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New Breast Cancer Screening Guidelines

post #1 of 7
Thread Starter 
I was hearing about this for the first time on the news this morning. Kind of disturbing that there is such widespread disagreement on the subject. You'd kind of hope the professionals would be on the same page when it comes to cancer detection

With articles like this floating around, now I don't know what to thinl
post #2 of 7
It's a bullshit change, period. It sounds like the health care industry made up the rule so they wouldn't keep having to pay money to doctors for mammograms and women who have questions. My wife found her tumor via self-exam and was 30 years old when she was diagnosed. So I guess if we stuck to the new rules, they wouldn't have to worry about her, because she'd probably be dead by now. And I can give you hundreds of thousands of people who have been diagnosed well before the age of 50, let alone 40.

And so much for pushing the agenda to improve healthcare costs later by improving your health now. A friend's wife just had a double mastectomy to remove her tumors, and the doctor said if they had caught it just 6 months earlier, she probably could have had a lumpectomy (to just remove the tumor) instead. It's a change made by a bunch of people who obviously are either in someone's pocket, or have never dealt with breast cancer before. Fuck them. I hope they all get rectal cancer.

Lastly, for you conspiracy theorists out there, I find it very interesting that this recommended change comes just prior to a Universal Healthcare option being offered by the government possibly being implemented.
post #3 of 7
I think the changes are complete horseshit. I fall right into the category, even though my family isn't at high risk - but I'm 46, and fuck them, I want my annual screening. This is going to be of no comfort to me or my family if something happens because someone else says I can't get a mammogram.

And here's one other thing - my ex-sister in law is currently battling breast cancer. They discovered it after she'd been in a bad car accident, and the airbag hit her really hard in the chest. They were checking her out to make sure she didn't have any broken bones, etc. and discovered the cancer. So - yeah, fantastic - maybe all women over 40 should just get into fucking car accidents to make sure we don't have breast cancer. It's ridiculous.
post #4 of 7
I'm not one to generally engage in slippery slope-type arguments, but I imagine this kind of scaling back on the preventive care side of things is only going to increase. The thinking (completely bass ackwards though it may be) is that they have to cut costs wherever they can in order to fund the new influx of reactive-care issues they're going to see under a universal program.

Like I said, completely reactionary and idiotic, but there you go.
post #5 of 7
This is a joke, My aunt was diagnosed at age 35. If a lump is found regardless of age, a test should be done. This kind of rationing is only going to get worse.
post #6 of 7
Quote:
Originally Posted by Sean Blackwell View Post
Like I said, completely reactionary and idiotic, but there you go.
Welcome to today's America--reactionary and idiotic.
post #7 of 7
Well, this thread's pretty reactionary, and like most places fuming with outrage that completely ignores the actual language of the Task Force or the medicial and scientific history on the subject. Here's from my friend, a GP (who, to place him politically, is a self-described socialist who's been crowing for a single-payer system long before it was hip):

Quote:
The Task Force does not say that women should not have a mammogram before age 50, nor does it take away a women’s right to have a mammogram. Rather, the recommendation recognizes that women have the right to decide for themselves whether they believe the benefits of a mammogram outweigh the risks.

In 2002, the Task Force stated that the incremental benefits of a mammogram were less for patients age 40 to 49. In 2006, the American College of Physicians recommended that doctors and patients share the decision about whether to start mammograms at age 40 versus 50. In fact, no other country endorses routine mammograms for all women until the age of 50, and worldwide breast cancer survival outcomes are the same as the United States’. These recommendations and policies were not made to ration care, but in recognition that there are both real benefits and real harms to mammograms for younger women.

Different women have different health risks, different concerns and fears, and different values. The U.S. Preventive Services Task Force is recognizing that women are different and have the right to know about the benefits and risks of medical tests.
And there ARE risks to screenings at younger ages. The last two paragraphs in Kate's link spell them out well. People who have had breast cancer in their lives or loved ones' will have very strong emotions on the matter, but the plural of "anecdote" isn't "data," which is all that these recommendations -- to make an informed decision with one's physicians whether to begin screening before 50 instead of automatically screening at 40 -- are based on. On a similar subject, google up PSA test/prostate cancer for an almost exact parallel discussion, but for men.

ETA: He got back to me when I was asking about some other stats he'd included that didn't sound right:

Quote:
45% of women who get 10 mammograms will have an abnormal
mammogram.

I know, it sounds high... this is why the Task Force is making the
recommendation it does. Mammograms save lives (1904 women who get a
mammogram will prevent 1 from dying from breast cancer). The cost is 45%
of women will have a false positive if they get 10 mammograms.

This is why the media is sooooooo f'ed up with their interpretation of
things. This recommendation from the Taks Force is good and valid.
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