The U.S. Preventive Services Task Force prefaces its proposed Recommendations with a proviso that it would be all right to use PSA for men with prostate "symptoms", failing to appreciate that most prostate cancers have NO symptoms. Once a patient has symptoms it's usually late-stage, incurable disease. The National Alliance of State Prostate Cancer Coalitions endorses the use of PSA for men beginning at age 40 (35 if high-risk). It might not be perfect but it's the best test we currently have at our disposal. If you don't test men at all (a la the USPSTF), you will miss those men with potentially deadly disease who require immediate treatment. Knowledge is power. Testing for and diagnosing prostate cancer does not have to mean treatment. Further, balancing the possible sexual side effects of treatment against the saving of a life is a no-brainer. After all, dead men can't have sex either.

Sounds like the beginnings of a money saver for our Obama care.