Volume 224 - Issue 2

National Screening, National Responsibility: Turning Promise Into Progress for Lung Cancer Care

Author:  Fraser J. Brims

Correspondence: fraser.brims@curtin.edu.au

Med J Aust 2026 || doi: 10.5694/mja2.70146
Published online: 22 February 2026

Abstract

Lung cancer remains Australia's leading cause of cancer death, with a disproportionately high burden on Aboriginal and Torres Strait Islander peoples. The recent launch of the National Lung Cancer Screening Program (NLCSP) offers an exciting and critical opportunity to improve outcomes. However, the program's full potential may not be met due to substantial systemic shortfalls. Key challenges include inadequate access to multidisciplinary workforce, limited access to personalised medicine and a lack of a national clinical quality registry. To maximise the NLCSP's impact, strategic investment is urgently needed to strengthen clinical infrastructure, enhance research and ensure equitable access to care.