Meeting People Where They Smoke: Policy Strategies to Promote Lung Cancer Screening Awareness
Deepti Srinivasan, Samuel Schwartz, Aarin Dave, Tino Karakousis, Chi-Fu Jeffrey Yang MD
Division of Thoracic Surgery, Department of Surgery · Massachusetts General Hospital, Boston MA
Lung cancer remains the leading cause of cancer death in the United States, yet screening uptake sits at only 21% among eligible individuals, and more than 80% of high-risk patients have never discussed screening with a clinician. The piece proposes three complementary policy strategies to close that gap: mandating screening information at tobacco point-of-sale, embedding signage in state-designated smoking areas, and simplifying eligibility criteria by replacing the complex pack-year framework with a duration-based approach. The argument draws on existing regulatory infrastructure and First Amendment precedent to chart a legally defensible path for advocates across radiology, primary care, and oncology.
↗ Read in Journal of the American College of Radiology