The Shyam Oncology Foundation is a palliative care centre with an outpatient facility and ten inpatient beds, which began in April 2012. All of the care is provided at no cost to patients in advanced stages of cancer who can no longer get traditional cancer treatment. Advanced cancer patients have many needs mainly relief from severe pain and other distressing symptoms, and counselling for the psychological distress experienced by them and family members. Both are offered here by skilled staff at no cost, as the purpose is to ensure that patients, no matter who they are, do not suffer. Even if a cure isn't possible, there's always care. Palliative care is a well-established specialty of medicine in developed countries, and however, in India, particularly in Gujarat, there are few such clinics. Few of such clinics are in Ahmedabad, Gujarat, and serve residents of the entire state as well as neighboring states such as Rajasthan, Madhya Pradesh, and Maharashtra. They also intend to extend home care services, as many impoverished people lack the financial means to go to their facility, even for entirely free treatment for cancer. Almost 800,000 new cancer patients are diagnosed in India every year. On an annual basis, cancer claims the lives of almost 500,000 people. Cancer deaths outnumber the combined death rates of malaria, tuberculosis, and HIV/AIDS. The majority of cancers are discovered after they have progressed. The vast majority of patients are unable to receive routine care (lack of knowledge, lack of medication facilities, inability to pay for treatment). The majority of poor patients, as well as many with wealth, die after months of excruciating pain. This "suffering" is also the primary concern when a patient is diagnosed with cancer. Not only does "suffering" refer to bodily discomfort, but it also refers to a state of mind. Thalassemia and other blood illnesses are common in India. Each year, approximately 10,000 children are born with thalassemia major. These youngsters will require blood transfusions every two to four weeks for the remainder of their lives, in addition to additional medications. They normally die before the age of 40, and in poor households, they usually die before 20. Treatment is expensive, and it causes silent anguish for the entire family, not just the child. Furthermore, this disease is nearly 100 per cent avoidable and treatable in a small number of youngsters.