Opinion | A Cancer Patient’s Brutal Commute

Maki Inada is juggling a lot these days. She’s a biology professor at upstate New York’s Ithaca College, where she balances teaching and research on messenger RNA . She is a mother of a vivacious 10-year-old who just finished fourth grade, and that means lots of driving back and forth to gymnastics and swimming practice. And she has lung cancer. In April, after years of clean scans, the cancer was back. She just had major surgery and is starting chemotherapy again.

So for her next appointment, the grandparents drove 11 hours to Ithaca to watch their granddaughter, and Ms. Inada and her husband drove to Boston. After she had some scans at the cancer hospital, she quickly had a telemedicine visit from the lobby. But she had to skip one of her postoperative appointments because you can only drive back and forth so many times.

Early in the pandemic, most states relaxed the rules and allowed out-of-state providers to provide care to patients in their state. Theseallowed Ms. Inada to have telemedicine visits at home in New York with her doctors in Massachusetts. But as these temporary waivers began to lapse, Dana-Farber changed its policy. It’s too expensive and complicated for the cancer center to have all its physicians licensed in every state.

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