Is it politically motivated?
Comments
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Well, I think it is not really a good idea to just have a mammo without a 'doctor's permission'. That could lead to a lot of problems. That is why we have doctors.
However, I will repeat. Yes, we can get a mammo when we want one, at any age.
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In Canada the rules vary slightly from province to province. In B.C. a woman can make her own appointment for a mammogram from age 40 to 79 without needing a doctor's referral. Before age 40, and after reaching age 80 a doctor's referral is required.You can read about the B.C. screening program here:
http://www.bccancer.bc.ca/PPI/Screening/Breast/default.htmj
When I was waiting for my screening mammogram two months ago, one woman who wanted to make an appointment was refused because she had just moved and hadn't yet found a family doctor to receive the results. Finding a family doctor is a whole nuther problem in today's Canadian health system. Is this also a problem in the U.S?
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That is my biggest concern as well, discouraging women from doing SBE...that is just negligent. I
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Yes you do in Canada, just like in the US (at least I needed on). I haven't read the guidelines for the US. I can only speak to my personal experience in Canada and the US.
In Canada you go to your doc and say you want a mammo. Her/his office schedules it for you. You go get the mammo. I can only hope that it will be the same experience here in the US as it is in Canada. I am counting on the docs in the US to continue giving American women the scans that they rightly deserve.
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You need to be 50 to go to the screening clinic and register for the program. Neither PIP nor I have denied this. But you can go to your doc to get a mammo less than 50. Good grief, I had one!!
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What is the wait for testing and treatment of Breast Cancer in Canada. I personally know someone who died while waiting or treatment, the wait was so long.
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Did you notice the italics she put around the word screening? I think I explained that in a previous post. The "screening" program is an entirely different thing. It is an appointment set up for you every year after you turn 50. You sign up for the program. It is not 'automatically' done. It is a choice whether or not to join. If you do not join the program, it does not effect your ability to have regular mammos done. And it does not mean, in any way, shape or form, that you are not able to have regular mammos at an earlier age.
So if you reread her post, you will see that she is talking about a program that is offered. Some women do not feel it necessary to join as they are already receiving their regular mammos through their family doctor.
When she says "good luck getting them on a yearly basis before 50", I would tell her that she needs to either ask her doctor about it or find herself a new one. Again, I do not know anyone (and I do know a lot of Canadian women) who has EVER been denied a mammo before the age of 50.
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Another myth 2girlsii -- I'm moving back to Canada Dec 01. Seeing my new onc Dec 08. This has been discussed ad nauseum on another thread (before you joined -- and welcome!!). You do not wait for BC treatment any longer than you would here. I am feeling tremendous relief moving back to Canada -- my COBRA insurance runs out this month and I would be without insurance, without chemo in the US. This would never happen in Canada.
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http://46in08.blogspot.com/2009/04/doctor-shortages-in-america.html
No shortages for those with the right insurance coverage.
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True 2tzus -- under 50 you can't just go get one at a clinic. You have the inconvenience of going to your doc first to get it scheduled for you. But I don't find that a big deal. At least a co-pay isn't involved with the dr appt!
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The new "buzz" words I've been hearing over and over again (which are used in this task force's new recommendation) is "EVIDENCE BASED MEDICINE". The first time I heard this was from an obstetrical gynecologist who refused to perform a hysterectomy on me even though I had a thickened endometrium - cysts on my ovaries - a growing fibroid - and a history of breast cancer. He kept telling me (rudely) that "you are in the same risk category as every other woman and I follow evidence-based medicine so you don't need a hysterectomy." I was absolutely shocked by his attitude...........other doctors would have performed a hysterectomy with even fewer problems......however, I ended up changing my mind anyway because of a B9 endometrial biopsy. Still it shocked my mind that a doctor would spout out words like "evidence based medicine" without any consideration of ME as an individual. Where was his compassion and concern for me, his PATIENT?!! When did doctors and scientists become ACTUARIANS?!
So whenever I see or hear "evidence-based medicine" I am NOT impressed! Instead - my stomach turns over! To me it's a term used as a "cop-out"..........doctors who don't care - who don't want to be bothered because their reimbursement rates are low.........doctors who went into medicine to become rich (I don't blame all our problems on the insurance companies; my dad worked for Medicaid Fraud..........the number of CROOKED doctors is absurd! I also worked for a large pharmaceutical company many years ago - they were researching cancer drugs as well as analgesics..........a big-shot doctor falsified patient records and was caught by the FDA........he lost his licence and the drug company lost MILLIONS of research dollars........and people like you and me lost out on years of an excellent pain control drug.)
Finally - if we are stuck with "evidence-based medicine" from now on in this brave-new-world, I hope and pray that more intellgent, ethical and unselfish young people will enter the world of science and medical research........from what I've read about other recommendations made by this task force, they don't recommend much of ANY screenings for ANY conditions because the "evidence" is just not there. So we need to get to work and compile more evidence..........or else dump the lot of them and go back to our mother's mother's mother's recommendations (used to be called "old-wives tales") - in order to save our children's children's children.
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I had no waits for my tx in Canada. I am sure there are those who did...for whatever reasons. I have read MANY stories from Americans on this site who have had long waits and substandard care. It will happen in any country, no matter what system is used. There is no shortage of problems when human beings, emotions and money is involved.
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A blog? What makes your misinformation any more reliable?
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Huh? What did Konakat say that was different?
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But 2tzus -- there are Canadian women who are getting the mammos because they want them. You tell your doc that you want one and it is scheduled. It is so. I just don't get why you don't believe women with direct experience in this. Sigh...
Edit: I said you needed to see your doc to get the mammo scheduled. That's all I can think of. And that the program is for 50+ women.
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But I said the same thing Konakat. Of course you need to get a referral. It would be ridiculous not to have to do that. Double sigh....
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One or two years now is it? Okay. Sigh....
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There is a shortage of docs taking new patients in practices. However, you can see a family doc anytime in a walkin clinic or family medicine clinic at a hospital.
A woman in Ottawa posted a month or so ago looking for a family doc (just moved to the area). She found one in a couple of weeks. A real pain looking for one, true, but eventually one is found.
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Agreed, the guidelines are different. But they to not negate the fact that you can still get a mammo. The doctors are not bound by them if the patient wants one (nor by insurance companies). It's just how it is in Canada -- to get a test or to see a specialist you go through your family doc.
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So, I got an annual mammo with a referral from my doctor starting at age 39. You got an annual mammo without any doctor's referral at age 40. And? Here we are. Both of us at BC.org.
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Big sigh for all of us!!!!
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And let's hope the referral in the US, if the guidelines are adopted in the US, is simply an administrative thing as it is in Canada. Or, better yet, that the guidelines are tossed out.
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I know there are those who don't like the idea of needing a referral here to see a specialist or to have a mammo...or, as 2tzus prefers to call it, a "gatekeeper".
But, in many ways it is a safeguard (and I mean that in the nicest, kindest way!). What happens when a patient with hypochondriacal tendencies decides it's in her best interests to have a mammo every 6 months or trots from doc to doc to specialist to specialist looking for someone to solve her imaginary health problems?
But, more to the point, why is it such an advantage, 2tzus, to be able to walk into a mammo clinic without a referral to get a screening mammo, when we, as adults, can go to our doc here and get a referral for a diagnostic mammo? I just don't see the point you're trying to make.
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Konakat... The only way they will pay for the mammogram..or get one period here in WA state is with a Dr. order...even if you are willing to pay for it. That is why I didn't get one even though being high risk because of my mother having breast cancer under 50.
I agree..Sigh...this will end up killing many women and it is just the start of what to expect from government dabbling in our medical care.
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It is scary -- I just read an article in Newsweek that insurance companies will use the guidelines to deny mammos. I really hope they get tossed out with the dirty bathwater if they can be used against women and their health.
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That is why I think this is a scarier scenario with the insurance companies in control.
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konakat.."myth". I told you I KNOW someone who died in Canada awaiting treatment because the wait list was so long. And you respond by saying that is "another myth"??? Where do you get that? Are you saying my friend is alive and well and I don't know it? Also, Canadain doctors have been on television here in the US discussing this issue and have cautioned Americans about changing to healtcare system like Canada's. No system is perfect, unless there is incredible wealth. Please do not call my friend's death a "myth".
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I agree with you 2tzus, that the guidelines shouldn't be adopted in the US. The Canadian and US systems are very different and what happens in one country doesn't mean it will happen in the other. I don't think parallels can be drawn between how the guidelines are implemented in different countries nor between a US gov't single-payer plan and the Canadian one. Our countries are just too different. Too many fingers in the pot in the US, some that people do not trust.
I didn't know about the Newsweek bias -- seems everyone has a bias! Hard to get the straight facts from both the media and politicians! It's just so frustrating!
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I'm very sorry about your friend -- it's a terrible thing to have happened. I meant the myth that is it a common occurance, women dying from waiting. I should have phrased it better, my apologies for the hurt I have caused you.
From my experiences of both systems, both have good and bad. But my preference by far is the Canadian system. Just MHO.
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2tzus, yes I DO know the diff between screening and diagnostic mammos, which is exactly why I made that point in the final paragraph of my last post.
None of us here in Canada has suggested the U.S. should adopt our screening guidelines. Why do you seem to think we have done so? We have very simply been stating what is available to those of us as adults who feel the need to have a mammo. Period.
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