.theatlantic.com

Reposted by Cary P. Gross

You don’t want to miss this. Jenn Sherman from Peloton
and I will discuss my new book Eat Your Ice Cream at
@92ndstreety.bsky.social on January 7 at 7:30 pm in NYC. Join us for a refreshing conversation with no gimmicks. Get your tickets and pre-order my book now at the links below.
For older adults with metastatic cancer, each day spent on health care can take away from days that are often devastatingly limited. Our latest study led by Arjun Gupta and Shelley Jazowski with @dusetzinas.bsky.social and Avi Gupta is out now in @jamanetworkopen.com
jamanetwork.com/journals/jam...
Health Care Contact Days in Older Adults With Metastatic Cancer
This cohort study examines patterns and changes in health care contact days over time among traditional Medicare beneficiaries diagnosed with metastatic breast, colorectal, lung, and prostate cancers.
jamanetwork.com

Reposted by Cary P. Gross

4. A new @jamanetworkopen.com study by senior author Dr. Michaela Dinan & colleagues that identified risk factors for late-onset depression in long-term cancer survivors.

Dr. Dinan & co-authors Dr. @carygross.bsky.social and Dr. Stephanie Wheeler are all ACS RSGs.

jamanetwork.com/journals/jam...
Risk of Late-Onset Depression in Long-Term Cancer Survivors
This cohort study of survivors of breast, prostate, or colorectal cancer examines risk factors associated with late-onset depression.
jamanetwork.com

Reposted by Cary P. Gross

Spotlighting Emika Miller, PhD, MSN, APRN-CNP — Yale NCSP ’25–’27 presenting at this year’s NCSP Annual Meeting hosted by Penn. Her work in adult-gerontology acute care, dementia caregiving, and community-engaged research continues to strengthen our NCSP community.
#YaleNCSP #AnnualMeeting

Reposted by Cary P. Gross

Gilead Sciences is playing games with people's lives. Despite their vast communications resources, people across the world see through their nonsense and are calling for real access to lenacapavir for HIV prevention, not PR stunts. healthjusticeinitiative.org.za/2025/11/20/a...
Africa Demands Lenacapavir for All: The South African Government Should Act Decisively Against US bullying and for Equitable Access - Health Justice Initiative (HJI)
PRESS STATEMENT For Immediate Release: 20 November 2025, 09h00 SAST Africa Demands Lenacapavir for All: The South African Government Should Act Decisively Against US bullying and for Equitable Access
healthjusticeinitiative.org.za

Reposted by Cary P. Gross

Link to our Fall 2025 newsletter: mailchi.mp/bd3532f4eef6... (2/2)

Reposted by Cary P. Gross

A new Yale study led by @carygross.bsky.social and
@ilanarichman.bsky.social investigates the quality of #cancer care among those diagnosed with cancer during or immediately after #incarceration.
news.yale.edu/2025/11/03/i...
@jamanetworkopen.com
For incarcerated people, gaps exist in quality of cancer care
A new Yale study investigates the quality of cancer care among those diagnosed with cancer during or immediately after incarceration.
news.yale.edu

Reposted by Cary P. Gross

Check out this profile of a new study by @solomonctryls.bsky.social affiliated faculty @carygross.bsky.social, Dr. Lisa Puglisi, Dr. Emily Wang, and others, showing that people diagnosed with cancer while incarcerated are less likely to receive prompt cancer care. news.yale.edu/2025/11/03/i...
For incarcerated people, gaps exist in quality of cancer care
A new Yale study investigates the quality of cancer care among those diagnosed with cancer during or immediately after incarceration.
news.yale.edu
Our new study is published today in @bmj.com!

We studied whether oncologists tend to use cancer treatments that are more beneficial, more profitable, or both.

I was surprised by the results: clinical benefit mattered, profit did not.

1/

cc: @dusetzinas.bsky.social
www.bmj.com/content/391/...
Provider billing margin and cancer treatment selection: population based cohort study
Objective To estimate the association between the billing (profit) margin and clinical benefit of cancer treatments and use by oncologists. Design Retrospective population based cohort study Setting...
www.bmj.com

Reposted by Dana Howard

*NEW study Happy to be able to share our work exploring gaps in the quality of #cancer care for patients with criminal justice involvement. There are opportunities for improvement.
jamanetwork.com/journals/jam.... Grateful to work with Drs. Ilana Richman, Emily Wang & team. @jama.com
Incarceration and Quality of Cancer Care
This cohort study evaluates the quality of cancer care received by people with a history of incarcaration compared with those who have not been incarcerated in the US.
jamanetwork.com

Reposted by Cary P. Gross

I am honored to give the #ASCOQLTY25 Simone Award to @drrobinyabroff.bsky.social today. Dr Yabroff has a profound impact as a researcher, policy advocate, & mentor. It's hard to find someone in health services research that hasn't been positively influenced by her intellect, wit, & warmth.🏆
Thank you @nytopinion.nytimes.com for publishing this rot. Marc Rowan has run hundreds of companies into the dust to extract profits from their failure and bankruptcies. Now he wants to do the same to American higher education. Do not believe a word this man says. 1/ www.nytimes.com/2025/10/10/o...
Opinion | Trump’s ‘Compact’ With Universities Is Badly Needed
www.nytimes.com

Reposted by Cary P. Gross

New in @medpagetoday.com: Financial side effects from #breastcancer treatment can create life-altering problems, including distress, debt, & employment disruptions #bcsm #financialToxicity

Proud of the work of @mdanderson.bsky.social PGY5 Dr Kamaria Lee in the @ascocancer.bsky.social
#ASCOEdBook
Kamaria Lee and Fumiko Chino on Financial Toxicity and Breast Cancer
Still needed: interventions at government, institutional, and provider levels
www.medpagetoday.com

Reposted by Cary P. Gross

Only 4 US states comprehensively regulate IV hydration spa governance, prescriber credentials, dispensing, and compounding practices.

ja.ma/48jpG4v

Reposted by Cary P. Gross

A large Yale study of pts with #cancer in Connecticut found modest declines in #opioid prescribing overall—and sharper drops in some groups, including a 40% decrease in pts without pain. yalecancercenter.org/news-article...
@henryspark11.bsky.social @carygross.bsky.social
Yale Study Finds Reduced Opioid Prescribing for Some Patients with Cancer
An analysis of opioid use and prescriptions for more than 10,000 Connecticut patients with cancer found modest decreases in both new and additional painkiller
yalecancercenter.org

Reposted by Cary P. Gross

**important new paper**

Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries

David M Chooljian et al. @annalsats.bsky.social

pubmed.ncbi.nlm.nih.gov/40986802/
Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries - PubMed
Privacy and Dignity for Undocumented People? Clinicians' Duties and Responses to Patient Immigration Status Inquiries
pubmed.ncbi.nlm.nih.gov
New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com!

Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on??

jamanetwork.com/journals/jam...
I have a list of things we can do to change this tempo of tragedy

The proposals are based on real data
They have had signals of efficacy

It may feel hopeless today but:

I refuse to give up.

Because - Our babies & our communities deserve better than a rolling litany of horrors.
“Never delegate understanding.”

That quote stuck with me—and it’s now the title of my new Substack.

I’ll be writing about health, science, & how these things can be understandable.

Subscribe here → neverdelegateunderstanding.substack.com/subscribe

#health #science #medicine @yalemed.bsky.social
Subscribe to Never Delegate Understanding
Making health and science understandable. Click to read Never Delegate Understanding, by Harlan Krumholz, a Substack publication. Launched 2 days ago.
neverdelegateunderstanding.substack.com

Reposted by Cary P. Gross

#Medicaldebt is an indicator of an inherent failure of our health system to protect the most vulnerable. Aggressively pursuing it does little to serve the financial bottom line of a hospital, while exposing the most vulnerable & their families to a lifetime of downstream consequences.

@jama.com
few outcomes, except for 99% of FDA-approved drugs, 174 recipients of 104 Nobel Prizes, training ~30K MDs and ~10K PhDs per year to enter the workforce, and a 34% reduction in age-adjusted cancer deaths since 1990 -- the largest decrease in history
Now do the Department of Defense budget, Andrew.

“Washington has thrown billions at NIH for decades with little accountability and few measurable outcomes,” HHS spokesperson Andrew Nixon said in a statement to Future Pulse.

www.politico.com/newsletters/...
NIH spending battle’s ripple effect
www.politico.com
Now do the Department of Defense budget, Andrew.

“Washington has thrown billions at NIH for decades with little accountability and few measurable outcomes,” HHS spokesperson Andrew Nixon said in a statement to Future Pulse.

www.politico.com/newsletters/...
NIH spending battle’s ripple effect
www.politico.com

Reposted by Cary P. Gross

From a source inside the National Cancer Institute:

“Everyone is scrambling to figure out how we’re supposed to work to serve the public when we can’t engage at all.”
Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy

Reposted by Cary P. Gross

"Even though I'm free, I ain't free." Formerly incarcerated Black men describe ongoing anxiety, hypervigilance, and feeling institutionalized years after release from prison. theconversation.com/i-just-could...
By @helenaaddiphd.bsky.social @yale.edu
‘I just couldn’t stop crying’: How prison affects Black men’s mental health long after they’ve been released
Over 2 dozen Philadelphia men shared their experiences with trauma and psychological distress as they worked to rebuild their lives after release.
theconversation.com

Reposted by Cary P. Gross

Among FDA anticancer drug approvals from 2009 to 2020, only 27 next-in-class drugs had direct randomized clinical trial comparisons with first-in-class drugs. https://ja.ma/3Gs6k1J
As a longtime public health reporter covering the rise of anti-vaccine groups, I have seen them use personal stories to raise doubts about vaccines.
Today I saw immunization advocates push back by highlighting the stories of the toll of vaccine-preventable illness. A thread:

Happy birthday, Fumiko!