Every year I leave ASCO with hundreds of selfies that become one giant mosaic. This year’s image tells a bigger story than the science alone. It captures the people, conversations, and growing realization that the next challenge in cancer care isn’t discovery. It’s making sure patients can reach it.

Congress left while ACA subsidies expired. Premiums spiked 114%. UnitedHealthcare dumped costly seniors. RFK Jr. gutted the CDC. NIH cancer research was slashed. The advocacy community stayed silent. 2025 was a catastrophe for patients. If you can't admit that, you're complicit. Be pissed.