Wednesday, October 03, 2007

Refusenik

In this breast cancer awareness week we are once again being exhorted to go for breast screening. No need to be afraid, they say. It saves thousands of lives.

I dont go for breast screening. Partly because, for me, the chance of a false positive result is too high.

On Womans Hour this morning they were calling this 'overtreatment'. What a weaselly Orwellian word. Treatment is a Good Thing, isnt it? So too much cant be bad, can it

Well it can be. Especially if it goes as far as surgery, chemo & radiotherapy for something which, at worst, you will die with, not of. Estimates vary but some say there is a 10% false positive rate on this particular diagnosis from screening.

But isnt screening a Good Thing because early diagnosis means a higher chance of cure?

Look at this way

If we were omniscient & had before us 9 women who definitely have cancer, would we think it ethical to treat them ONLY if they could find 1 woman without cancer to undergo the same treatment alongside them?