[Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals

Medich, Tara TMEDICH at mgh.harvard.edu
Thu Sep 11 15:08:46 EDT 2025 

Thank you for posting, Jerry.  This is related to Adam Springer’s email from last night.

The Smith-Bindman campaign is blazing through social media.  There are hundreds of comments from her “supporters” on the regulations.gov site.  Please see her exact comment near the bottom of the first email:

My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.

The goal is to overwhelm with volume.  There are four days remaining in the comment period.  Please submit a statment!!

-Tara
______________________________
Tara M. Medich, MS, CHP
Director, Radiation Safety
Radiation Safety Officer, MGH & BWH

Massachusetts General Hospital
Brigham and Women’s Hospital
125 Nashua St, Suite 641, Boston MA 02114
MGH 617 724 4577    |    BWH  617 525 6612
massgeneral.org<https://urldefense.com/v3/__http://www.massgeneral.org/__;!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQwYgMVhQ$ >
brighamandwomens.org

[cid:image002.png at 01DC232D.B59EDCA0]

From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> On Behalf Of Jerry Thomas via Intl_dxmedphys_wd_osu_list
Sent: Thursday, September 11, 2025 12:00 PM
To: International Diagnostic Medical Physics List <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals

I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run by her

        External Email - Use Caution
I thought this email thread might be of interest to some members of the list.   Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting.   The ALARA company -- I believe run by her husband -- is the "Free solution" being pushed on many smaller hospitals.  Personally, her standance in this area causes me great concern, as I feel it should be to others in our field.  I have no idea what the "end goal" of her push is -- but it is most likely not without substantial financial gain on her part, rather than a "true" concern about the potential cancer risk from CT.

vR,

Jerry


Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM
Diagnostic Medical Physicist / Radiation Safety Officer
Ascension Via Christi Hospitals Wichita
Wichita, KS  67214

Phone:  316-268-5958  (office)
            240-447-1014  (cell)

---------- Forwarded message ---------
From: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>
Date: Wed, Sep 10, 2025 at 6:39 PM
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
To: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>

Dear Colleagues,

I’m reaching out for your help on an incredibly important issue to me and millions of patients nationwide. We’re in the final days of a campaign to tell Washington: make CT safer. Your past support has been very meaningful and I hope you'll once again lend your voice to protect patients.

A new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.<https://urldefense.com/v3/__https://secure-web.cisco.com/1dOmmAQHEPqj3Ym9Cbx_aWTvuSyJpx70EIVAORHyTH4Trh58Qas80lkgPdxJqXmAvCfV5qk-3ouISnQjGxMaNW5c5JHYw5MxXDIl5iU64U-ISTbDDv5DTzQaKJ_RWZng34mEllhTbAxxmwLGI7NHJinUIxbGACvveKeaxsJJYcnEynAoGzeLLVS3BH7lCwaulaZGW8z0uuARH3l6YljCEy-uOYrg8G2g7idKhf6TyY8R8nzFewt7TI1SgYlvzNMzaby4rryHnuqoGmAOXuCfwLgiu51ri2WNVZLwJoFln0WmWn6VwN8oQu8bNFHiLFpdK/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTsdka7OA$ >

TAKE ACTION NOW!<https://urldefense.com/v3/__https://secure-web.cisco.com/1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ$ > <https://urldefense.com/v3/__https://secure-web.cisco.com/1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ$ > ▶️<https://urldefense.com/v3/__https://secure-web.cisco.com/1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ$ >

The Excessive Radiation Dose quality measure is the only safeguard ensuring hospitals use safe radiation doses. To protect patients and make CT imaging safer, it must remain mandatory under the Centers for Medicare & Medicaid Services.

The time to act is short—the public comment period closes Monday, September 15, 2025.

It takes 30 seconds and every voice counts.

Thank you,

Rebecca Smith-Bindman, MD
Professor, Epidemiology and Biostatistics
Obstetrics, Gynecology, and Reproductive Sciences
Director, Radiology Outcomes Research Lab

[cid:image001.jpg at 01DC232C.7F0E5090]



________________________________
From: Smith-Bindman, Rebecca
Sent: Wednesday, August 27, 2025 1:07 PM
To: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>
Subject: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals

Dear Colleagues,

I hope this finds you well and having a nice summer. As participants in our Virtual Symposium on CT, I know you care deeply about patient health and safety, I’m asking if you would take action to oppose new federal rules that would make CT imaging less safe by weakening requirements for hospitals to report their CT radiation data.

Currently, a mandatory measure is in place for hospitals that monitors the amount of radiation used during CT scans, ensuring doses remain within safe limits. However, CMS announced a proposal that would make reporting CT radiation data optional for hospitals. If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, and thousands of preventable cancers will occur<https://urldefense.com/v3/__https://secure-web.cisco.com/1dv86z054EgSfJBXp_2sq1CXrfjZFPKwwIXLeTzjdovArt_dPLb_6FgZwTifZHjxVt47za4KuApoTeU399BI0sxPh-wY5k9rnO2ZckCUaaMqu7cc0jYiHo0sinzx72dxrGNRBpUY7ZhJVrpSD7N1YJf0W-frWHIF6BWbVD2TFug3K5jRaN6EGFQBgMAiTykEwTxY66bDgAewY3rBRFjcTgrR1JHsVm4lDDTgqKR7yWWKOJwnz__zCS2ZXX8HhDsjKdHNUHOO20nFv7CCNIpieAznqlf8P9sX2Kiw4kZmTVDqGzaB-io_oawVZXyjfOyci/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fjamanetwork.com*2Fjournals*2Fjamainternalmedicine*2Ffullarticle*2F2832778__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68*24__;JSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQfWZ33dA$ >.

In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to tell CMS to stop this dangerous rollback for patient safety.

We’ve created a campaign<https://urldefense.com/v3/__https://secure-web.cisco.com/1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ$ > to allow quick and easy submission – just visit the site, enter your information, and submit the letter. My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.

Please submit your comment before Monday, September 15!<https://urldefense.com/v3/__https://secure-web.cisco.com/1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fucsf.quorum.us*2Fcampaign*2Fmake_CT_safer*2F__*3B*21*21KGKeukY*21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*24__;JSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ$ >

If you can, please also share the message with your community:
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Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.

Sincerely,
Rebecca

Rebecca Smith-Bindman, MD
Professor
Epidemiology and Biostatistics
Obstetrics, Gynecology and Reproductive Science
Director, Radiology Outcomes Research Lab
University of California San Francisco




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