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This report calls for more equitable access to treatments for the thousands of Canadian women living with metastatic breast cancer (mBC). The research demonstrates an often two-year lag time (or longer) between provinces in listing drugs, which can result in life-or-death wait times for a woman with mBC. In order to achieve equitable access to potentially life-extending treatments CBCN has identified four specific areas that require improvement to help eliminate this inequity and allow for faster access to vital medications.