Long before titles or institutions, a single question shaped Dr. Ramón Gutiérrez’s work: what value does a medical breakthrough hold if it cannot reach the patients who need it most? Decades of progress in oncology have produced remarkable scientific advances, yet many of these innovations remain constrained by cost, complexity, and time. Through years of clinical and scientific practice, Dr. Gutiérrez came to recognize that much of the suffering associated with cancer is not inevitable, but structural.