Prior authorizations routinely delay patients being able to see me and to get radiologic and other studies done in a timely fashion. I am a gyn oncologist, and I have seen patients with cancer wait for months to get an appropriate referral to a gyn oncologist. One recent cancer patient of mine waited 6 months to see 3 physician specialists for surgery. Once she had seen them and set up her surgery, her scan was repeated (she had to wait a month to get this approved also) and she had disease progression and was no longer eligible for surgical cure. This patient was 27 years old. I had to call her and tell her we needed to cancel her surgery. She may never be eligible for curative surgery again. This delay most likely significantly worsened her prognosis and will contribute to a family losing their daughter, wife and mother. This needs to end now.