David Chism: Zip-Speed Innovation, ZIP-Code Access – The Immunotherapy Paradox
David Chism/LinkedIn

David Chism: Zip-Speed Innovation, ZIP-Code Access – The Immunotherapy Paradox

David Chism, Medical Oncologist at Tennessee Oncology, shared a post on LinkedIn:

“Zip-Speed Innovation, ZIP-Code Access: The Immunotherapy Paradox

Since 2017, CAR-T and bispecific therapies have advanced at zip speed. What began with two CAR-T approvals has expanded into a powerful immunotherapy platform.

Access hasn’t kept up.

FACT-accredited immune effector cell programs increased from ~24 centers in 2018 to ~178 by 2025—real progress, but still geographically limited and workforce-dependent.

Immunotherapy doesn’t fail because of science.

It fails when access is determined by ZIP code.

Access gaps don’t just limit immunotherapy—they create space for misinformation.

Today’s innovation needs tomorrow’s delivery.”

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