Sound science or saving money?

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More and more people are coming to the startling conclusion that a government panel's recently announced mammogram recommendations were all about money and politics -- not about science and saving lives.

The federally funded U.S. Preventive Services Task Force ignited a firestorm of criticism and confusion recently when it changed recommendations to say that regular mammograms should start at age 50 instead of 40.

Even Health and Human Services Secretary Kathleen Sebelius is backing away from the panel's suggestion, saying women should "Keep doing what you have been doing for years."

The task force, she said, does not "set federal policy and they don't determine what services are covered by the federal government."

Perhaps not, but the government has routinely followed its recommendations.

Until now -- which makes you wonder: Was the recommendation based on sound science -- or saving money?

Some worry that it's the start of government rationing of health care. Indeed, on ABC's Good Morning America , breast cancer survivor Robin Roberts challenged a member of the Preventive Services Task Force on its numbers: "Between the ages of 40 and 49," Roberts noted, "one death prevented per roughly 1,900 women screened; between the ages of 50 and 59, one death prevented per roughly 1,300 women screened. Doesn't seem like that big of a difference, statistically, to make such a drastic change in the recommendation of a decade."

Even having that sort of discussion smacks of government rationing of health care.

"Many are feeling that this is trying to save money, that this is a political move," Roberts said.

"I think this is really about money and politics," Dr. Peter Jokich, of Rush University Medical Center in Chicago, also said on Good Morning America . "It's about the beginning of rationing care, and I don't think it's really about the health of individual women."

That would be simply alarming.

Here's the thing: Even if it's not about rationing, the government's involvement will always raise suspicions that it is.

Consider that as Congress barrels toward government health care.

Comments

johnston.cliff

With the health care takeover, EVERYTHING is about politics and nothing is about health care. There's nothing benevolent about this power grab. As a perfect example of "well intentioned" giveaways, look how well the welfare system works, look at the % of waste, and look what it has done to people that live on it. This health care scam is IDENTICAL to the welfare scam. The blinders make it look like well intended action, but in actuality it's enslavement. Congress knows it, that's why they're exempt. Only the most uninformed and most easily tricked want the kind of "care" that comes with an unbreakable set of shackles.

carcraft

President Obama (obumbler in my parlance) stated "Why do we pay $50,000 dollars to amputate an extremety but nothing to prevent the conditon from developing or detecting it early enough to prevent amputation" Of course Obumbler had no idea what taking care of a patient with an amputation cost but the point he clearly did not understand is that screening is not cost effective. The cost to screen never equals or is less than the cost saved in treatment. Screening is done because it is the RIGHT THING TO DO! Now that every thing is about cost you will see many more of these WRONG THINGS DONE because cost is the only factor in the equation..;..Health insurance companies under increasing pressure to cut costs will follow cost reducing guidlines ISSUED BY GOVERNMENT PANELS...welcome of Obumbler care from the folks that brought to and invented congressional district 00 in New Hampshire (ie can't even run a web site)...

grouse

"Even having that sort of discussion smacks of government rationing of health care." What an incredibly stupid statement! What kind of logic is that? Especially, in the same editorial, you quote Sebelius as saying the task force doesn't set policy. Taken in or out of context of the editorial, that has to be a new low in Chronicle thinking.

johnston.cliff

That's GOT to be some good smoke, justus.

55 F-100

justus4's rants have nothing to do with "good smoke"......justus4's rants are due to years and years of huffin' those spray paint cans and sniffin' glue. Those are the only two substances which could have done that amount of intellectual damage which is consistently obvious in his post's.

corgimom

If Justus hasn't heard of an organization, then it doesn't exist. What they are trying to say is that women have been scared into thinking that they have to have a mammogram to detect breast cancer, and if they have a mammogram and it's clear, then they are ok. The fact is, mammograms don't do a good job of detecting breast cancer for women in their 40's. They have a lot of false positives AND false negatives for women under 50. In addition, many women are having surgery, radiation, and chemo for cancer that may not ever spread. 15 of out 16 women in the US NEVER GET BREAST CANCER. If you want one, get one, but understand that they just aren't a good detection tool if you are under 50. Their focus is PREVENTATIVE SERVICES and as a preventative measure, it stinks.

jack

If the monstrosity the DIMs have shoved down the throats of the Republicans and gets passed, these "recommendations" will become a federal rule/law. this is sypmptomatic of the health care rationing that is coming if the DIMs shove this down the American people's throats. Next November can't get here fast enough as it will be an anti incumbent DImocRAT election.

jack

"Even having that sort of discussion smacks of government rationing of health care." What an incredibly stupid statement! What kind of logic is that? Especially, in the same editorial, you quote Sebelius as saying the task force doesn't set policy. Taken in or out of context of the editorial, that has to be a new low in Chronicle thinking.
Posted by grouse on Sun Nov 22, 2009 10:59 AM....Makes sense to me. The "recommendation" already smacks of rationing of health care on a cost basis which the government is SUPPOSED to run on.

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