Saturday, November 21, 2009
So, as it turns out, did I not need to have my breasts squeezed in the mammogram machines every year between the ages of 40 and 50? Could I have missed the two scares in there, especially the one when both of my kids were babies?
Maybe. Or rather, in my case, thank God, yes. Then again…
When I saw my doctor yesterday, the one I have trusted with my life and the lives of my children for all these years, the one who sent me for all those tests, I asked him if he would still be sending his women patients who are in their 40s for mammograms. The short answer is yes.
The longer answer is that you practice medicine on an individualized basis. While certain things may be true as a matter of "public health" -- like the costs of early mammograms outweighing their benefits -- that doesn't mean they're true for you. My doctor has been spacing out scans for women in their 40s with no risk factors for some time, sending them every 18 months instead of every year. But he's seen too many cases of women who had no risk factors and still developed aggressive cancers in their 40s to delay for a decade.
That's what I thought. And what I'd do. The truth is, I'd rather be safe than sorry. I'd rather worry needlessly than die needlessly. Who wouldn't?
The White House was quick to point out that this week's recommendation does not mean doctors should stop sending women for mammograms, or that insurance companies will be allowed to stop paying for them.
Of course it means that. Maybe not this month or this year, but isn't that what cost control is all about? Sure, get rid of waste and abuse and needless paperwork, but is there anyone who doesn't see a future in which tests that can't be justified on "public health" grounds don't get covered by insurance?
I always ask doctors, particularly on women's health issues, what their wives do. Ask any doctor if his wife is going to wait until 50 to start mammography, and I will lay down bets on the answer. Does that mean the federal government should pay for every woman to do the same? Maybe not. Does it mean that I expect my private insurer to do so? I do.
Like many women who have had some scares along the way, not to mention some relatives with breast cancer, I've been "lucky" enough to have years of multiple mammograms and advanced screenings. You think insurance notices when you have a second mammogram? The answer is yes.
Do they figure that anyone who is having two mammograms in a year must have a very good reason to do so, since most of us find it hard enough to have one? No. More than once, I have stood at front counters of testing centers discussing why it is that my insurance company has not approved the test I am scheduled to have. And, mind you, I'm good at this.
So I'm glad to see that everyone is focusing on what's best for women, but ultimately the answer is that, as always, these are issues for a woman and her doctor. And hopefully, once they decide, the insurance companies won't just say no.
Rasmussen Reports is a media company specializing in the collection, publication and distribution of public opinion information.
We conduct public opinion polls on a variety of topics to inform our audience on events in the news and other topics of interest. To ensure editorial control and independence, we pay for the polls ourselves and generate revenue through the sale of subscriptions, sponsorships, and advertising. Nightly polling on politics, business and lifestyle topics provides the content to update the Rasmussen Reports web site many times each day. If it's in the news, it's in our polls. Additionally, the data drives a daily update newsletter, the Rasmussen Report on radio and other media outlets.
Some information, including the Rasmussen Reports daily Presidential Tracking Poll and commentaries are available for free to the general public. Subscriptions are available for $3.95 a month or 34.95 a year that provide subscribers with exclusive access to more than 20 stories per week on Election 2012, consumer confidence, and issues that affect us all. For those who are really into the numbers, Platinum Members can review demographic crosstabs and a full history of our data.