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    « If it looks like a duck and walks like a duck it could be rationing | Main | And, then there's the Mormons »
    Thursday
    Nov192009

    What was Kathleen Sebelius thinking?

    Can somebody please give her a good poke and wake her up? Jeeze, there she was this morning backpeddling from Hell in a desparate attempt to gain purchase with rollerskates on the “no mammogram needed, Ma’am, before 50”.

    Um, she might want to think one like this through the next time. What did she think the response would be? “Oh, goody … no more squashed tits!”

    This is about health care costs being taken out not on the backs of women but rather on their fronts.

    It also is not asking or addressing the right questions.

    As I’ve said in other posts about this, mammograms are simply a messenger.

    The far more serious questions are A) adherence to a stringent national best practices standard in mammography, B) better mammography, C) adherence to a strict, nationwide ‘standard of care’ on just what happens after the suspicious mammogram …. a time limit before you get a definitive answer, good followup diagnostic imaging (such as really good ultrasound which can tell you more than you may realize) and first rate biopsies such as Fine Needle Aspiration guided by ultrasound.

     

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