What do you get when you cross 3 pediatricians, 4 internists, 3 family doctors, 2 epidemiologists, 2 nurses, a PhD, an obstetrician, a perinatologist and an occupational medicine doctor? Unfortunately, this is not a joke. You get a Federal Government panel, given the imprimatur as experts on a medical subject that if any one of them individually treated, would be considered malpractice. This would be the U.S. Preventative Services Task Force (USPSTF), an ad hoc committee charged with making recommendations about clinical preventative services. They have just issued their findings that there is no role for routine PSA screening in men...
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Routine PSA screening has been controversial among medical organizations long before these recommendations came out. Rather than debate whether we should or should not do them, we should instead spend our energy highlighting this as just another reason why government should not be in medicine. When Medicare and Medicaid determine what will be covered, medicine is open to politics with lobbyists for this test or that procedure vying for the money. If we as conservatives stand against providing free contraceptives, we should also consider our views on providing free screening tests. Health savings accounts do for medicine what vouchers do for education. Let people make the decision on what's right for them individually.
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