Cancer is the leading cause of mortality in Singapore, accounting for 26.5% to 28.5% of deaths between 2004 and 2007 (1). The Ministry of Health in Singapore responded by setting up comprehensive screening and management strategies for each disease, with development of cancer facilities and services to address the issue. What we have been slower to do is to address needs of patients who fail to respond to treatment and succumb to their disease despite oncological care.
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