Really, get over ya self - many of us came from derm easy access, providers that deal in high percentage of cash pay NOT bogged down in challenging reimbursement issues with almost every treatment they Rx, In ONC you have to be skilled in selling because you have short infrequent interactions additionally onc/hem have to be highly skilled in knowing who the key support stakeholders are to get patients on drug and keep them on. Derm was a feeder into onc so just stop with the nonsense. Way too much self preservation going on!