You know it's an election year, don't you? You know it's an election year when Winston's fermenting merry mischief, when the leader of the opposition is happy to put himself up for an hour of questions on talkback, and when lobby groups are releasing their election wish lists. 

The Cancer Society has released its election manifesto and is calling on the next Government, however it looks, to spend dollars to save them. For example, if you invest $5.5 million a year to deliver a national skin cancer prevention and early detection programme, more than 90% of cases will be prevented – nearly all cases are treatable when detected early. Every dollar invested, according to the Cancer Society, returns $11.90 in savings.  

And when you think of friends and family who have been through cancer treatment, you can understand how that would stack up. If you don't have to go through the torturous and expensive and generally lifesaving treatments, you are saving so much. So much of your own energy, so much time, so much money as a result of not getting cancer in the first place or early detection. As Cancer Society Chief Executive Nicola Coom told Mike Hosking this morning, given that cancer's New Zealand's biggest killer, it makes sense to invest in early detection and treatments. 

“One in three of us in New Zealand will receive a cancer diagnosis in our lifetime, but what's startling is one in three can also be prevented. So 81 people today around New Zealand are going to hear that they've got cancer. What this manifesto is about is we want those people to either A, not have that news in the first place, or B, be told it's okay, we've detected it early, your prognosis is good.” 

So the Cancer Society also wants to see cervical screening fully funded at a cost of $21 million per year and deliver on the 90% HPV immunisation target by 2030. You get that immunisation rate up and that eliminates cervical cancer. Invest the $5.5 million a year to deliver the skin cancer prevention and early detection programme, fund a lung cancer screening programme and begin rolling it out over the next three years, lower the bowel screening starting age to 50 and protect children and families from the commercial drivers of cancer. It all makes sense. If you can spend a dollar to save 11, why would you not? And you can say well the money's not there, but it is. It is there within the health budget. Imagine. Imagine if you didn't have to go through that whole gruelling process of trying to treat a cancer which could have been detected early, which could have been prevented in the first place when you look at the HPV immunisation. 

Cancer does not have to be a death sentence anymore. Breast cancer used to be, once you got the news about that, it was basically “set your affairs in order”. But as a result of new treatments, as a result of detection programmes, you no longer see it as a death sentence. 86% of people who are diagnosed with breast cancer survive 10 years or longer now. With skin cancers, if they're detected early, bowel cancer if you have the screening programme and can pick up the polyps that can turn into something life threatening, there is no reason for us to go through the agony of seeing somebody sicken and die. 

There will still be some that are just the anomalies of cancer cells being in your body and it's just your DNA and your bad luck and hopefully next life round you have a better run of it. But for many people it's detectable and if you have the early screening, you find it, the treatments are less severe, less harsh, less gruelling, less expensive. No brainer. I'd absolutely back the Cancer Society's election manifesto on that and I'll ask Chris Hipkins about that, but I'd love to hear from those of you who know exactly what this is all about, who've been there, who've done that, who've either had early detection or because of gaps in the system did not have the early detection and had a poorer outcome, tell me your story.