In 2022, the Philippines recorded over 188,000 new cancer cases and113,000 deaths. The WHO Global Status Report on Cancer 2026 highlights a critical reality: the primary challenge in global oncology is no longer a gap in knowledge, but a gap in health system implementation. That gap is visible locally. Screening uptake varies with health-system readiness. Patients face long diagnostic journeys, fragmented work-up, and heavy out-of-pocket costs. Specialist care remains urban-concentrated, so distance, transport, and lost income become hidden barriers for provincial patients. Delay accumulates at each milestone—symptom to diagnosis, diagnosis to treatment plan, plan to treatment start, start to completion—driven by awareness gaps, pathology turnaround, financing approval, and stock-outs. Tracking these waiting times is what makes equity measurable.