On Wed, Dec 23, 2009 at 11:18 AM, Dana <[email protected]> wrote:
>
> I don't think the recommendation applies to women with a family history of
> early breast cancer.

That's correct.

> They are out there, that's true.  I am very certain
> nobody is telling anyone to not to self exam.

The said they are of no benefit.

> They are saying that routine
> mammograms may not be a good idea as early as 40. It's not a real pleasant
> test, you know. I have seen worse, but... I'd just as soon have missed the
> last few totally normal mammograms, for which there was no indication. I am
> not sure I agree with the call, but it's not a "death panel" for crying out
> loud.

But you're glad you didn't miss one of them?

> Mammograms are Xrays. All Xrays increase the risk of cancer a little (a lot
> in the case of CAT scans).  This is not a reason not to get one if the Xray
> or CAT scan will probably provide useful information. It is a good reason
> not to get one just to get one. Useful information is the heart of the
> matter.  Amount of good it might do vs amount of harm it might do.
>
> Cost-benefit analysis, so who's life is worth saving
>>
>
> Cost-benefit analysis, see above.  What  you're missing is that that they
> calculate this from the patient's point of view, not society's.

No, the panel made a sweeping claim as the first step in rationing 

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