Mammography guidelines should outrage all citizens
by Brenda M. Waltz
2 months ago | 721 views | 24 24 comments | 9 9 recommendations | email to a friend | print
Every citizen in America should be outraged that the U.S. Preventive Services Task Force, a government run organization, is telling women when routine mammography should begin in our lifetime. They have recently recommended that women between the ages of 40 and 49 should not receive mammograms, should not conduct self-breast exams and upon turning 50, only receive the screening every two years. The longstanding recommendation from the American Cancer Society is to be screened annually upon turning 40 with a baseline performed upon turning 35.

How did they come to this decision? They have not consulted professionals who work every day in the health-care system with breast-cancer patients. The American College of Radiology as well as the American Cancer Society has refuted the task force’s recommendation with unmistakable language. Rarely do these organizations oppose clinical guidelines so adamantly and publicly. The reality is this is cause for alarm.

Everything we as health-care professionals have done to help women protect themselves from breast cancer is being torn down by this U.S. Preventive Services Task Force decree. The death rate from advanced breast cancer had not improved for more than 50 years, decreased by 30 percent since 1990 when screening mammograms at age 40 became commonplace. Early mammography screening means cancers can be caught sooner, allowing women to choose less invasive and less costly treatments that help to preserve the quality of women’s lives. I should know, not just as a hospital CEO, but as a 10-month breast-cancer survivor myself.

The big picture is, once the government controls health care as envisioned by the many of our congressional leaders, this type of rationing of care to cut costs will become the norm rather than the exception. This is nothing more than a ploy to save money at the risk of costing women’s lives. Countless women in their 40s and even 30s have come through Redmond’s Women’s Center and been diagnosed with breast cancer and effectively cured. Why risk their lives? I’m sure these women and their families could give you many reasons.

Women and men, too, your voice needs to be heard. Please write and or call your congressional representatives to get these dangerous guidelines revoked. Trust me, if nothing is done, you will find me sitting on Obama’s desk until Washington understands the gravity of this new recommendation.

BRENDA M. WALTZ, CEO, Redmond Regional and Polk medical centers
comments (24)
« RyanM wrote on Friday, Nov 27 at 11:55 PM »
Heaven forbid people objectively analyze the information they receive.

....nope, let's just search out articles that support our own view, right?

Just another testament to the sad state of inquiry in America.
« CapitolG wrote on Friday, Nov 27 at 04:37 PM »
Well the problem is no matter where I get my info from, if it's not CNN, NBC, ABC, New York Times, it's not a credible source to libs. They can bend and distort facts better than Obama's Administration!

I'll dig a little deeper over the weekend and find some facts that should really tick off some libs. LOL
« RyanM wrote on Friday, Nov 27 at 02:33 PM »
Cap.... the only 'medical' bankruptcies in countries with universal health care are due to elective procedures.

Funny thing about the internet... even when you don't cite your sources it's usually pretty easy to find them.

The article you're referring to is self deceiving and inaccurate at best. ...but hey, at least it's not that liberal media huh?



« CapitolG wrote on Thursday, Nov 26 at 03:33 PM »
Mystic, think about how many houses you would have sold if we still had those tax cuts and the economy didn't suck. That's where the solution is. They have medical bankruptcies in countries where they have government healthcare, at about the same rate we have here. This bill won't stop that. It will only put us in a deeper hole and wreck our economy more than it is already. Then whose going to buy your houses?
« RealEstateMystic wrote on Thursday, Nov 26 at 08:02 AM »
CapitolG: You are confusing the problem (which has many fathers, lenders included) with the solution. I did not say that the healthcare system caused the housing crisis, and you are dishonest (as usual) to twist my post around to suggest that that is what I meant. I said that many buyers, who will be integral to a housing recovery, are unable to do their part in helping the housing market recover due to credit defects caused by medical bankruptcy.
« RyanM wrote on Wednesday, Nov 25 at 08:53 PM »
I hear ya Cap. There IS a lot to be done.

I sure as hell don't have the answers.

...but I will say, that it was the mortgage lenders lead us down this road with their insatiable thirst for increased profits.

Once the bottom fell out of housing it was obvious we were in for a lot more.

Lastly I think it's pathetic that we can't expect our government to do two things at once.

Politics suck.

ah well. whatta gonna do?
« CapitolG wrote on Wednesday, Nov 25 at 06:27 PM »
Hey Rayn, look, I'm not arguing that 17% is too small to notice. My argument is we're going at this arse backwards. Lets fix the economy first, then debate on what to do about healthcare and not try to ram it down the throats of the public. A healthcare that doesn't cost more money than we have. I find it interesting that people in favor of the current bill don't bat an eye at the cost of it, nor do they wonder where the hell the money is to fund it.

This administration has wasted so much time and energy on junk, rather than real issues.
« CapitolG wrote on Wednesday, Nov 25 at 06:02 PM »
Mystic, I was going to let this go and get on with my long weekend, but there you went with that last sentence.

"People who would otherwise have participated in the local real estate economy but who could not thanks to having had their credit and assets wiped out thanks to this country's pigheaded attitudes about healthcare reform."

Your real estate market is in the shape it's in because of inflated government spending, corrupt tax codes, bailing out the wrong people, cash for clunkers, fanny mae/fredie mac, and government encroachment into our everyday lives, and a very corrupt government at that. The absence of government run healthcare has done nothing to this economy, and don't think we're dumb enough to buy that crap. The economy is the real crisis. We've gone 233 years without government enforced healthcare. We've never had an economy this bad, and they continue to ignore it. That's what breeds bankruptcies. It also turns industrial nations into 3rd world countries.
« RyanM wrote on Wednesday, Nov 25 at 05:41 PM »
....actually 113% of all bankruptcies are the direct and unquestionable result of medical expenses. I just read this from the most reliable source ever.

See how that works? You can't claim your statistic came from a reliable source and then not cite it.

People who are intellectually honest will actually go and look. Anything less is nothing more than the mere rehearsal of one's own preconceived notions.

(..as stated though. 17% is 17% too high)
« RealEstateMystic wrote on Wednesday, Nov 25 at 03:34 PM »
Now that you insist on pushing it further, CapitolG, I'll add that in my opinion one medical bankruptcy is one bankruptcy too many. And in the spirit of citing firsthand experiences you're so enamored of, I could not begin to tell you how many potential home buyers I've tried to work with this year -- people with solid incomes whose credit scores had been torpedoed by medical bankruptcy. These are folks who could have helped mop up the vast amount of unsold inventory still depressing our market; and out there are countless Rome homeowners who was unable to sell their homes -- homes these medical bankrupts wanted to buy.

You want to talk about the economy, that's one place to start: People who would otherwise have participated in the local real estate economy but who could not thanks to having had their credit and assets wiped out thanks to this country's pigheaded attitudes about healthcare reform.
« CapitolG wrote on Wednesday, Nov 25 at 03:21 PM »
Mystic, get off your high horse. only 17% of bankruptcies filed in 2005 (that's the most recent I could find) cited medical cost as cause of the bankruptcy. The other 33% may have unpaid medical bills but not the cause. Your getting bloated figures from the lame stream media. I can't remember, but I believe this info came from the Fresier Institute.

As far as "todays big issues" go, fixing our economy is a much bigger issue. I'd be willing to bet a better economy would equal less bankruptcies of any kind. But your president refuses to address it, because they won't let a good crisis go to waste.
« RyanM wrote on Wednesday, Nov 25 at 02:57 PM »
Whoa whoa here..... It's actually very well known, that the leading cause of bankruptcy is medical expenses.

http://lmgtfy.com/?q=leading cause of bankruptcy

Additionally, I find this entire thing odd as I try to take a 3rd person perspective. What we're effective saying is that since you have medical concerns we will be taking your assets, and adding obstacles to your future ability to participate in the capitalist way of life.

It's very odd how everyone looks the other way.

« RealEstateMystic wrote on Wednesday, Nov 25 at 02:05 PM »
CapitolG, if you've never heard of medical bankruptcy you must not get out much or read the newspaper. Maybe you don't trust the American Journal of Medicine either; they're the guys who reported two years ago that nearly half of all bankruptcies were linked to medical expenses.

And if you measure what goes on in the world by whether you "personally know someone who," it's no wonder you have a hard time wrapping your mind around today's big issues.
« Capitol G wrote on Wednesday, Nov 25 at 12:41 PM »
Realestate wrote:"Why should one person lose everything to medical bankruptcy due to lack of, or inadequate, insurance, while another sees everything taking care of at no cost to themselves?"

Who in the world has this happened to? I can't find one story that supports your argument. I've had someone in my family in the hospital twice in the past four years, and we worked out very reasonable payment plans. I'm not exactly rolling in dough, and had no problem paying for their services. Almost as if putting me out of my house was the last thing they wanted to do!

No, I haven't confused profit with cost. You don't understand profit margin verses cost. That's why your a lib.
« RealEstateMystic wrote on Wednesday, Nov 25 at 08:31 AM »
gahall writes: "TBT what is your point as to who appointed the Task Force? Bush or Obama they both have basicly the same views Bush took us to war and Obama continues it, Bush took us into bail outs and Obama continues, Bush had the same weak dollar economics and Obama continues. Get it they just use different arguments to cause the same crazy outcomes. Government is broken and deserves to be constitutionally replaced..."

And point do you have in bringing up foreign and economic policy in the middle of a health care discussion? If you simply disdain the whole ball of wax you might want to take a deep breath and step back from these kinds of discussions for a while, because we've got the government we asked for, and can "continually replace" it only every two or four years.

CapitolG: Nobody with any sense thinks there is a free lunch anywhere, certainly not in health care. The problem is who bears the brunt of rising costs and whether those costs can be equitably distributed by that bogeyman called "society." Why should one person lose everything to medical bankruptcy due to lack of, or inadequate, insurance, while another sees everything taking care of at no cost to themselves? Conversely, why should medical practitioners be permitted to add to the cost burden through medical practices like fee for service which simply are not greed-proof?

No sensible person opposes the medical profession on profit grounds. You're confusing profit with cost.
« redplanet wrote on Wednesday, Nov 25 at 05:44 AM »
Amazing that a CEO of a health center is so uninformed and relies on the least credible place for information: ACS.

Mammograms have been known to be unsafe for years. This isn't news to many of us. Depending on American Cancer Society for information is dangerous - they are a biased source.

The ACS has close connections to the mammography industry (Epstein, S. S. American Cancer Society: The world's wealthiest "non-profit" institution. Int. J. Health Serv. 29( 3): 565- 578, 1999.)

Five radiologists have served as ACS presidents; the ACS promotes the interests of the major manufacturers of mammogram machines and films, including Siemens, DuPont, General Electric, Eastman Kodak, and Piker.

It is critical to understand that radiation is carcinogenic and cumulative.

Women - get the facts:

1. Since mammographic screening was introduced, the incidence of a form of breast cancer called ductal carcinoma in situ (DCIS) has increased by 328 percent. Two hundred percent of this increase is allegedly due to mammography.

2. Regular mammography of younger women increases their cancer risks. Analysis of controlled trials over the last decade has shown consistent increases in breast cancer mortality within a few years of commencing screening. This confirms evidence of the high sensitivity of the premenopausal breast, and on cumulative carcinogenic effects of radiation.

The Politics Of Cancer by Samuel S Epstein MD, page 539

3. In his book, "Preventing Breast Cancer," Dr. Gofinan says that breast cancer is the leading cause of death among American women between the ages of forty-four and fifty-five. Because breast tissue is highly radiation-sensitive, mammograms can cause cancer. The danger can be heightened by a woman's genetic makeup, preexisting benign breast disease, artificial menopause, obesity, and hormonal imbalance.

Death By Medicine by Gary Null PhD, page 23

4. Cancer research has also found a gene, called oncogene AC, that is extremely sensitive to even small doses of radiation. A significant percentage of women in the United States have this gene, which could increase their risk of mammography-induced cancer. They estimate that 10,000 A-T carriers will die of breast cancer this year due to mammography.

5. The risk of radiation is apparently higher among younger women. The NCI released evidence that, among women under 35, mammography could cause 75 cases of breast cancer for every 15 it identifies.

« gahalls wrote on Tuesday, Nov 24 at 06:41 PM »
TBT what is your point as to who appointed the Task Force? Bush or Obama they both have basicly the same views Bush took us to war and Obama continues it, Bush took us into bail outs and Obama continues, Bush had the same weak dollar economics and Obama continues. Get it they just use different arguments to cause the same crazy outcomes. Government is broken and deserves to be constitutionally replaced...
« I can read wrote on Tuesday, Nov 24 at 06:32 PM »
We must have read two different reports. Her'es the one I read.

http://www.annals.org/content/151/10/716.full

Nowhere did it say women between the ages of 40 and 49 should not receive mammograms. What it said was,

" Recommendations: The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take into account patient context, including the patient's values regarding specific benefits and harms. "

Note the words routine and screening and individual and patient context.

Nowhere did it say women should not conduct BSE. What it said was,

"The USPSTF recommends against clinicians teaching women how to perform breast self-examination."

Most women find lumps by accident without doing the full BSE that hasn't shown any significant benefit. Doctors don't need to spend time teaching women who usually don't do all the steps anyway.

Practicing doctors usually don't review studies. That's why the 16-member Task Force chose some professionals to review the scientific data from the clinical trials for them.

The 6-person group was charged with reviewing evidence-based scientific data and reporting the outcomes without prejudice or emotion since their livelihood isn't dependent upon the results. That's what they do for a living.

If you're having trouble with the conclusions of the studies the team reviewed you might want to check PubMed for the addresses of the groups that did the clinical trials and contact them.

I'm a citizen of America and I'm not outraged one bit. It's what the scientific data have been saying since the new studies were published since the last task force report in 2002.

Do you really think the government is telling women not to do BSE?

BTW the 6-member panel concluded their study in Nov 2007, passed it on to some reviewers, then sent it to the task force which voted on it in June 2008. It's a real stretch to try to blame it on someone else.

« CapitolG wrote on Tuesday, Nov 24 at 05:27 PM »
It's sad that people try to play all this up to greed. Would you expect them to do their jobs at half the pay. For free? There's no such thing as a free lunch. How come on one has a problem with all the money Sony, Apple, Microsoft... makes? In the healthcare profession they save lives and that should be free or at a reduced rate? Why should someone do such a difficult job for the same pay as a janitor or a cashier at Taco Bell?
« truthbtold wrote on Tuesday, Nov 24 at 04:40 PM »
And one other thing, as a former 15 year Radiologic Technologist I can assure you that the American College of Radiologists is not about to agree that a study that significantly reduces their income from radiating womens breasts is anything but a travesty or an outrage... or whatever "unmistakable language" they used. Thats a boatload of moeny they're poised to lose out on. Who cares if the women don't actually need that radiation...they might have to downsize to a Buick instead of the Mercedes? The horror!