Time for Another Death Panel Uproar

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A couple of years ago, in a bellwether for how hard it’s going to be to ever seriously rein in healthcare costs, there was an instant and thunderous backlash against a new recommendation that women with no risk factors put off routine mammograms until age 50. A small number of famous breast cancer survivors who had been diagnosed at a young age took immediately to the airwaves, and that was all she wrote. Within 48 hours, HHS Secretary Kathleen Sebelius had disowned her own task force and assured the nation that absolutely nothing would change.

Now the same group that made the mammogram recommendation is back:

The U.S. Preventive Services Task Force, which triggered a firestorm of controversy in 2009 when it raised questions about routine mammography for breast cancer, will propose downgrading its recommendations for prostate-specific antigen (PSA) for prostate cancer onTuesday, wading into what is perhaps the most contentious and important issue in men’s health.

….“The harms studies showed that significant numbers of men — on the order of 20 to 30 percent — have very significant harms,” Moyer, a professor of pediatrics at Baylor College of Medicine, said in a telephone interview Thursday.

There are never any perfect answers to these questions. We could start routinely testing everyone at age 20, and it’s almost certain that at least a few treatable cancers would get screened. At every cutoff point, whether it’s age related or condition related, you have to decide if the cost of tightening the testing criteria outweighs the benefit. What you can’t do is simply decide that cutoffs should never be tightened because, inevitably, there will be a cost. It might be small, but it’s always there. And then the USPSTF becomes a death panel because that’s a handy thing for demagogues to call it.

So we’ll see how this one goes. My previous brush with prostate screening is here.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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