NCCS represents millions of cancer patients and survivors in the United States. However, not all those diagnosed with cancer have equal outcomes, which vary significantly based on factors like race, socioeconomic status, health insurance, and location. According to researchers, a quarter of the 600,000 annual cancer deaths in the US could be prevented if everyone had equal access to prevention, screening, and treatment. NCCS works on policy efforts to address health inequities and reduce disparities, though solutions are complex as many factors leading to inequity are deeply rooted in social determinants of health and systemic barriers. The Affordable Care Act has helped reduce disparities in access and mortality compared to states that did not expand Medicaid.