It seems that we are increasingly learning more about cancer mechanisms and what things make useful and long-term therapeutic strategies work and fail to work. What can we say now that we would not have been able to say 10 years ago? How well can we now distinguish a cancer cell from a normal cell? Can we better direct apoptosis in cancer cells and what is limiting for this? What will be the impact of this knowledge for the next decade of research and for translational impacts? What are important next steps?