I love it. All the folks who supported Obamacare with its foundation of evidenced based medicine now singing another tune when the evidence based medicine shows that it's not so cost effective to get yearly mammograms from ages 40-50. Sounds great in theory-until your ox gets gored and you have to give up access to a test or a therapy that the bean counters have concluded doesn't pay off for the public at large. You don't think it's about rationing? Of course it is. I heard Diane Rehm absolutely crucify one of the study directors yesterday on her radio program. She couldn't understand why there were no breast care specialists on the panel that came to those conclusions. How would that have made a difference? The studies looked at the impact of the test over time. The numbers wouldn't have changed. Does that mean women in that age group shouldn't get mammograms? Of course not. But will the government and the insurance companies pay for it if the studies show that as a public health strategy, it's not so helpful? They won't want to, though I suspect emotions are so great on this one that it will be difficult (if not impossible) to take this away from the public. Get ready for more evidence based medicine.
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Not all obamacare supporters think that the breast cancer study is crazy. I for one, having read a lot of the information on the harms of overtesting, think this is a smart decision.
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