Cutting health care costs 1 mammogram and Pap smear at a time

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Colleen Lindsay  Contact me
December 1, 2009 - 12:24 AM

It always shocks me whenever people put money before everything else: the woman who marries the ancient millionaire out of greed, the farmer in India who puts his wife up for sale, the girls who get sold into slavery with known ends, or the parents whose kids don’t recognize them because they are always in the office. These are personal affronts on others. What gets sickening is governments adopting equally harmful, and even deadly, affronts on human life.

Recently, the United States Preventive Services Task Force (USPSTF) decided to recommend cutting back on mammograms. Not that it matters that the US is now at the forefront of breast cancer survival in the world. This due recognition is credited to screening. Well, now that we have reached this height in survival, we should cut back, right? Like the rabbit that out-ran the tortoise at first, we are deciding to take a nap instead of keeping pace. While we are napping, women are dying.

Since 1990, mortality from breast cancer has dropped 30%. We have made great advances in preventing women’s deaths. In 2002, the USPSTF recommended that women as young as 40 begin receiving mammograms. Mammograms also needed to be administered every year. But, apparently they are now fickle and have now decided that, to cut costs, mammograms should only be given every other year to women ages 50-74.

Oh! But, they redeemed themselves. Women “most at risk” will have exceptions to this rule. What the heck does that mean? Who is deemed most at risk? Those who end up with breast cancer most often, after all, are those who have no detectable risk factors and no family history. Women in their 40s have the most aggressive forms of breast cancer. They also have a higher death risk. These women will no longer have the option of treatment to balance these increased risks. They will die.

Support for this cut back in screening comes from those who say there is more harm than good in early and frequent testing. After all, this will decrease false positives, because no one will have to option to read positive. This will also cut back on overtreating cancers which are not as dangerous as tests show. Now, there will be no option to treat at all; we move from overtreatment to zero treatment.

The last reason for women to get happy about this is that they will no longer have to suffer under the discomfort of the exam. Are you serious? One of the positives to limiting screening was stated as taking away the discomfort of the exam! I think that if you ask any woman who has had breast cancer if she would have refused to undergo the exam and be blissfully ignorant of her cancer, and dead now, or if she is glad to have been treated, the answer will always be the same: glad to be alive.

Why the sudden change from prevention to hands-off? Health care, or, as some put it “ObamaCare.” With the government preparing to be in charge of all our health care costs, concerns about cutting costs have risen. Apparently, fears about the government not being able to handle the costs or the pressure of taking care of all of us need to resurface. If they can’t pay for mammograms, what else can’t they pay for? How many have to die before we realize the errors of not testing? We are cashing in lives to save money.

Medicare could adopt this policy now, further limiting the health care that America’s poor receive. So, we are targeting the women and the poor, which are historically and internationally the most disadvantaged. The United Nations is trying to fight for the rights of the women of the world as the US is trying to take them away from their citizens.

Another cutback in costs is in Pap smears. Again, overtreatment is seen to be more of an issue by the government than treatment, period. Pap smears are going to be offered every other year instead of every year and younger women are going to stop undergoing testing.

What other procedures are going to be cut next? How many other crucial and potentially life-saving tests are too expensive for ObamaCare to take care of? I also find it ironic, as one blogger pointed out, that our government is fighting to take away funds from tests that save lives while fighting to fund one that kills: abortion.

Colleen is a graduate student.

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Reader Comments

PFD

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Ms. Lindsay is a little behind; the fearmongers have already done this one to death. In any case, the USPSTF is an independent panel that's been around since the Reagan administration. They make recommendations, not policy, and for the government to suppress their statements would violate their independence. HHS has already said that they're not going to implement the recommendation.

In other words, this is a non-story, but facts rarely intrude on the right's ranting these days.

abd

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Ms. Lindsay provides another level-headed account of the current political situation. Unfortunately most news organizations aren't interested in painting the current political party majority in a negative light, but most Americans should be able to see the leadership in Washington has bolted far, farther left than they let on in the 2008 elections. The backlash should be started with the recent wins in Virgina and New Jersey. It is not being behind to provide another helpful account. It is like crossing the street without looking first, however, to completely fail to understand what the democrat agenda is on this. Why is it fearmongering to say that rationing will cut back quality of life on the right, but when the left says we must have Obamacare now or people will die, that is reasonable. And is this based in facts? Europe and Canada have the healthcare the U.S. democrat party is trying to sneak past the American people on late-Saturday-night votes. The facts are that this will be just like Europe and the greatest healthcare system in the world will be tanked. One side is not dealing with facts. Unfortunately, the state of politics has gotten so that we can't all agree and get along, you have to choose which side you will vote next election. If two people both insist the other is wrong, they can't possibly both be right.

female graduate student

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I think this article may be useful to you:http://news.yahoo.com/s/ap/20091201/ap_on_bi_ge/us_health_care_overhaul

You make it sound as if the government or Big Brother is intent on reducing women's health care in regards to mammograms and pap smears, which is simply not the case. While the mammogram research came from a group of government elected physicans, they were still independent. The recommendation for biyearly Paps actually came from the American College of Obstetricians and Gynecologists, not "ObamaCare."

Not for one second will I say that I agree with these new developments.. In fact, as this article describes, an amendment is being proposed to secure yearly screenings for American women. Despite these new findings, I still believe women need access to yearly screenings. However, I feel it is really misleading and seemingly politically motivated to blame "ObamaCare" for this when it really had nothing to do with the current administration. They are actually fighting to secure women's health care, not destroy it.

And in a brief response to the last sentence of the article, the health care reform is in no way using government funds for "kiilling." In fact, abortion is really on the chopping block, when it shouldn't be. While you are crusading for health care for America's poor, you ignore the fact that poor American women also need access to affordable female reproductive services if they choose to have an abortion. Many of the women who need an abortion the most for a variety of reasons are those who will not be able to afford it. Instead of "funding a 'test' that kills," protecting a woman's right to choose can actually save lives.

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