understanding is required before specific significant claims can be made. Social support is also hypothesized to be beneficial in the recovery from less severe cancers. Research focuses on breast cancers, but in more serious cancers factors such as severity and spread are difficult to measure in the context of impacts of social support. The field of physical health often struggles with the combination of variables set by external factors that are difficult to control, such as the entangled impact of life events on social support and the buffering impact these events have. There are serious ethical concerns involved with controlling too many factors of social support in individuals, leading to an interesting crossroads in the research. Costs Social support is integrated into service delivery schemes and sometimes are a primary service provided by governmental contracted entities (e.g., companionship, peer services, family caregivers). Community services known by the nomenclature community support, and workers by a similar title, Direct Support Professional, have a base in social and community support "ideology". All supportive services from supported employment to supported housing, family support, educational support, and supported living are based upon the relationship between "informal and formal" supports, and "paid and unpaid caregivers". Inclusion studies, based upon affiliation and friendship, or the conversely, have a similar theoretical basis as do "person-centered support" strategies. Social support theories are often found in "real life" in cultural, music and arts communities, and as might be expected within religious communities. Social support is integral in theories of aging, and the "social care systems" have often been challenged (e.g., creativity throughout the lifespan, extra retirement hours). Ed Skarnulis' (state director) adage, "Support, don't supplant the family" applies to other forms of social support networks. Although there are many benefits to social support, it is not always beneficial. It has been proposed that in order for social support to be beneficial, the social support desired by the individual has to match the support given to him or her; this is known as the matching hypothesis. Psychological stress may increase if a different type of support is provided than what the recipient wishes to receive (e.g., informational is given when emotional support is sought). Additionally, elevated levels of perceived stress can impact the effect of social support on health-related outcomes. Other costs have been associated with social support. For example, received support has not been linked consistently to either physical or