aren’t many that I can think of that are easily available. But some years ago when I turned a certain age, I am not quite sure what it was, but the Social Security Administration began to send me an annual letter that told me when I was eligible for Social Security benefits. It also included my earnings history back to the first paycheck I earned as a teenager. I mean $114 recorded in 1950 something. I thought, “Whoa, where did that come from?” It was actually fascinating to see this record. Now, again, we are tracking one thing, which is income which is far simpler than the variety of things we track in medicine. But again, having that available to the customer, and these are again fairly simple data, is key. But that ability for a survivor to look back on key points in their survivorship would be invaluable. I do not quite know what the key points might be, but such a record might get filled in by both oncologists and primary care physicians along the way, and would be a track record that they would have of the essence or elements of their health and health care.

These are thoughts to consider, none of them tailor made. But I think the discussion that we are having is absolutely terrific, and the outcome in terms of cancer care and quality cancer survivorship stands to be terrific. So, for the IOM for hosting, the committee for doing the work they have done on the report, and for those of you who were involved in the follow-through and follow-on in the report, I just think this is terrific work. I salute you, and have a good lunch.



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