ABSTRACT
For mammography screening, an important reason is problems with reading mammograms. Screening has increased the incidence of breast cancer in the United States dramatically over the last 20 years, and it is therefore difficult to understand how the society can have an objective about reduced incidence. They often don't realise that the disease has changed radically, now that authors have screening, and that much of it isn't even a disease. After all these years with all of our publications on screening and those of others that have explained the issues time and again it escapes me how such well-educated people who work with cancer can be so oblivious to evidence. After 20 years, it looked better for screening, but the 20-year data involved extrapolations and assumptions and also built on a 15% reduction in breast cancer mortality, which the authors know is unlikely to be true today.
