Skip to comments.Healthy women do not need routine pelvic exams, influential physicians group says [Obamacare Effect]
Posted on 07/01/2014 2:30:21 AM PDT by SoFloFreeper
The nations second-largest physicians organization said Monday that healthy women who are not pregnant do not need routine pelvic exams, a controversial recommendation based on its analysis that, on balance, the manual screening does more harm than good.
The American College of Physicians, which represents 137,000 internal medicine physicians and related specialists, said the diagnostic procedure causes some women discomfort, anxiety, pain and additional medical costs, and may keep some from seeing their doctors. Yet it does little to detect ovarian cancer or other disorders.
(Excerpt) Read more at m.washingtonpost.com ...
Channeling Alan Grayson. “Democrats want you to DIE”
This is nothing new. They already had Obama Doctors out there saying that breast examinations aren’t needed at earlier ages (IIRC under 40 or so).
I don’t have a dog in this hunt...
Got to say the old colonoscopy seems to be medieval torture with little results. Just sayin’.
Those exams are uncomfortable and intrusive, but they allow the doctor to collect PAP samples. And PAPs save lives by revealing pre-cancerous cells while they are treatable.
So women’s health is at risk if they can’t get FREE birth control from their employer, but not letting them see a doctor for routine exams isn’t a risk to their health??
One doesn’t have to be a supporter of Obamacare to think that we are given endless, pointless tests. Americans just love invasive procedures. How have these driven up the cost of healthcare?
I completely agree.
Way too many tests.
As I get older my opinions on doctors, hospitals, dentists, and veterinarians are changing.
If you are sick (and humans know when they are) go get help if you want it.
Take care of yourself.
Many of these tests, prescription drugs, and “treatments” are money making scams.
I agree. My father, a hypochondriac, uses his Medicare like others use their EBT cards. He gets every test in the world, MRIs are used more like tanning booths, goes to doctors for the “social” interaction and enjoys collecting medicine. This has been going on for 30 years. It has completely turned me off his medical community enablers.
The democrat war on women continues as far left fringe extremists try to keep the costs of their risky medical insurance scheme under control (or that’s what WaPo would say if they were as partisan for the GOP as they are for the socialist party).
Ladies, is this a good decision? Is there validity to their assumptions of gynrcologic need?
My point in starting the thread was to express concern that WHATEVER happens, the feds need not be involved. And now, with Obamacare, it IS.... and bureaucracies will be dictating what tests we take. We all can agree that is bad.
The number of “unnecessary” tests could be reduced by tort reform that conservatives have been advocating for YEARS.
So much for “free” birth control if one is not permitted to get an exam by the doc who writes the script for it.
I believe the government should have NO say so in what tests we need or do not need.
The problem of unnecessary or over used medical testing can simply be solved by having patients pay more either directly or through insurance for what they have done.
Some people will always take advantage of free stuff. Most medical practitioners will do whatever they can to make more money.
I am tired of paying for moochers, hypochondriacs, and medical bamboozlers.
My health care provider refuses to give me a scrip for a mammogram unless she can do the gyno exam.
I can’t get a new provider (I have tried, it’s Tricare, government meds) so I have not gone to the doc in a couple years now.They refuses to allow another doc to give me a physical.
I do not live a risky lifestyle, have no pain or other symptoms, and I am in incredible discomfort during that exam. It does not help that I hate people touching me.
So this is good news for me.
I have a sister on SSI. Another mythical case of fibromyalgia.
She is not sick. But at this point the drugs her “doctors” have given her are causing real problems.
Which of course she loves because it will keep her on the government dole.
I watched a physically well person whine to all the right people. She was rewarded with a monthly check, free health care, and all the drugs a needy moocher could want.
Oh...and she loves to get medical tests. Pap smears and all.
How does a woman know that she is healthy if she doesn’t get examined by a doctor from time to time.
Obviously if one is healthy one doesn’t need to be examined, but the examination is how you KNOW that you are healthy.
I rather have one than watch kickball.
I agree with you as well. The revision of invasive medical practices is not always related to the downgrading of medicine in government health care. U.S. Preventive medical care and testing has really gotten out of hand and causing needless invasive procedures. Some excellent books in this area are written by Dr. H. Gilbert Welch - professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, who is a co-author of Overdiagnosed: Making People Sick in the Pursuit of Health.
Essay by him in NY TIMES -
Testing Standard Medical Practices
Also author, Should I be Tested for Cancer?
How do you feel? Is everything working ok?
If you feel nothing is wrong, you are probably correct.
If you don’t feel well or something isn’t working right or smelling right, or whatever....then go see someone.
God knew what he was doing. Go with your God given instincts. They are almost always right.
It's a reasonable thing to ask exactly who is gaining the greatest benefit from many routine medical screening procedures. Is it the patient? Or the hospital, imaging center, laboratory, and the doctor?
Compare the breast cancer survival statistics in the UK where mammograms don’t start until age 50 and are done only every three years with the US where annual mammograms starting at age 40 are the norm. A woman with breast cancer in the US has a 95% chance of being alive in 5 years. In the UK only 78% survive 5 years. Obamacare death panels are pushing for mammograms every other year starting at age 50 and are telling us it won’t make any “statistical difference” in survival. Ditto for annual PSA tests.
There are some diseases that by the time you don't feel well and show syptoms, it is too late.
A routine annual exam saved my life. I felt fine. Turns out I had cancer.
Thank you for the links. I love the title of that book!
I am happy that you are well. Truly.
But you have no idea if that test saved you. Maybe a week later you would have felt symptoms. You will never know.
I know we are being manipulated by medical practitioners. We are scared into and guilted into most testing and into taking pharmaceutical drugs.
Again I am happy you are happy. But your story doesn’t prove the necessity of invasive medical tests for the majority of society.
I believe the cervix itself has very little feeling, so you’re not going to feel anything or even notice anything until the cancer has spread back into the body or has chewed away at it so badly that there are symptoms...by which time it’s way too late.
A pap smear is a very simple test (if somewhat unpleasant!) and not “invasive.” And doctors are not getting wealthy on doing unnecessary pap smears or any of the other dire things Barry “Blame the Doctor” Obama would have you believe.
You do what you want to do.
I’ll do what I want to do.
But I really don’t want to pay for what you want to do.
That is what government type health care does. It makes us all pay for what others want.
I want as little to do with doctors and hospitals as possible. That is my prerogative.
Others feel differently. Whatever floats your boat.
Is he obseesive-compulsive too...most hypos, like my ex-wife are!
my best friend is a GYN and she was telling me that this is the trend, and she disapproves mightily. she said they want question patients as to whether they wear a helmet when riding a bike or if they have a gun in the house etc. rather than examine the patients. IMO ovarian and cervical cancers are killers and I would never go without an annual exam, if I can help it.
British people tend not to go to the doctor AT ALL, much less annuals. There is a huuuuuge cultural difference between Americans and the British on this subject. I direct everyone to Sarah Lyall’s “Field Guild to the English,” in which she has an hilarious and poignant chapter on English people’s attitudes towards doctors and dentists.
You’re not fighting fair.
You’re using FACTS!
Aren’t cervical cancers pretty much caused by STDs? I thought that was the new diagnosis.
Certainly people should do whatever they want in terms of their own healthcare. It’s just - yet again - who will pay for it?
Yes, he is. Everyone jokes about hypos but they are destructive to our healthcare system and to their families! And, sadly, they all tend to live into their hundreds...irony of ironies.
When abnormal cervical cells turn into actual cervical cancer (most do not by the way), there are symptoms.
Pain, bleeding, pain during sex, etc.
But of course the medical establishment wants to treat the “problem” before it is actually cancer.
Breast cancers as well.
But “they” don’t want to talk about that. They just want all of us to be scared and willing to let them do whatever they want to us. For a price of course.
I stand by my statement. If you are sick beyond what you can treat at home then see someone. If you feel fine, then live your life.
I haven’t been to a doctor in 20 years and haven’t been sick a day in all that time. That’s sorta how I know I’m healthy.
Yup. Cervical cancers are mostly caused by infections usually caught from a sexual partner.
So, if you have an STD, you need to probably do an annual. If you don’t, you can skip that test.
I really don’t think that all cervical cancers are caused by STDs, but am not in a position to give stats etc. I know that those types of cancers ran through the women in my husband’s family. his grandmothers etc. died from it, and his sister died about 12 years ago from breast cancer, which from what I recall there is some “triangle” of cancers. It’s a concern that I have for my daughters, in case it’s genetic. Breast cancer certainly can be. My point being that while STDs are rampant in this day and age, I really doubt it was an issue with women off the boat from Italy around the turn of the century!
My insurance covers annual paps and mammograms and I will continue to have them, and will encourage my daughter who is engaged to be married, to do the same.
Or having sex with multiple partners. Or your partner is sleeping around.
But then of course that is how you get STD’s.
As at least two of us have said, you can do whatever you choose to do. That is your right.
My father’s grandmother died of cervical cancer. This was at a time when the only sex men could (generally) have was at local brothels. My father disliked his father for being a lousy husband and provider. I now wonder - in light of all this talk of STDs - if he didn’t cheat on the lovely lady as well. She died at 36.
Your father sounds like my sister.
I can’t even bear to listen to someone start to complain about their various ailments without getting a rash! I’d like to burn my father’s Medicare card!
I meant my father’s mother, not grandmother.
If they gave us the truth on risk of breast CA, which they will not, as well as of cervical CA, which they refuse to, then they could focus on people at higher risk.
Then they could schedule these things more efficiently
But they won’t do that. it would bring attention to the high cost to the payers of health care, of promiscuity and it would deter some women from risking their health by being promiscuous
Abortion is a risk factor in breast cancer. It is in the same class of carcinogen as is smoking cigarettes.
Birth control pills are in the same class of cancer causes as are cigarettes
They don’t tell you this
It is not mentioned
A promiscuous lifestyle is a risk factor in cervical cancer
Married women or women who are not sexually active until they are married and then monogamous women are simply in a much different risk category for contracting cancer and other diseases from now what are considered normal women, what used to be considered promiscuous women
Men are not affected by any of this
Women have come such a long way. Not only are they now free to be treated like sex objects, they are treated by the medical community as such.
They are not advised on the risks to their health they are engaging in
But this information is all easily obtained from the Center for disease control
I’ll go one further and say that healthy people don’t need hospitals, doctors, or pharmaceutical industries.
Colonoscopy, saved my life.
Husbands who ae not monogamous bring in a risk factor as well of course and there should be a lot of awareness of this as well in terms of risk of disease and cervical ca he brings home
That brings in the subject of choosing spouses carefully and tgat is also way out of fashion at the moment
It will come back someday after women have had enough if getting so taken advantage of, and of not only allowing it but promoting it