In May I spent a few days with primary care researchers thinking about cancer at the Ca-PRI meeting. This network has been growing and gathering since 2008. Nearly 200 people attended this year and almost a quarter of them were PhD students, post-docs or young investigators. They reflected a growing cohort of people taking advantage of the many years of healthcare delivery data from countries with organized care systems. It was a peak into our potential future. It felt hopeful and exciting that it was possible to learn from routinely collected data. It was also intriguing because they see the cancer challenge a bit differently. For them, improving symptomatic detection is a big issue, since screening is handled by organized programs outside their realm. But there was also some common ground; care of comorbid conditions, palliative care, and care at the end of life were all discussion topics and challenges to their care. What issues do you think are the most important for our future leaders to tackle?