Louisville, Ky – Kentucky's lung cancer death rate is 45% higher than the national average. Dr. Victor VanBurkle wants Kentuckians to understand the impact tobacco-related cancers are having on the state. He's a surgeon with the James Graham Brown Cancer Center in Louisville. He says while cancer treatments have come a long way in recent years, the lung cancer death rate is essentially flat. That's because when most patients discover they have the disease, it's too late to save them.