November 16, 2000

News Release: Federal Leaders' Cancer Test

Federal Party Leaders urged to take 'cancer test'
 
     Appeal follows further evidence of unexplained differences in cancer
     outcomes between Canada and U.S.
 
TORONTO, Nov. 16 /CNW/ - Armed with statistics showing that some Canadian provinces seem to lag behind American states with regard to the outcomes for certain types of cancer, the Cancer Advocacy Coalition of Canada (CACC) today took action to push for specific commitments on cancer issues from the federal party leaders in the current election campaign.

According to data published by the North American Association of Central Cancer Registries, which ranks 12 Canadian provinces and territories and 50 U.S. states according to incidence and mortality for cancer, Canadians with some types of cancer may not do as well as their counterparts in some U.S. states -- even when adjustments are made for varying incidence rates. This data is available at the CACC web site. Significant and unexplained survival differences remain that may, in part, be related to differences in screening and treatment. Some interpret these differences to imply that certain U.S. states and some Canadian provinces provide better cancer care than others.

All provinces except British Columbia are situated in the bottom half of the North American mortality rankings, which are adjusted for incidence and mortality.

'Add to this the fact that 129,000 Canadians were diagnosed with cancer and more than 63,000 died of the disease last year, and the CACC asks whether some of these were preventable deaths,' said CACC founder Pat Kelly. 'In ten years, we will be treating twice as many cancer patients as we do today. The fight against cancer must be squarely addressed in this election.' To make that happen, Kelly said, each of the party leaders is being asked to take the CACC Cancer Test by answering a series of four questions on key cancer care and treatment issues:
 
     -  Better cancer care delivery, including strategies for eliminating
        delays in cancer treatment, eliminating chronic shortages of cancer
        care professionals, developing and enforcing clear national standards,
        boosting participation in experimental treatment studies and reversing
        the tide of Canadians being sent out of the country for care;
     -  Eliminating unnecessary delays in drug approval times, including
        living up to Health Canada's commitment of 180-day priority approval
        times for new cancer treatments and eliminating federal and
        provincial delays in timely access to new drugs and new drug studies;
     -  Patient and public accountability, to ensure that cancer patients gain
        a meaningful voice in policy decisions about cancer while making the
        system more accountable to the people it serves, and;
     -  Research, to increase the federal government's investment in cancer
        research to $3 billion over four years.
 
We will publicly report the leaders' answers to these questions on November 24, to ensure that Canadians can cast an informed vote on which party can best confront Canada's Number One health problem,' Kelly said.

A copy of the federal party leaders' Cancer Test follows. For details on the Cancer Test campaign and the data published by the North American Association of Central Cancer Registries, click on Cancer Stats on the left Menu.  

  Never Mind Taxes...
  Who Will Cut Cancer?
 
     An invitation from the Cancer Advocacy Coalition of Canada to all Federal
     Party Leaders:
 
     'Leaders, can you pass the cancer test?'
 
Last year, 129,000 Canadians were diagnosed with cancer. More than 63,000 died of the disease. Today, one in three Canadians will be diagnosed. In ten years, we will have twice as many cancer patients as we have today. It's time to push this terrible reality to the top of the politicians' agenda. That's why the Cancer Advocacy Coalition of Canada is urging federal party leaders in this election to take our test. We will publicly report the leaders' answers on November 24, to ensure citizens can cast an informed vote on who can best confront Canada's Number One health problem.
 
Question 1
If elected, how would your government eliminate delays in cancer treatment, eliminate chronic shortages of cancer care professionals, develop and enforce clear national standards for care, enhance participation in experimental treatment studies and stop sending Canadians out of the country?
The Issue: Getting Cancer Care. Patchwork provincial efforts to deal with waiting times for radiation therapy and surgery and the scarcity of cancer specialists have failed Canadians. In some parts of Canada, less than one half of patients receive treatment within the recommended guidelines, and in the last 18 months, more than 2,700 patients were sent out of the country for care. Worse still, fewer than 10 per cent of adults with cancer participate in clinical studies that can significantly improve their chances of surviving. Ottawa must assume a strong central role to ensure all Canadians have timely, consistent access to diagnosis, care and treatment, including experimental treatment studies.
 
Question 2
How would your government ensure that the 180-day priority approval time is met, and work to eliminate existing delays in timely access to new drugs and new drug studies at the national and provincial levels?
The Issue: Drug Approval Times. New advances in chemotherapy reduce suffering and death from cancer. Canada has a Priority Drug Approval Process of 180 days to ensure new cancer treatments are not delayed. Yet Health Canada's overall average approval time is more than 500 days -- three times longer than in Europe or the U.S. Result: Affluent Canadians are leaving the country because they can't afford to wait for cancer care!
 
Question 3
If elected, how would your government ensure cancer survivors gain a
direct role in policy decisions, while making cancer care accountable to the people it serves?
The Issue: Patient Power. Cancer care and treatment must be centred on individual patient needs. People with cancer have the greatest stake in the fight against cancer - but the smallest voice. Citizens must have a stronger role in public policy decision-making about the disease.
 
Question 4
If elected, would your government commit to increase federal government
investment in research funding to $3 billion over the next four years?
The Issue: Research. Canada spends $5 (CDN) per citizen on cancer research, compared with $8 (U.S.) in the United States. Canada must increase this investment to $3 billion over four years - or Canada will drop even further behind in the world-wide fight against this disease.
 

The Cancer Advocacy Coalition of Canada is a survivor-founded patient
advocacy organization concerned about the state of Canada's cancer care
system. It is a national, registered not-for profit organization of individual
and group members, and is funded by memberships, donations, and by
unrestricted educational grants from Canadian pharmaceutical companies.

For further information: contact one of the following CACC spokespersons:

Pat Kelly, breast cancer survivor,
CACC co-founder (Toronto) (905) 637-2840; Beth Kapusta,
Hodgkin's lymphoma survivor, CACC executive director
(Toronto) (416) 538-4874;
Dr. Juanne Clark, Professor, Wilfred Laurier University
(Kitchener) (519) 884-1970 x3516;
Dr. Jaro Kotalik,Northwestern Regional Cancer Centre
(Thunder Bay) (807) 343-1610;
Doug Scott, melanoma and prostate cancer survivor,
Canadian Prostate Cancer Network (Toronto) (416) 769-4555;
Dr. Jack Chritchley, BC Cancer Agency (Vancouver) (604) 877-6183;
Arthur Frank, Author, Professor, University of Calgary (403) 220-6501;
Barry Stein, colorectal cancer survivor,
Montreal Colon Cancer Networking and Support Group (Montreal)
(514) 866-9806;
Carol Loughrey, breast cancer survivor,
Breast Cancer Network (Fredericton) (506) 452-2157;
Dr. Jon Church, Breast Cancer Information Co-ordinator, Terry Fox Labs (St. John's) (709) 737-7907/