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Sarah McGoram embracing a colleague at CanForum26

The right thing to do

By Danielle KirkPhotographer: All images used with permission.

Highlights

  • Sarah McGoram OAM has lived with rare cancer for 30 years while advocating for better patient outcomes.
  • Her grassroots campaign helped secure PBS access to a vital GIST treatment.
  • The 2026 ACU Alumni Mission Award winner is fighting for greater research, treatment access and equity for people with rare diseases.

For 30 years, primary school educator and ACU Alumni Mission Award winner Sarah McGoram OAM has lived with a rare cancer. She channels her lived experience into advocating for patients with rare cancers and diseases, raising awareness and calling for greater research, more accessible treatments and better outcomes for patients. 

Three decades ago, Sarah McGoram was given a year to live.

It was 1996 and Sarah was in her second semester of studying a Bachelor of Education (Primary) at ACU in Canberra. The 18-year-old had been unwell during Years 11 and 12 and had just had exploratory surgery following an unusual scan.

“They discovered that I had 50 tumours lining my small bowel and a few other larger tumours,” says Sarah.

“Six or eight weeks later we got the formal diagnosis of gastrointestinal stromal tumour, or GIST. We were told it was a very rare cancer, there was no treatment and no cure, and the likely prognosis was about 12 months.”

What do you do when you’ve been handed a death sentence? Sarah saved up, went travelling and, when she was still alive a year later, returned to uni to pursue her dream of teaching young kids.

Thirty years on, Sarah continues to live with GIST, managing the disease through 12-weekly scans, surgeries, clinical trials and emerging treatments.

“Unfortunately, there is still no cure, and I’ve had the disease the entire time,” she says. “It has been a very long health journey, but fortunately in parallel to a very meaningful, purpose-driven life.”

Sarah McGoram in front of Parliament House
Sarah McGoram with other supporters and advocates at Rare Cancers Australia's CanForum26.
Sarah McGOram speaking at the Canberra Region Cancer Center
Sarah addressing politicians at the Canberra Region Cancer Centre.

Alongside her battle to defy the odds, Sarah has built a teaching career and become a powerful advocate for people with rare cancers and disease. She supports patients through their diagnosis while campaigning for greater research, improved access to treatments and better outcomes.

“Fighting for equity, whether it’s across education or healthcare, means a tremendous amount to me and is what drives me,” she says.

In recognition of her advocacy and service, Sarah received the Medal of the Order of Australia (OAM) in 2023 and was a finalist for ACT Australian of the Year in 2026. She has also been awarded the 2026 ACU Alumni Mission Award. 

Supporting other patients

Gastrointestinal stromal tumours are rare cancers of the digestive system, affecting around 10–15 people in every million worldwide. In Australia, someone is diagnosed with a rare cancer every 12 minutes.

Any cancer diagnosis is devastating, but people with rare cancers also face delayed or protracted diagnoses, limited and often prohibitively expensive treatment options, uncertain prognoses, and little access to specialist information and support.

Sarah helps patients navigate that uncertainty by offering information, connection and hope.

“I am contacted by about one patient a week who’s desperate for access to a treatment or support,” she says.

Sarah McGoram reading a story about her experience with cancer
Sarah reflects on her advocacy journey.
Sarah McGoram reviewing past media clips

“Their doctors have said that there are no other options, but for people with rare cancers other treatments do exist and are being used effectively, it’s just the treating doctor may not be aware of them, or they may not be funded for that particular cancer type. For example, for my cancer there are three funded treatments for a disease that has 12 possible treatments.

“So my role, which is very much at home, often in my PJs if I’m not well, is talking patients through their diagnosis, helping them understand their disease, linking them up with support and discussing available treatment options. 

“It not only gives people the strength and courage to self-advocate, but it also helps their doctors and nurses better understand this rare disease. This then gives better outcomes for all patients, and hopefully for our kids’ generation too.”

In 2025, Sarah also became President of Patient Voice Initiative (PVI), a patient-led organisation that works to ensure all patients are seen, heard and valued in the healthcare system.

Finding community

Facebook is known for many things – these days, those are often negative – but in its infancy it threw Sarah, and many patients like her, a lifeline.

“My early days with the disease were pre-Internet, so my doctor wrote down the name of the disease on a Post-it note,” Sarah says.

“There were no clinical trials, no pamphlets, nothing. I was then sent home from hospital and told, ‘Come back if your symptoms change.’ It was isolating and terrifying. I had this overwhelming sense of living with a time bomb.”

Sarah McGoram talking with other cancer patients online
Sarah McGoram talking with other cancer patients online

Despite the uncertainty, Sarah built a career in education, married her husband, Tom, and welcomed their son, George, after a carefully managed pregnancy.

Around 2010, after exhausting her own treatment options, Sarah started speaking publicly about her experience and a community started to form.

“People started finding me through Facebook and sending me messages asking for help and how I coped,” she says.

“I had never met anyone else with my disease. Suddenly there were people who understood what we were going through. We were able to support each other emotionally, but even more so, help each other understand this disease.

“And then, because I was one of the longest living patients, people turned to me for support. It made me realise that we needed more support, better funding, better access to treatment. All of us were falling through the cracks.”

Sharing the courage

Sarah’s move into advocacy started with making medical folders with a school colleague.

“I’d made my own medical folder with notes, suggested questions for oncologists and all my pathology documents, and I thought that was something tangible I could make for people,” she says.

Sarah McGoram in front of Parliament House.
Sarah McGoram attending Parliament House with Rare Cancers Australia.

Sarah posted more than 50 folders to patients she’d met, to help them manage their appointments and feel more empowered in the medical system.

About five years later, she heard about Regorafenib, a treatment that promised to control her cancer and extend her life. It wasn’t on the Pharmaceutical Benefits Scheme (PBS) and would cost $120,000 a year.

“I rang up Rare Cancers Australia (RCA) in a panic, and our family ended up on the front of The Sydney Morning Herald,” says Sarah. “I crowdfunded and we were eventually able to access compassionate access from the drug company. I was incredibly fortunate.”

The experience exposed the impossible choices many rare cancer patients faced.

“The conversations I was having with other patients were, do you take $120,000 off your mortgage to fund a treatment, or do you just accept that this is the end?

“Although my treatment was working, I knew that all my future treatments would need to be self-funded or crowdfunded or negotiated through compassionate access. That was when I realised we had to raise awareness, improve public policy – a big bold ambition in health – and try to get some more treatments listed for our disease.”

In 2021, Sarah organised and led a grassroots campaign for the government to list Qinlock – an advanced third-line oral therapy used to treat GIST – on the PBS. Without subsidisation, the drug would cost around $15,000 each month indefinitely. 

Sarah McGoram and other attendees at the Rare Cancers Australia Canberra Forum
Sarah McGoram and other attendees at CanForum26.
Sarah becoming an ACT Finalist for Australian of the Year in 2026
Sarah was recognised as a finalist for the 2026 ACT Australian of the Year.
Sarah McGoram and other attendees at the Rare Cancers Australia Canberra Forum
Sarah and other attendees at CanForum26.

After a nine-month campaign that united patients across Australia and gained bipartisan support, Qinlock was finally approved and listed on the PBS.

Sarah’s disease has progressed and she started on Qinlock in mid-2026. With a script, she now pays just $25 per month rather than the $16,000 listed on the box.

A family affair

When Sarah’s husband Tom was diagnosed with Fabry disease in 2011, a time when her own health declined, it felt as though they’d won the unluckiest lottery.

Fabry disease is a rare inherited condition where a certain type of fat builds up in your cells, causing organ damage if left untreated. Tom and nine members of his family tested positive for it after an uncle received a posthumous diagnosis.

Tom was fitted with a pacemaker and started enzyme replacement therapy to manage his condition.

“I have vivid memories of George being in kindergarten,” recalls Sarah.

“Tom was working full time, I was working two days a week, as much as I could. George would come home, Tom would be hooked up to the IV with a nurse there, and I’d be a full-time carer. And if I was in hospital, we’d just have to lean on our family and friends to keep us functioning.”

To manage Tom’s care, Sarah made him a medical folder. And then adapted to a new normal of regular checkups.

Sarah receiving her OAM in 2023
Sarah was awarded a Medal of the Order of Australia (OAM) in 2023. 
Sarah McGoram's Medal of the Order of Australia (OAM)
Sarah McGoram's Medal of the Order of Australia (OAM)

“We both have regular checkups with all our specialists – I already had four or five specialists, and Tom topped me with six – and hope our diseases are stable, and we try to advocate for improved access to treatments for Tom’s disease as well as mine.”

Sarah’s advocacy has expanded to improve affordable access to new Fabry treatments in Australia and New Zealand, where Tom’s family are from.

“Tom has been the most incredible support,” says Sarah. “We’re a hell of a team.”

‘The right thing to do’

Sarah has achieved much in her life, and she is most proud of what she’s accomplished for others.

“It’s a long road, and advocacy can be very emotionally challenging, particularly when you lose people. But I’m really proud to play a role in helping others feel more confident, more at peace, and as though they have more options to live a longer, healthier and more meaningful life.

“I am just one small part in a very big system for one rare disease, and I don’t see my achievements as grand. But if I can make life easier for even a few people, then that feels good, it feels important. It feels like the right thing to do.”

Sarah is the recipient of the ACU Alumni Mission Award in 2026 ACU Alumni Awards.

Watch ACU Alumni Mission Award winner, Sarah McGoram, share her story.

Category:Career and development
Tags:AlumniTeaching and educationUndergraduate

Published 2026

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