Coupling Oncology With Primary Care: A Systems-Level Strategy for Better Cancer Outcomes (2026)
Introduction Cancer care has become increasingly sophisticated at the molecular level. Genomic sequencing, targeted therapies, and immuno-oncology have transformed how tumors are classified and treated. Yet despite these advances, long-term outcomes for many cancers remain stubbornly limited . One reason is structural rather than technological. Modern cancer care is fragmented. Oncology focuses on tumor-directed interventions, while primary care manages metabolic health, cardiovascular risk, inflammation, and aging. These domains rarely intersect in a coordinated way. From a systems perspective, this separation makes little biological sense. Coupling oncology with primary care is emerging as a critical — and largely missing — strategy for durable cancer control. Cancer Is Not an Isolated Tumor Problem Cancer does not develop or progress in isolation. It arises within a host environment shaped by metabolism, immune function, inflammation, hormonal signaling, and mitochondrial health. M...