Dear Friend

I’ve led over two hundred week-long Commonweal Cancer Help Programs over the last 35 years. Perhaps the most important question wise people with cancer come to ask themselves is “what matters now?”

The answer to “what matters now” with cancer can be your best guide to how to live, what treatments to undertake, and what treatments to decline or discontinue.

For example, if you want to try to live at all costs no matter how difficult the therapies, and believe exclusively in conventional therapies, you may choose one direction. If quality of life is a large part of what matters now, you are open or disposed to complementary therapies, and you want to supplement gentler conventional therapies with complementary therapies, you may choose a different direction.

Lynn was an oncology nurse in her 40s who worked with a gifted breast cancer surgeon. She developed breast cancer. Her surgeon recommended a mastectomy. She opted for a lumpectomy, fully knowing it was a riskier choice. Why? She knew what mattered most now to her was to hold her grandchildren to her breasts. So she opted for the medically riskier therapy.

What matters now is often a question about what risks to take to live the life you want to live.

What matters now may lead to deeper questions. You may change your work, your personal life, or the balance between them.

I asked Diana what she would do if she could do whatever she wanted. Her response was immediate. “I would quit my job, buy a van, drive from New York to New Mexico, go to arts school, and come back to New Hampshire and start an artists colony.” That is almost exactly what she did—except the artists colony became healing retreats for cancer patients. What matters now can take courage. Or it can be simple as can be.

Francis Weller calls cancer “a rough initiation.” You can never return to life as it was before. You have entered a new stage of life.

Ian Gawler, an Australian friend who lost a leg to cancer and started a cancer retreat center, told the story of a woman with life-threatening cancer who knew what she needed to do. She left a bad marriage, got a case of good sherry, and moved to a beach town to change her life. She did very well.

These are dramatic stories of people deciding what matters now. But sometimes the changes are almost invisible. An inner reorientation as quiet as it is profound. Allowing our understanding of life’s mystery in whatever form we understand it to play a much more central role in our lives. Committing to deep restorative lifestyle practices such as qigong, a healthy diet, exercise, good sleep, and a commitment to service in our lives.

What matters now may have an entirely different meaning for you.

Asking what matters now awakens us to what life offers us or asks of us at turning points in our lives.

There is no time like the present to ask yourself—what matters now?

Wishing you well,


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About the Author

Michael Lerner

Michael Lerner is co-founder of Commonweal and co-founder of the Commonweal Cancer Help Program, Healing Circles, The New School at Commonweal, and CancerChoices.

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Michael Lerner is co-founder of Commonweal and co-founder of the Commonweal Cancer Help Program, Healing Circles, The New School at Commonweal, and CancerChoices. He has led more than 200 Commonweal Cancer Help Program retreats to date. His book Choices In Healing: Integrating the Best of Conventional and Complementary Approaches to Cancer was the first book on integrative cancer care to be well received by prominent medical journals as well as by the patient and integrative cancer care community.

Michael Lerner Co-Founder