Abstract
Advances in scientific research indicate school-based cancer prevention programs could substantially reduce the risk that children and youth will develop cancer in later life. Nevertheless, scientific evidence alone cannot make a winning case for cancer prevention in schools. This programmatic emphasis must be justified in relation to the school's role in achieving national health objectives and concepts of comprehensive health education. Problems in implementing school health education also must be addressed, but this will require confronting fundamental value conflicts concerning the mission of schools in American society. After examining these issues, the author concludes that the case for school-based cancer prevention can best be advanced through collaboration with others who share a commitment to children and youth, but who differ in their specific concerns and agendas.