There are no public procurement programmes for cancer on the lines of those that exist for AIDS or tuberculosis. It is worth considering whether it is feasible to institute a drug procurement programme based on international/national competitive bidding or shopping, like those already in place in the National AIDS Control Organisation. If patients in developed countries are finding it difficult to survive the astronomical prices of cancer drugs, a developing country like India, with a large part of its population below the poverty line or among the middle class, is even worse affected in the battle against the disease.