An aging population, a growing number of cancer survivors, and a projected shortage of cancer care providers will result in a challenge in delivering the care for cancer survivors in the United States if systemic changes are not made. UNC Lineberger's Deborah K. Mayer, PhD, RN, AOCN, FAAN, and American Cancer Society's Catherine M. Alfano, PhD, published a commentary in JNCI that outlines an approach to address the shortfall.