Comment by A_D_E_P_T
> Yet we also know it is not quite like that.
Oh, come on.
Even if you're correct and cancer is not completely random but rather has clear causative factors, a lot of those factors -- perhaps the majority -- are uncontrollable.
Radon exposure. Naturally occurring radioactive isotopes or beryllium in your vegetables or water. That virus you fought off a few years ago. That course of cyclosporine you once took. That cosmic ray from the Andromeda galaxy that happened to hit you and scramble some DNA. Many, many other factors. Cancer strikes in ways that seem truly random because many or most of its causative factors have absolutely nothing to do with lifestyle choices.
Exactly. There are definitely people who lead higher risk lives by having exposure to carcinogens, but even that has some randomness to it. I had a family friend that smoked like a chimney his entire life, and died in his late '80s with tar-filled but cancer-free lungs. Another was an x-ray tech in the earlier days before they took nearly as many precautions as they do now to protect the technicians. No cancer.
Contrast this with some aunts and uncles who lived relatively clean lives, and still ended up dying of different cancers. Sure, I don't doubt there is a cause if we dig deep into it, but there's still some randomness.