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Abstract
The Wisconsin Cancer Pain Initiative (WCPI) is a voluntary statewide program to improve the management of cancer pain. Physicians, nurses, pharmacists, social workers, drug regulators, and others have joined in this effort to overcome inadequacies in knowledge and attitudinal barriers that are responsible for the undertreatment of cancer pain. Because Wisconsin's effort has much in common with that of the World Health Organization, WHO asked the WCPl to serve as a demonstration program and to share its experiences with other states and countries. The author describes the WCPI's patient, public, and professional education efforts, physician role-model program, advocate network, and other activities that offer hope of bringing about lasting changes in attitudes and clinical practice related to the management of pain in the patient with cancer.