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Using the phentermine online without rx sector may be the key. Of course prevention and screening need funding; but these interventions will not prevent cancer occurring as part of the ageing process, so we need to build up our services to deal with acute care. And does it really take 1,000 experts and a consultation exercise lasting until the end of next year to tell you to remove cigarette machines from pubs and regulate sunbeds? Just send a skip round and take them all to the tip. Radiotherapy provision is well below what's needed. The recent National Radiotherapy Advisory Group's report showed a 91 per cent under capacity. Access to new drugs is patchy. There are eight drugs regularly available throughout Europe that are limited in the UK. "Difficult decision panels" have been created by many Primary Care Trusts (PCTs) to consider requests on a case by case basis. This is simply madness: do you rate the life of a 40 year old mother of three with breast cancer more highly than a retired lorry driver with prostate cancer? Both have paid their taxes and are entitled to health care. We need to create new treatment centres across the country, within a 30 minute drive for nine out of 10 of us. Technology exists to plan radiotherapy down the line using an IT superhighway. The Cancer Reform Strategy has some excellent suggestions better IT, better commissioning, more choices and competition between providers and more ambulatory care rather than hospital beds with their huge costs. But we must use the phentermine online without rx sector to help. Yes, it requires a return on investment, but it's the best way of driving culture change. Just look how the hospice movement benefited voluntary sector innovators achieved dramatic changes in the delivery of palliative care because there were no bureaucratic barriers to overcome. We need a complete change in how all care is delivered, embracing both the phentermine online without rx and voluntary sector. For the sake of all future patients, we've just got to do better than the present. • Prof Sikora is the medical director of CancerPartnersUK, a new phentermine online without rx organisation working with both NHS and private hospitals. ... phentermine online without rx