By Sadie Bass

Nov 20, 2009 11:11am

Another Day, Another Recommendation to Relax Screening for Women

Today a panel of experts is out with a new recommendation regarding just how often women should get pap smears.  We are talking about catching cervical cancer early and the pap smear has of course is the way to do that.  The current thinking is that women should get smears starting within 3 years of their first sexual activity or no later than age 21.  The new recommendation is that women begin getting pap smears at age 21 and then instead of every year after – they get one every other year after.  As verse the new recommendations for breast cancer screening, the cervical cancer screening advice is being generally being received – at least in the medical community – as sound advice based on the data.  The big picture argument is that screening does have downsides.  Screening can lead to false positives and unnecessary procedures.  And in some cases screening does not make a difference.  This flies in the face of the long preached gospel that screening and catching cancer early is our best shot.  The group unveiling the cervical cancer recommendations say their timing has absolutely nothing to do with the breast cancer announcement earlier this week and both say all of this has nothing to do with the larger debate over reforming health care. 

User Comments

This is how the Dems plan to reduce health care costs.
Tell you that you don’t really need this stuff.

Posted by: Rick McDaniel | November 20, 2009, 11:40 am 11:40 am

This is how the Dems plan to reduce health care costs.
Rick McDaniel | Nov 20, 2009 11:40:04 AM
What by listening to PROFESSIONAL DOCTORS who are applying sound science and data? The way Republicans talk you’d think the elimination of using leeches to release bad humors was a socialist plot to ration care.
“the cervical cancer screening advice is being generally being received – at least in the medical community – as sound advice based on the data.”

Posted by: jhw539 | November 20, 2009, 12:01 pm 12:01 pm

my doctor has long recommended exactly this – so far so good. no one is going to tell you what to do – this is between you and your doctor. Your health insurance – if you have it – will follow the lead of your doctor – think malpractice. However, unless we get the health plan passed – there is every possiblity that your employer will discontinue offering you health insurance at all and then you will pay for your own health plan out of your pocket. Good luck with that.

Posted by: cjr | November 20, 2009, 12:02 pm 12:02 pm

Dems better get that tort reform in place now with all of these new recommendations. Get ready, docs. It’s going to fall on you.
It may be sound recommendations in general, but following it will lead to some missed cases of cancer.
A lot can happen between today and two or three years from now.
Some women will just wait it out because it’s “not time yet” or lack of money that would be out-of-pocket.

Posted by: ddg | November 20, 2009, 12:36 pm 12:36 pm

Dems better get that tort reform in place now with all of these new recommendations.
ddg | Nov 20, 2009 12:36:08 PM
What tort reform SPECIFICALLY would that be? Beyond the bumper sticker, exactly what reform are you looking for? Bearing in mind the massive wave of tort reform done at the state level in the 80′s (heck, it’s now in the Texas Constitution).
Tort reform is a state power, and the majority of them have exercised it.

Posted by: jhw539 | November 20, 2009, 12:52 pm 12:52 pm

jhw:
You missed the point.
You focused on the word “dems”.
I was focused on the word “women” and their health. Since you took it in another direction, here goes:
Did I say “federal court” with the word “dems”?
You are wrong if you think there are no ambulance chasers who win bogus cases.
With every new drug there’s a lawyer shouting his message across the screen.
You, too, can get a huge settlement.
Congress can do more by giving uniform guidelines for malpractice cases.
Why do some people get $50,000 and another case just like it might bet $500,000? It depends how good your lawyer is and what jury you have. It also depends on the state or city you are in.
Congress was asked to look at tort reform and to provide uniform guidelines.
In fact, I heard democratic SENATORS themselves say that “there will be no tort reform; that’s off the table, etc.,etc.”
So, if I’m wrong about this, then your democratic senators are wrong about this, also.
Besides, I was originally making a point about women and their health.
Can you have some sympathy there?

Posted by: ddg | November 20, 2009, 4:52 pm 4:52 pm

Include Pres. Obama in the “there will be no tort reform in this health care bill”. – Sept. l4th, 2009 speech to
60 Minutes -
Trial lawyers are heavy contributors to the democratic party. No wonder they don’t want guidelines. Laissez-faire with our money, buddy.
Again, it all depends on the location and the jury, and, of course, how good your lawyer is.
That should not be the case.
Democrats don’t want to think about that. As long as their money keeps rolling in, it’s all good.

Posted by: ddg | November 20, 2009, 6:53 pm 6:53 pm

Everyone who writes for ABC News needs to read an op ed piece in today’s New York Times by Robert Aronowitz, a physician and professor of the history and sociology at the University of Pennsylvania.
No, Mr. Stephanopolis, early detection is not “the basic principle of medicine.” In cancer it is an idea devised by surgeons and gynecologists more than 90 years ago based, Dr. Aronwitz argues, “on intuition and wishful thinking and the desire to do something for patients, not on detailed evidence that patients were more likely to survive if their cancer was caught early and cut out.” That evidence is still not conclusive.
It is unfortunate that your reporting staff do not listen to the wisdom of your own medical correspondent, Dr. Tim Johnson. He put it well tonight (and I paraphrase): “medical rationing is not in the future. It is here today. For how many is treatment rationed because they do not have insurance? 45,000 people die every year from denied care.”
There are, of course, women in their 40′s who believe, perhaps correctly, that early screening saved their lives. There stories are compelling but they are not a good basis for choice. In healthcare, as in everything in life, choices are necessary. We cannot afford to “do everything.” We have to choose and the only way to make those choices effectively is to demand that every healthcare expenditure provides the greatest health benefit to the greatest number. Otherwise we’re just spending money randomly while neglecting other compelling issues.

Posted by: John W. Armstrong | November 20, 2009, 7:18 pm 7:18 pm

my daughter is 33 years old, works in health care and has had annual PAP smears until last year. After missing a year, she had a PAP smear that came back abnormal. She had a cervical biopsy that came back as severe displasia. She had a cone biopsy that came back as invasive carcinoma. If she were following the guidelines it would have been another year before her cancer was detected. lPlease don’t post my name or identifying info, she dosn’t know I am writing.

Posted by: GS | November 20, 2009, 9:43 pm 9:43 pm

On one hand, according to people in power, everyone or almost everyone will be covered by insurance. In fact, it will be mandatory.
On the other hand, you might not get to actually use it as often as you would like or get the tests that your doctor might want to order.
So early detection is useless?
I say fix small leaks in your pipes before they become a real problem and flood your home.
I don’t see any male doctors or politicians talking about denying medical checkups to guys with ED.

Posted by: ddg | November 21, 2009, 2:40 am 2:40 am

Real cancer doctors say they were not represented on the panel!
Is this but a clue as to what government ran healthcare might entail?
I think we had better contact our senators, now!

Posted by: Ed Taylor | November 21, 2009, 5:30 pm 5:30 pm

This is a relief for women! Cervical cancer is about as common as mouth cancer, unlike prostate cancer which is far more common.
Perhaps American women will no longer be coerced into pelvic exams just to get birth control, or worse jobs. Freedom!
Oh and if you’re worried truly about cervical cancer, fight for the blood test which is far far more accurate and doesn’t damage your cervix or involve these bdsm type exams.
BTW abnormal cells and dysplasia are common and meaningless for the most part in young women, NOT cancer, which is why low risk women under 30 should never be tested using the unreliable smear. The truth will set you free.

Posted by: Brave New World | July 29, 2010, 1:53 am 1:53 am

There are certainly a lot of details like that to take into consideration. That is a great point to bring up. I offer the thoughts above as general inspiration but clearly there are questions like the one you bring up where the most important thing will be working in honest good faith. I don?t know if best practices have emerged around things like that, but I am sure that your job is clearly identified as a fair game. Both boys and girls feel the impact of just a moment’s pleasure, for the rest of their lives.

Posted by: prasouda diet | October 11, 2011, 5:54 pm 5:54 pm

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