Despite progress, esophageal cancer survival rates vary significantly. Early detection plays a crucial role. Unfortunately, symptoms like heartburn can be mistaken for less serious issues, leading to later diagnosis when the cancer is more aggressive. Additionally, socioeconomic factors can impact access to quality healthcare and optimal treatment options. Research also suggests disparities in screening and awareness between different demographics. Closing this survival gap requires a multi-pronged approach. Public awareness campaigns can educate people about early warning signs. Improved access to healthcare, particularly in underserved communities, is vital. Additionally, ongoing research into early detection methods and personalized treatment plans holds promise for narrowing the gap and offering a more hopeful future for all esophageal cancer patients.