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Cervical cancer diagnosis up 8% in young women
Posted: Nov 25, 2015
How about that? Younger women who now are covered under health insurance/Obamacare now are being diagnosed with cervical cancer at an earlier, more treatable age. I am not surprised. * * * Researchers used the National Cancer Data Base, a hospital-based registry of about 70 percent of all cancer cases in the United States. They compared diagnoses for women ages 21 to 25 who had cervical cancer with those for women ages 26 to 34, before and after the health law provision (OBAMACARE) began in 2010. Early-stage diagnoses rose substantially among the younger group — the one covered by the law — and stayed flat among the older group. About 79 percent of the younger group had an early-stage diagnosis in 2011-12, up from about 71 percent in 2007-09. For the older group, the percentage dropped to 71 percent from 73 percent, a change that is not statistically meaningful. See article at below link.;
It could also be because of a poor sugar-laced diet - leading to a rise in cancers and
[ In Reply To ..]obesity in the young. Bit of a stretch to credit Obamacare.
They are diagnosed because NOW they have insurance - see message
[ In Reply To ..]Previously they would have gone undiagnosed because they would not have gone to the doctor because they did not have insurance.
Yay Obamacare!
Pap and mammo - Every Woman Counts - Elizabeth Edwards - Paps were free
[ In Reply To ..]Clinics were available.
Obama's new cancer Rx is a war on men. - If you're at risk of prostate cancer
[ In Reply To ..]the best place to be is the United States, where survival rates are highest in the world. But not for long, if the Obama administration gets its way in curtailing a test that flags prostate cancer before it spreads.
The administration wants to penalize doctors who routinely order the PSA blood test. Under a proposed policy, those doctors will get demerits for being considered over-spenders, while doctors who skip the test will be rewarded with a high "quality" rating from the government and be paid more.
The Obama administration claims less care is better. That’s double-talk. An editorial in the current issue of the Journal of the American Medical Association points to a sudden, disturbing drop in prostate-cancer detection since 2011, when the United States Preventive Services Task Force recommended against using this simple test.
Worse, the journal predicts more prostate-cancer deaths due to the drop.
The task force — 16 government appointees — tried to argue that the test does more harm than good. Some men with high PSA scores undergo retests and biopsies only to find out they don’t have cancer. Or they endure the side effects of radiation and surgery even though their cancer is slow-growing and not life-threatening.
The task force claims the test’s “harms” outweigh the “benefits.” Not so fast. Of course it’s distressing to get a call that you need to get retested because of a high PSA score, but that “harm” is nothing compared to being told you have cancer that could’ve been caught and stopped years earlier.
Women go back to their doctors all the time for repeat mammograms. It beats dying of breast cancer.
Male patients aren’t pushed into biopsies or treatment on the basis of a single abnormal PSA score anyway, explains Dr. John Williams, a New York urologist. Doctors also consider a patient’s age, his prostate’s size and other factors.
In truth, the Obama administration is more concerned with cutting care than preventing cancer deaths. Guided by that warped philosophy, the task force told women in their 40s not to get mammograms, and advised women 50 and over to settle for a mammogram every two years, instead of annually.
The task force’s crass calculation was that 1,900 women in their 40s have to be screened to save one life. Not worth it, they said.
Fortunately, cancer physicians and patient-advocacy groups rebelled against that nickel-and-diming. That was in 2009. They need to mobilize again to defeat the assault on prostate-cancer screening.
Even without these new proposed penalties on doctors, the task force’s misguided opposition to PSA tests already has caused thousands of avoidable deaths, according to David Penson, a urological surgeon at Vanderbilt University. Many doctors stopped the test, allowing cancer to spread undetected.
“This is a warning,” says Dr. Anthony D’Amico of the Dana Farber Cancer Institute in Boston. “It is likely that men will develop more advanced prostate cancer before it is diagnosed and be less likely to be cured.”
Similarly, the JAMA editorial warns of advanced prostate-cancer deaths “associated with the decline in PSA screening that has occurred following the USPSTF recommendation.” That’s proof the task force is dead wrong.
Who in their right mind would consider skipping this test to be a sign of “quality” care?
But it’s part of a pattern. Obama’s signature health law awards “quality” points to the hospitals that spend the least per senior, even though these are the hospitals where seniors are least apt to survive an illness.
Dr. Ezekiel Emanuel, the Obama administration’s health-policy architect, says he has no desire to live beyond 75, so he’s forgoing all treatment, including PSA tests. He’s entitled.
But the rest of us who value life, including our own, need to know the facts. The Obama administration’s war on PSA tests is, in Williams’ opinion, “a cold-hearted decision based on cost.” It’s a war on men.
This is how socialized health insurance works. They make all - your health decisions for you.
[ In Reply To ..]Many of these basic tests are relatively cheap and on the open market.
I do an annual A1c for about $14.
You can even get a paternity test kit at Walmart for about $25. They're on the bottom shelf near the diabetic testing supplies.
http://www.homehealthtesting.com/psa-c-22_36.html
Some Americans have been Gruber'd. They will let - the govt make decision for them
[ In Reply To ..]regarding their health.
A PAP smear is included in the annual physical - provided through Obamacare
[ In Reply To ..]Annual physicals are required to be free under the new insurance plans. Young women are now having PAP smears and are having their existing cervical cancers diagnosed earlier at a more treatable stage.
Its a good thing.
Pap smears are cheap and can be done through Planned - Parenthood, no matter how you
[ In Reply To ..]try to spin it. People just didn't do it because they didn't want to pay for it.
Physicals are not cheap - Yes, I like coupons and good deals
[ In Reply To ..]I think it is great it is provided as part of a "free" physical. You are right, young women did not get them unless they were seeking birth control or were pregnant. Now they can get started on good health practices without choosing to pay rent or pay for an office visit plus lab.
Happy Thanksgiving and Black Friday to you.
My health care costs this year = $4 - happy
[ In Reply To ..]I hit the magic birthday. I have had an annual, mammo, colonoscopy, eye exam and complete lab workup. My total cost was 4 dollars. I feel really good because I was overdue on a lot of tests because I was worrying about co-pay, but now everything seems to be just fine.
A Pap smear is not done by blood draw like A1c - Female transcriptionist
[ In Reply To ..]Perhaps you do "do it yourself" Pap smears? Interesting.
I do believe everyone knows that. Sounds like you don't really - know much about healthcare?
[ In Reply To ..]nm
Not true, Unnecessary biopsies - controversy
[ In Reply To ..]The controversy on this has been going on for years. Several years ago my hubby had a routine PSA and was referred for a biopsy. The biopsy did not show anything, but he now has ongoing problems as a result of the biopsy procedure. The doctors themselves are now saying the PSA is not a good indicator except in cases where they are other strong indicators for screening; i.e. prostate abnormalities, strong family history, previous cancer. It has nothing to do with Obamacare, but good medical practice.
What about Pap smears? They are relatively cheap and have - been around for years, way
[ In Reply To ..]before Obamacare.
What about prevention? What is causing a rise in cervical cancer between 2010 and now?
This sounds like a real war on women. Everything is in - the eye of the beholder I guess.
[ In Reply To ..]xx
I think you could actually blame Obamacare, because it reduces women's coverage - for Pap smears to every three years.
[ In Reply To ..]They used to be part of a yearly well woman exam. Repeat, cervical cancer screenings are only done every THREE years. So that seems to coincide with the dates from 2010.
Guidelines are from the American Cancer Society - NM
[ In Reply To ..]x
Mine are still covered every year - marge
[ In Reply To ..]I still get one yearly and they have all been covered.
Latest ACS guidelines for Pap testing here - HPV negative
[ In Reply To ..]Cervical Cancer
New Screening Guidelines for Cervical Cancer Article date: March 14, 2012 By Stacy Simon
The American Cancer Society today released new screening recommendations for the prevention and early detection of cervical cancer. Screenings are tests for women who have no symptoms of cervical cancer. Among the changes: the American Cancer Society no longer recommends that women get a Pap test every year.
RESOURCES:
During the past few decades, screening has reduced deaths from cervical cancer, as doctors have been able to find cancer early and treat it, or prevent it from ever developing. Researchers continue to find out more about what causes cervical cancer, and the best ways to screen for it.
There are 2 types of tests used for cervical cancer screening.
The Pap test can find early cell changes and treat them before they become cancer. The Pap test can also find cervical cancer early, when it’s easier to treat.
The HPV (human papilloma virus) test finds certain infections that can lead to cell changes and cancer. HPV infections are very common, and most go away by themselves and don’t cause these problems. The HPV test may be used along with a Pap test, or to help doctors decide how to treat women who have an abnormal Pap test.
The American Cancer Society regularly reviews the science and updates screening recommendations when new evidence suggests that a change may be needed. The latest recommendations are:
All women should begin cervical cancer screening at age 21.
Women between the ages of 21 and 29 should have a Pap test every 3 years. They should not be tested for HPV unless it is needed after an abnormal Pap test result.
Women between the ages of 30 and 65 should have both a Pap test and an HPV test every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
Women over age 65 who have had regular screenings with normal results should not be screened for cervical cancer. Women who have been diagnosed with cervical pre-cancer should continue to be screened.
Women who have had their uterus and cervix removed in a hysterectomy and have no history of cervical cancer or pre-cancer should not be screened.
Women who have had the HPV vaccine should still follow the screening recommendations for their age group.
Women who are at high risk for cervical cancer may need to be screened more often. Women at high risk might include those with HIV infection, organ transplant, or exposure to the drug DES. They should talk with their doctor or nurse.
In short, the American Cancer Society no longer recommends that women get a Pap test every year, because it generally takes much longer than that, 10 to 20 years, for cervical cancer to develop and overly frequent screening could lead to procedures that are not needed.
Gardasil, the vaccine for HPV, has actually been linked - to cancer and nerve disorders,
[ In Reply To ..]along with other serious health risks.
Whenever I read articles like this one, I ask myself who wrote this? Is it meant to inform or sway? Then I look for facts one way or the other. Statistics can be manipulated.
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