Op-Ed Contributors: Why Doctors Shouldn’t Be Punished for Giving Prostate Tests

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Jordan Awan

BOTH of us have raised serious questions about prostate cancer screening. Nevertheless, we hope Medicare chooses not to pursue a strategy of penalizing doctors for ordering prostate-specific antigen, or PSA, tests.

The case against prostate cancer screening is strong. The heterogeneity underlying cancer can be described through the metaphor of birds, rabbits and turtles. The goal of early detection is not to let any of the animals escape the barnyard and cause a cancer death. But the birds have already flown away. They are the most aggressive cancers, the ones that…

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