Natalie Lipschultz, 39, poses for a photograph in Burnaby, B.C., Thursday, Dec. 5, 2024. When factoring in her out-of-pocket expenses, lost wages and time costs, Lipschultz estimates her cancer diagnosis has cost her around $20,000 over the last 6 years. She now speaks out as an advocate focused on the early onset community. THE CANADIAN PRESS/Darryl Dyck