October is Breast Cancer Awareness Month
http://www.nationalbreastcancer.org/breast-cancer-awareness-monthI guess all these millions of people walking and raising money every year are wrong and wasting their time. Kick them to the curb, when they start soliciting money from you. Or maybe, just maybe, it is NIH and HHS that needs to become aware, and stop telling people that preventative testing is excessive and unnecessary.
Honestly, I'm not sure what you're getting at in the first part. Of course more women should be aware of the preventive services like mammograms that are already available to them. If the government is going to cut back on things like informing people about what the ACA provides, it's up to others to carry that message. Why would we kick the messengers to the floor?
The results of the survey suggest a need for health literacy, with 68 percent of women being unaware that coverage of mammograms is mandated by the federal Affordable Care Act, which states the screening be given without a co-pay or deductible, Phyllis Greenberger, president and CEO of SWHR, told FoxNews.com.
http://www.foxnews.com/health/2014/10/30/more-than-half-women-dont-get-mammograms-study-finds.htmlAs to NIH and HHS telling people that preventive testing is excessive and unnecessary, my guess is that you wouldn't go advising healthy 18 year old women to get mammograms every six months, just in case. We probably agree that at some point preventive testing does become excessive and unnecessary. It's a question of where one draws the line, not whether preventive testing could possibly be excessive.
The ACA generally bases what preventive services be covered at zero cost on USPSTF's guidelines (which say that mammograms offer substantial or moderate benefit starting at age
50, but just small net benefit between 40 and 49). So a specific exception was written into the ACA to include mammograms for women 40 and above.
http://www.factcheck.org/2013/10/aca-doesnt-restrict-mammograms/I believe it's because of the way the law was written that this exception was going to expire. But for whatever reason, the Health Resources and Services Admin (part of HHS) recently updated its guidelines so that the ACA would continue covering mammograms at age 40.
https://www.kff.org/womens-health-policy/fact-sheet/preventive-services-for-women-covered-by-private-health-plans-under-the-affordable-care-act/In addition, USPSTF points out that its "'C' [small net benefit] recommendation ... is often misinterpreted as a recommendation against mammography screening or coverage. In the linkage to coverage established by the Patient Protection and Affordable Care Act, the USPSTF's role is limited to evaluating the science to determine the net benefit of a clinical preventive service. [USPSTF's] review of the scientific evidence may be only one of the inputs to determining insurance coverage; often it is the floor to determining minimal coverage, not the ceiling."
https://www.uspreventiveservicestaskforce.org/Page/Document/convergence-and-divergence-around-breast-cancer-screening/breast-cancer-screening1It is in that gray area of small net benefit (over the whole population) where conversations between patient and doctor may be most productive. Different people place different emphasis on possible outcomes, so what might make sense for one person won't make sense for another.
Here's the Susan G. Komen page on
Weighing the Benefits and Risks of Mammography including sections on overdiagnosis and overtreatment.
As noted in a lengthy Mother Jones column: "With so much rhetoric flying back and forth, it can be difficult for women to make truly informed decisions." That makes talking with doctors about the real risks and benefits even more important.
http://www.motherjones.com/politics/2015/10/faulty-research-behind-mammograms-breast-cancer/