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Abrupt Impacts of Climate Change is an updated look at the issue of abrupt climate change and its potential impacts on the physical climate system, natural systems, and human systems. This report summarizes the state of our knowledge about potential abrupt changes and abrupt climate impacts and categorizes changes that are already occurring, have a high probability of occurrence, or are unlikely to occur. [read more] In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the IOM first studied the quality of cancer care, the barriers to achieving excellent care remain daunting.