I just got an email from a hospital where I sometimes practice with a picture of two aging but clearly active and vital men standing on a beach with the words "Free Prostate Cancer Screening" printed below in an attractive font. The hospital is sponsoring the screening, along with the urology clinic affiliated with the hospital. The advertisement gives guidelines for who should avail themselves of this service, including men as young as 35 years old if there is a family history of prostate cancer and otherwise 55 and older, with no maximum age. The prostate is a walnut shaped gland that surrounds the urethra, in front of the rectum and just prior to the penis. It produces prostatic fluid which helps carry sperm to wherever they eventually end up. Prostate cancer screening, that is checking a man's prostate cancer via a rectal exam and also performing a blood test for PSA (Prostate Specific Antigen) has been of questionable utility for decades, and finally last year th...
The cost of health care in the US is higher than anywhere else in the world, and yet we are not healthier than our peer nations. In fact, in terms of such measures as infant mortality and life span, we don't measure up. Why is this? Many people involved in providing or receiving care have some pretty good ideas about what costs so much, and what we can do to reduce costs and improve quality. Sharing these stories is an important step in creating affordable universal health care.