North Carolina created a healthcare affordability commission with hospitals, insurers, employers, and policy experts at the table, but no patients. If we are serious about fixing healthcare, the people who navigate it, pay for it, and depend on it must have actual power in the room.

ASCO 2026 delivered extraordinary advances in cancer research, including a standing ovation for a pancreatic cancer breakthrough. Yet the dominant conversation centered on something else: the widening gap between scientific innovation and patients’ ability to access it.