I agree with what Neuronix said above...
The title is a bit of drama, it is NOT what I want or any of us wants...
What we want...the list should be:
1. Happy radoncs treating cancer pts.
2. Competent radoncs.
3. Equilibrium of the 1990s: basically 100-110 new PGY-5 graduating per year and 100-110 radoncs retiring.
4. Too bad the prediction from 2010 was bad and everyone seemed to listened to it and expanded programs.
5. The hypofrax, actually they should have seen it coming even 20 years ago, data from the UK, Canadian studies already showed in many situations, hyprofrax is safe. What did the US do? We were paid by the # fractions and the subsequent abuse of IMRT caught the gov attention. Radoncs hands in the cookie jar!!!
How could the "leaders" in the radonc field not know this was not coming?
The leaders thought the gov has unlimited cash?
6. Then Covid came (this one was not in the forecast).
PS: We treat shorter and shorter fractionation, medonc treats the pt longer and longer, forever, some maintenance chemo + IO runs forever, even up to the week before the pt's death...
No wonder medonc people drain gov Medicare budget but somehow they get away...