Across all health care settings, the crucial role played by family caregivers (FCs) is often overlooked. FCs are defined as relatives, friends, or neighbors who provide unpaid patient care, assisting with physically, emotionally, and socially demanding tasks. 1 With medical advancements that have extended the lives of many patients with cancer and with most cancer care now being delivered in outpatient settings, the responsibilities placed on FCs have become increasingly complex and prolonged. In the

Communication in oncology has always been challenging. The new era of precision oncology creates prognostic uncertainty. Still, person-centered care requires attention to people and their care needs. Living with cancer portends an experience that is life-altering, no matter what the outcome. Supporting patients and families through this unique experience requires careful attention, honed skills, an understanding of process and balance measures of innovation, and recognizing that supportive care is a foundational element of cancer medicine, rather than an either-or approach, an and-with approach that emphasizes the regular integration of palliative care (PC), geriatric oncology, and skilled communication.