Despite continued scientific and medical progress, the American Society of Clinical Oncology offered a mixed picture in its annual report on The State of Cancer Care in America earlier this year. While advances have been made in combating some cancers, mortality rates for others remain unchanged or have increased. There’s disparity in care, concerns about the rising cost of therapy, and uncertainty about how new payment models will affect care. We spoke to Julie Vose, immediate past president of ASCO, about the report, where additional work is needed, and how to balance the need to make cancer care affordable while encouraging innovation.