Abstract

Should we say 'a little bit of cancer'? Many argue that we should avoid the phrase and instead relabel early cancers as a strategy to prevent overtreatment. Against this, I argue that we should not shy away from saying 'a little bit of cancer', and, moreover, that shying away misses a key opportunity to address the problem of overtreatment. Drawing on speech act theory, I examine the diagnosis of cancer as illocutionary speech act and argue for a revisionist strategy which seeks to shift the normative force of the cancer diagnosis qua speech act. I show how this strategy offers distinct advantages vis-à-vis alternative approaches to tackling the problem of overtreatment.