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Decribes the inequalities in access to cancer care particularly in the low and middle income countries.  These include financial barriers-the fact that in most couontries in the world the bulk of thhe cost of care is "out-of-pocket, and that because in the low and middle income countries there is a pucity of specialists and cancer centers, patients and their families must travel large distances to reach specialist help,   In soome countries there are no cancer centers and non radiation facilities.  There may even be no pathologists or cancer speciaists.   The best  way to  address the problem of financing health, and to prevent 100 miillion people from being thrown into poverty each year is to intruduce universal  health insurance.   Prepayments are made according to means, and the government may have to subsidise the very poorest.  Alongside this, increased numbers of doctors and nurses must be trained and mechanisms introduced to lessen the likelihood that they will migrate to countries which can offer a better personal and professional life.

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