There has been much ado lately – and it is not about nothing. Guidelines released by the United States Preventive Services Task Force (USPSTF), considered as an “independent panel of experts,” recommended against conducting routine mammograms for women in their 40s. A quick look at news, health and cancer websites now yield all sorts of opinions for and against these new revelations. It was emphasized in some features, though, that the recommendation referred to routine procedures and not cases where women find lumps on their breasts.
What the task force does recommend is for mammograms to start at age 50 to 69, done every other year. Performing the screening procedure among women of this age group will reportedly detect almost just as many breast cancers while at the same time producing only half as many false positives.
The occurrence of false positives – and the numbers are reportedly not exactly a rarity – has long been a criticism that has been hurled against mammograms. Conducting additional and more invasive procedures that turn out to be unnecessary due to a false positive mammogram result is said to cause anxiety and depression to a woman.
Women, the group of people in question, however, will have mixed reactions to this fact; some may even rather go through that just to keep breast cancer at bay, as opposed to just sitting back and doing nothing and being caught unaware when it may be too late. We will agree, however, that having a more efficient and accurate way of detecting breast cancer should be available.
And then again there is the question of health care coverage. With the current administration’s health care reform campaign still the talk of many circles, the task force’s recommendations were seen as another way for the populace to once again be deprived of health care coverage that they should be entitled to.
Several officials and task force representatives are quick to counter, though, that the USPSTF does not have the power to deny coverage, nor are their recommendations enough basis for anyone to assume that companies can therefore deny coverage for these procedures. We certainly hope so.
So what now? Should women not quite 50 still undergo a routine mammogram or not? We are inclined to believe that our body is our own, and that it is difficult to generalize health in terms of culture, gender or age group. It will probably still be to a woman’s advantage to work closely with a physician, who should be able to recommend whether a procedure is necessary based on a patient’s specific condition, medical history and risk factors.