As with any new diagnostic test that is expensive, many medical policy skeptics decry the use of diagnostic imaging based on ever-increasing health care costs. The Newsday article says that some medical policy experts have questioned the cost of cancer screenings of all kinds, citing false positives. I have written extensively on this topic before, and whenever medical policy experts get involved, you must always ask what their hidden agenda is. Typically it involves trying to reduce healthcare costs associated with diagnostic tests and treatments. Many of the so-called “policy experts” believe diagnostic tests and treatments are “unnecessary.”
The next time somebody tells you that you may have the early stages of a fatal disease, ask them what they would do if there was a test available that would detect this at an early-stage. Ask them whether they are willing to forgo early diagnosis and treatment of lung cancer in order to save an insurance company from paying $500-$1000 for diagnostic test. According to this government study, a CT scan is effective in diagnosing early lung cancers.
Dr. Harry Raftopoulos, a medical oncologist at North Shore-LIJ's Monti Cancer Center was quoted as saying there are no screening standards currently. The only ones in use are the ones created for this project to determine which patients would be right for this study. Interestingly, he asked a pressing question: "What are doctors supposed to do when they diagnose an abnormal finding? He said there may also be a risk of exposing patients to unnecessary biopsies as a result of abnormal findings. However, both experts noted above predicted that their hospitals would eventually develop CT screening criteria that would allow patients to undergo this lung cancer screening test.
The article also quoted Dr. Jeff Schneider, director of lung cancer program at Winthrop University Medical Center saying that this study is groundbreaking. Hopefully, with early detection, patients can receive early diagnosis and treatment, which is exactly the goal for both doctor and patient.
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