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Global Cancer Care: An Unfinished Promise

Saroj Niraula1

  • 1Saroj Niraula (saroj.niraula@bccancer.bc.ca) is a clinical associate professor at the Department of Medicine, University of British Columbia, and a medical oncologist at BC Cancer, in Kelowna, British Columbia, Canada. Pseudonyms, Dr. Anuja and Dr. Aakash, are used to protect the physicians' privacy. To access the authors' disclosures, click on the Details tab of the article online.

Health Affairs (Project Hope)
|August 4, 2025
PubMed

Insights

Global cancer care delivery shows limited progress. True advancement requires a focus on equitable access and sustainable solutions for all patients worldwide.

Area of Science:

  • Oncology
  • Global Health
  • Health Equity

Background:

  • The current state of global cancer care delivery is critically evaluated.
  • Significant disparities in cancer treatment access persist worldwide.

Purpose of the Study:

  • To reflect on the stagnation in global cancer care progress.
  • To define the essential components of genuine advancement in cancer treatment accessibility.

Main Methods:

  • Qualitative reflection and critical analysis.
  • Review of existing global health and oncology delivery models.

Main Results:

  • Identified a lack of substantial progress in equitable cancer care delivery.
  • Outlined key areas for improvement, emphasizing systemic changes.

Conclusions:

  • Real progress in global cancer care necessitates a shift towards equitable access and sustainable, patient-centered strategies.
  • Urgent need for innovative approaches to overcome barriers in cancer treatment worldwide.
Keywords:
Donor dependencyGlobal healthGlobal oncologyHealth equityLMICMedical migrationNepalPostcolonial health systems

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