Let’s all admit it: Cancer’s scary. It’s the very symbol of death by disease. It has had its way for most of the century.

But times have changed, and so should our attitudes-in this case, from cowering fatalism to bold confrontation. “You don’t have to be cancer’s victim,” says Dr. John Wurzelmann of the University of North Carolina at Chapel Hill School of Medicine. “And you don’t need to be afraid to think about it. There really is a lot of reason to be optimistic.”

To be sure, cancer is still a scourge, still the number two cause of death in the United States. Three of the four most common and fatal cancers (colorectal, prostate, and lung) affect men most often. What’s more, almost all cancers attack and kill men at higher rates than women.

But here’s the rest of the picture. People are surviving almost all kinds of cancer more than they ever did before. Early-detection techniques are better, so more cancerous tissue is being removed before it spreads. Treatment options have expanded.

It’s not just the doctors who got smarter. The rest of us are learning that there are a whole lot of things we can do-or stop doing to keep cancer away in the first place. We’re taking control. As a team of Harvard-affiliated researchers put it in the Harvard Report on Cancer Prevention, “Cancer is indeed a preventable illness.”

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