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William Reichert's avatar

Yes. Of course you are correct. That is why most European countries screen with an inexpensive stool test which performs almost as well as a colonoscopy. The fact remains that physicians in the USA are reimbursed and graded and paid partially on whether their patients get the screening done. If what you say is true ( and I believe you are correct) why is the emphasis these days on "prevention" rather than cure. Prevention is much more expensive than treatment to cure particularly when doctors these days are supposed to address ( and fix?) the social conditions of health (poverty, racism, bad housing, illiteracy, poor diet, etc).However, from a strictly public health perspective, the. fact remains that number of lives saved ( at least for ten years). from colon cancer would be 400,000. It is about time we realize that this practice of trying to save these lives this way is unaffordable. And that is one of the reasons health. care in America is so expensive: the emphasis on prevention rather than cure.

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