In the nation's single-minded focus on curing cancer, we have inadvertently devalued the critical need for palliative care, which focuses on alleviating physical and psychological symptoms over the course of the disease. Nothing would have a greater impact on the daily lives of cancer patients and their families than good symptom control and supportive therapy. Yet the National Cancer Institute (NCI), the federal government's leader in cancer research and training, spent less than 1 percent of its 1999 budget on any aspect of research or training in palliative care.
The nation needs to get serious about reducing needless suffering. NCI should commit to and fund research aimed at improving symptom control and palliative care. NCI also could designate "centers of excellence" among the cancer centers it recognizes. To get that designation, centers would deliver innovative, top-quality palliative care to all segments of the populations the centers serve; train professionals in ...
