monary and critical care physician in the Department of Medicine at Memorial Sloan-Kettering Cancer Center. His main research interests are in assessing and improving the quality of cancer care. His work has focused particularly on improving the quality of care for African American patients in Medicare, including cancer care. His work has shown that low quality of care contributes to excess mortality for African Americans with lung cancer, and that limited access to high-quality primary care physicians may reduce quality of care more generally for African Americans. He also studies the link between cigarette smoking, lung cancer, and early detection, and has developed statistical models that can be used to predict the probability that someone will develop lung cancer based on their age and smoking history. These models were recently used to demonstrate that CT screening for lung cancer may not benefit patients: people who are screened appear to die of lung cancer at the same rate as if they had not been screened, despite CT screening detecting many early lung cancers and leading to many diagnostic tests, invasive procedures, and surgeries. Dr. Bach is also engaged in health care policy work. In 2005 and 2006 he served as Senior Adviser to the Administrator of the Centers for Medicare and Medicaid Services (CMS) in Washington, DC, where he oversaw the agency’s cancer initiatives, evidence development work through conditional coverage, and data policy. In that role, he was a liaison to other health agencies, including the FDA, NIH, and AHRQ. He currently serves as a member of the Institute of Medicine’s National Cancer Policy Forum. He is the recipient of the Boyer award for clinical research, was the previous incumbent of the Frederick Adler faculty chair, and has been the recipient of grants from the National Cancer Institute, the National Institute of Aging, and the American Lung Association. Dr. Bach is a graduate of Harvard College, the University of Minnesota Medical School, and the University of Chicago School for Public Policy. He conducted his medical residency and subspecialty fellowship at the Johns Hopkins Hospital in Baltimore, Maryland. During the 1994 Rwandan civil war, he provided medical care to refugees in Goma, Zaire.


Anthony Back, M.D., is Professor of Medicine at the University of Washington in Seattle. He is Director of the Cancer Communication and Palliative Care Programs at the Seattle Cancer Care Alliance and the Fred Hutchinson Cancer Research Center. He is a board-certified medical oncologist whose primary research interests are physician–patient communication and palliative care, and he practices gastrointestinal oncology. Dr. Back was a Faculty Scholar on the Project on Death in America and is a member



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