In the final two years of his life, following his Stage 3 colorectal cancer diagnosis in August 2023 and his public announcement in late 2024, James VanDerBeek used his platform for an incredibly raw and detailed level of advocacy.
Tragically, James passed away on February 11, 2026, but the interviews he gave in the months prior provide a profound look at his journey.

1. The Shock of the “Healthy” Diagnosis
One of his most consistent points was that he felt in the “best shape of his life” when the cancer was discovered.
- The Symptoms: He revealed he only noticed minor changes in his bowel movements. He initially dismissed them as a reaction to coffee or dairy.
- The “Healthy” Trap: He was active, doing cold plunges, saunas, and “biohacking” in the Texas Hill Country. He told Katie Couric Media that he had no “big red flags,” which is why he became so vocal about early screening (the recommended age is now 45). He was 46 when diagnosed and thought he was “ahead of the game.”
2. Redefining Identity and Worth
In a moving video for his 48th birthday (March 2025), James discussed how cancer “stripped away” his various identities.
- Beyond the Actor: He talked about how he used to define himself as a “provider,” a “strong husband,” and a “steward of the land.”
- The Realization: When treatment made him too weak to pick up his kids or prune his trees, he faced a crisis: “If I am just a too-skinny, weak guy alone in an apartment with cancer, what am I?”
- The Conclusion: He revealed his discovery that he was “worthy of love simply because I exist,” a message that resonated deeply with his followers.
3. The “Full-Time Job” of Treatment
James was very candid about the “un-glamorous” administrative side of cancer. He described it as a job he never applied for, involving:
- The Paperwork: Constant insurance hurdles, medical portals, and scheduling.
- Financial Transparency: In late 2025, he revealed the staggering cost of treatment. To help pay his medical bills and support cancer charities, he auctioned off iconic memorabilia, including his Varsity Blues jerseys and Dawson’s Creek keepsakes.
4. Honest Parenting
With six children, James and his wife Kimberly chose a policy of total honesty.
- He explained that children can “sense” when something is wrong, and by not telling them, you only confuse them.
- He shared how he allowed his kids to see him on “tough days” and was surprised by their resiliency and empathy.
5. Work as a “Cancer-Free Zone”
Despite his illness, he continued to work, including a role in the Legally Blonde prequel series, Elle. He famously told People that he actually wanted to work more after his diagnosis because:
“The greatest thing about work is that cancer doesn’t exist between ‘action’ and ‘cut.'”
Final Legacy
His wife Kimberly confirmed that James met his final days with “courage, faith, and grace.” His last public efforts were focused on the Colorectal Cancer Alliance and his “Project Cure CRC” initiative, aiming to destigmatize the disease for younger adults.