The establishment of a cancer center

This article describes the designated comprehensive cancer center in the Pacific Northwest section of the United States. The local financial, political, and medical problems associated with the initial establishment of this center are discussed. The general philosophy of the approach to cancer, cancer research, and care are included. The programs described differ very little from other similar centers with exceptions that are noted. These are the establishment of the major clinical facilities or units outside of the center proper. The utilization, not duplication, of already existing surgical, irradiation, and hospital facilities representing a departure from the usual custom is discussed. Active participation with real input by the physicians of our region through the extramural council is described.