Federal Government is Backtracking!!!!!!
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Our government is already trying to distance themselves from the "New mammography guidelines". HHS Secretary Kathleen Sebelius gave a very different story today; see below. But read the fine print, she's talking about mammograms covered by the FEDERAL GOVERNMENT, not by private insurance companies who may follow the new guidelines
Sebelius: Women should get mammograms by age 40
By RANDOLPH E. SCHMID
AP Science WriterPublished: Wednesday, Nov. 18, 2009 - 10:39 am
Last Modified: Wednesday, Nov. 18, 2009 - 3:29 pmWASHINGTON -- Women should continue getting regular mammograms starting at age 40, Health and Human Services Secretary Kathleen Sebelius said Wednesday, moving to douse confusion caused by a task-force recommendation two days earlier.
Sebelius issued her statement following a government panel's recommendation on Monday, that said most women don't need mammograms in their 40s and should get one every two years starting at 50.
That recommendation was a break with the American Cancer Society's long-standing position that women should get screening mammograms starting at age 40.
The task force does "not set federal policy and they don't determine what services are covered by the federal government," Sebelius said.
Medicare, which covers older Americans and some younger ones who are disabled, provides women on Medicare coverage for an annual mammogram at age 40 and older.
Sebelius noted that there has been debate about the age at which routine mammograms should begin, and how often they should be given.
"The task force has presented some new evidence for consideration but our policies remain unchanged," she said. "Indeed, I would be very surprised if any private insurance company changed its mammography coverage decisions as a result of this action."
"My message to women is simple. Mammograms have always been an important lifesaving tool in the fight against breast cancer and they still are today. Keep doing what you have been doing for years - talk to your doctor about your individual history, ask questions and make the decision that is right for you," Sebelius said.
In the meantime, she added, it is clear that more research is needed into ways to help women prevent and fight breast cancer.
The recommendations from the task force have left women across the country confused about which advice to take. It also quickly led to charges from opponents of changing health care policy that it is an example of what could be expected from government-managed care.
In its report the panel of doctors and scientists concluded that such early and frequent screenings often lead to false alarms and unneeded biopsies, without substantially improving women's odds of survival.
But their recommendation was loudly criticized by breast cancer survivors who were diagnosed at a young age.
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They better be backtracking. Americans are just not his dumb to stand for their nonsense.
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Are we expected to BELIEVE the government after they have shown what they do with Social Security? They dip into SS whenever they feel a need to and then in the next breath scream about SS going bankrupt from their own making, not ours. The government will follow whatever the private sector does because they are in it for the money...like like the health insurance providers are.
The only reason why they are backtracking and pretending that everything is sweet is because they want women to forget about these recommendations and feel that the "Task Force" will not affect them.
They have the power to reverse this very negative decision. The real question that this woman deflected is do they have the WILL to do so? Nothing changes until they put it back to 40 or >40 and SBE...everything else is just hot air!
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I wholeheartedly agree; in fact, I think their motives are even worse. The government is playing a shell game....that's why I said to read the fine print. Sebelius' statement addresses only mammograms covered by the Federal government. I'm pretty darn certain, that means mammograms covered by Medicare. Think about it - Just how many women under 50 are on Medicare ? As the article says, Medicare "covers older Americans and some younger ones who are disabled." So really, what is she saying ???
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Thanks for posting this! We need to stand up and fight Health Care rationing...This is only going to get worse, if congress passes Health Care Reform. Call your senator's now.
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Something else we can do: sign a petition SUPPORTING The "EARLY ACT", a bill advocating early screenings and self exam......and this has apparently been around for a while.
For information about the EARLY ACT: http://earlyactawareness.org/
"Authored by Rep. Debbie Wasserman-Schultz (D-FL) and sponsored in the Senate by Sen. Amy Klobuchar (D-MN), "Young Women's Breast Health Education and Awareness Requires Learning Young Act of 2009'' or ‘‘EARLY Act". would direct the Centers for Disease Control to develop and implement a national education campaign about the threat breast cancer poses to young adult women. The EARLY ACT would also create a national education campaign for healthcare professionals and create materials to help patients address long-term effects and challenges associated with breast cancer."
For the petition: http://komenpolicy.org/campaign/alert_early_act?rk=K7c1wxKaovtHW .fill in the blanks and hit send, so SUPER EASY
For the contrarian and scary view, that the act "would do more harm than good" for such stellar reasons as "In addition to making young women more aware (and undoubtedly more worried) about breast cancer" and "....breast self-examinations to achieve "early detection of breast cancer among young women." But there is no credible scientific evidence that this would reduce breast cancer deaths": http://articles.latimes.com/2009/jul/31/opinion/oe-woloshin31?pg=2
Please note: this article came out July 31, 2009 so apparently the New Mammography Guidelines have been brewing for a while; in my opinion, this makes them all the more dangerous.
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If Government Health Care passed--once they take over private health care which is the plan in the long run........you will fall under the new guidelines of the Federal Health Plan. Obama sees the elimination of all private Health Care in the United States between 10-20 years, he knows he has to slowly take health care away BIT BY BIT so you don't notice the rope squeezing around your throat! It is the same way he said he would have PREFERRED gas prices SLOWLY go up in PRICE rather than all at once (again bit by bit).
They are testing the waters by going after WOMEN HEALTH CARE ISSUES first! It will not be the last. Why didn't they go after Cardiac Care first to test the waters? These are two of Americas largest HEALTH CARE ISSUES......and they went after the one that affects WOMEN the most!
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Rumoret - I'm actually scared of this administration ! Broken promises, bullying and sneakiness !
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FASCISM-------FASCISM-------FASCISM! That is what this Administration is!
"Fascism's approach to politics is both populist--in that it seeks to activate "the people" as a whole against perceived oppressors or enemies--and elitist--in that it treats the people's will as embodied in a select group, or often one supreme leader, from whom authority proceeds downward. Fascism seeks to organize a cadre-led mass movement in a drive to seize state power. It seeks to forcibly subordinate all spheres of society to its ideological vision of organic community, usually through a totalitarian state. Both as a movement and a regime, fascism uses mass organizations as a system of integration and control, and uses organized violence to suppress opposition, although the scale of violence varies widely."
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Well said girls!!! I'm scared and plan on fighting this $%#%
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OMG, Now new guidelines for Pap Smears ! Apparently, we dont need those either !
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What are we going to do about this? I take it breast cancer is NOT Michelle Obama's platform??
Good grief I would like to pay someone to follow her every move and take photos as she ducks in for HER routine mammos....it's sickening..
Didn't Obama say that after watching his own mother die of cancer he was going to hold insurance companies accountable??? I am sorry, but this man stood in front othe country and LIED to us ALL. He DOES lie!
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Our leaders, from the top down, need to have the same Health Care Reform, their forcing down our throats.
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The Pap smear recommendations are from the American College of Obstetrics and Gynecology (ACOG), a private professional association of the Board that certifies "board-certified" Ob-Gyns. They are not recommendations from the USPSTF, and not from the "federal government."
http://www.acog.org/departments/dept_notice.cfm?recno=20&bulletin=5021
The Department of Health and Human Services hosts a "National Guidelines Clearinghouse" and website (http://www.guideline.gov/), where professional associations can post their guidelines, and this is where many have seen the new ACOG Pap smear guidelines, but these new Pap smear guidelines have not been developed, devised, written, reviewed, endorsed, or adopted by "the federal government."
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AnnNYC - You're absolutely right. this is not a "federal government" thing. It's lumped in here because it is yet another guideline that Insurance Companies may follow in an attempt to save money and yet another guideline that will hurt us.
Edited to add: Of course, if Health Care reform goes through, then wouldn't the federal goverment potentially compel us to follow these new pap smear guidelines ?
PS - If I could change the title of this thread I would. I created it while watching one of those minute long news highlight items talking about the Sebelius' speech. Of course, when I read the long version of the story, I realized the federal government wasn't really backtracking, simply diverting.
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Hi MTG, my own take on it is that the Federal Government is a huge bureaucracy with little backwaters that don't understand each other (or in the case of the USPSTF, don't even understand themselves, i.e., what they're supposed to be doing and how their work will be used by others within and outside the government!!!)
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True, true.... but is confused really than much better than malevolent when the bottom line is the same ?
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No, not better! But requires different remedies than malevolence!
I guess "you can't fix stupid" -- but if it's the system that's stupid, maybe that can be fixed. I hope this spotlight on the USPSTF will help.
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I've been thinking on this matter, about the USPSTF disconnect from impact on the public of their guidelines. I mean, these are well seasoned doctors, selected for their policy making advice based on their expertise in evaluating numbers. I read too what the Co-Chairwoman wrote, that she had no idea this would stir up a firestorm but now is aware.
In short, I don't buy it. Seven years ago a similar USPSTF guideline stirred up a similar firestorm. Are we to believe the committee has selective memories? And as a Co-Chairwoman, the same sex in which most breast cancer occur, with a lifetime incidence of one in nine, leading a panel which suggests mammograms in America are not valuable by in large in the 40 to 49 age group. We're suppose to believe her when she says she didn't know such would stir up trouble? Really?
As I've said before, and I know I'm in the minority here, I believe they ALL knew what they were doing and much was considered, bantered about between themselves about impact of the guidelines, which were undoubtedly seen by AHRQ prior to publication in The Annals of Internal Medicine. Panel experts who are about to impact social health policy don't work in a vacuum, hidden away from agencies, hierarchy's of chain of commands, void of outside agency conversation over something as visceral as a change in US breast cancer mammogram guidelines. Especially so when their is present and ongoing debate about national Health Care Insurance Reform.
I wish it weren't so that I draw this conclusion. It would be so might tidier for my mind. I wish to have hope that 3% of women and men aren't sacrificial human beings in America. But the reality is that close to 50 million American's are uninsured because of no social net, and 44,000 die annually due to no health insurance. So it's reasonable to say, in this unjust climate, that a new policy where 3% of US citizens are cast aside for national money savings fits in with the rest of the thinking. And it's reasonable to say that more rationing in Medicare specifically (up to $500 billion dollars over the next decade in savings, i.e., some rationing all because the Medicare coffers were raided) will occur with even greater percentages of Americans being the rationee.
It sadden's me greatly that our government may think Americans are so stupid and will go along like sheep to their slaughter, but I think they do. Democracy stops being a democracy when a few in power make wide reaching decisions on what's "best" in health care for the masses. We have been shown a plutocratic government this past year, one serving the benefits of the elite, not the taxpaying middle class. These same plutocrats, if unstopped, both Congressional and Executive will further their health care cause in this pending bill if possible. Two thousand pages are a lot to read, it's hard to find check the crevice's for far-reaching society health impact. Already in the Stimulus bill I believe, rights to set up health care bodies for best evidence decision making etc was inserted in the wee hours of the night, and passed. This is so dishonest and un-American.
I voted for the current administration with joy in my heart for change. Much of my hope and joy has been dashed by shocking support for the haves at the expense of the have nots. That is my opinion, but I share it to let you know I support democracy. These guidelines have been trounced upon, pushed to the side already. But they are a warning to all that bureaucratic agencies are out there with an agenda which may be separate from one which the majority of women and men in America favor, such as coverage by a simple, inexpensive mammogram at an early age in the right case to evaluate for the presence of a deadly disease, and to have such covered paid for by the high premiums we pay our monopoly insurers.
For some reason, ladies, I see so much clearer than I did a year ago on how America is changing. I've been touched by the suffering of a family member with lost jobs, no insurance, foreclosure, bankruptcy, ill health, near death, pulled from the brink, my own savings used to help, and I'm angered by Wall Street, Big Banks, Big Pharma, Controlling Insurers, and yes, inept government.
I am writing my Congressmen and the President regularly. This most recent USPSTF fiasco was just the straw that broke the camels back and let the flood gates open.
This is just my opinion, but freedom of speech is still free in America.
Tender
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Tender, I thank you for being near the end of this post and writing everything I needed to hear and wish I were able to say. THANK YOU
Happy Thanksgiving -- and let us keep it that way.
Love to all my Sisters,
Terry
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Hello, Tender,
Thank you for your thoughtful post. I want to respond to just one thing.
You said: "It sadden's me greatly that our government may think Americans are so stupid and will go along like sheep to their slaughter, but I think they do."
I don't think the current administration and congress think the American people are willing to go along. My opinion is that they think we are small-minded and ignorant about what is best for the country, so the voters' opinions be damned. I find that kind of calculated disregard for their constituents to be dictatorial and extremely scary, but there is really nothing we can do to stop them and they know it. By the time we can vote them out, the deed will be done.
That doesn't mean I'm not in favor of speaking out. I just hope all our efforts will minimize the damage.
Tricia
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Tender...thank you for the wonderful post!
Happy Thanksgiving!
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Tender - Very, very well said.
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Hallelujah!
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American Cancer Society's Brawley Backpedaling
According to the Atlantic's John Crewdson, the only American reporter at the Stockholm news conference in 2002, on The Lancet publication of the Swedish meta-analysis, analyzing and updating the half-dozen Swedish mammography studies that told us nearly all of what we knew about the value of mammography, last month, Dr. Otis Brawley, the cancer society's chief medical officer, was quoted in the New York Time admitting "that American medicine has overpromised when it comes to screening. The advantages to screening have been exaggerated."
Crewdson wasn't surprised by Brawley's statement, since he had expressed the same view to him when they met at a cancer symposium in Milan in 2003.
Following the task force report's release, however, Brawley appeared to change direction, telling the Times that the cancer society had concluded that the benefits of annual mammograms beginning at 40 "outweighed the risks" and that the ACS was sticking by its earlier advice. One of Brawley's colleagues said, "He's trying to save his job. He was broiled at home for the interview in which he said that the medical establishment was 'overselling' screening."
Dr. Donald Berry, head of biostatistics at the M.D. Anderson Cancer Center, points out that if the Swedish update is read carefully, the benefit for women 40-50 is really only 9 percent, which is not statistically significant, meaning it could represent the play of chance and not a real advantage. What Brawley failed to mention is that the numbers the news media are flinging around are the relative benefit. Utterly obscured is the number that really matters, the absolute benefit.
http://www.theatlantic.com/doc/200911u/mammograms -
Thanks for your thoughts and the link gpawelski. Always good to be open minded even when I'm a contrarian on this subject.
I did read that Chinese physicians themselves have been critical of the Chinese breast self exam trial. Seems the women were not well trained in how to perform their BSE. Major problem if true.
Clearly new diagnostic techniques are necessary. Such a shame that with MRI, PET, and other the impact will be insurers will not widely cover these new scans for earlier breast detection in America at least. No money. And no one will do a randomized prospective study saying you get the old and new test, you don't due to ethics guidelines.
Seems like we're mired in the mud on this issue.
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