Cancer care isn’t neutral—and pretending it is swerves no one. And might cost lives. In this episode of I Need to F-ing Talk To You, Dr. Eugene Manley cuts through the politeness to talk about what health equity really demands from leaders, systems, and science.

A cancer scientist and longtime patient advocate, Dr. Manley works at the collision point of biomedical research, cancer care, AI ethics, and racial equity. As founder of SCHWQ Stemm and Cancer Health Equity, and an advisor with Project RADICAL and the Public Health Clinic for Black Canadians, he names the biases baked into our systems—and what it actually takes to dismantle them.

This is a blunt, necessary conversation about leadership, accountability, and why care without equity isn’t care at all.

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