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GEN: Fewer Mammograms in Your Future?From: art fougner, md (evsono@pipeline.com)Mon Jan 29 08:20:59 2001
Folks - setting the current debate re: effectiveness of mammography as a cancer screen, there may be other reasons to expect decreases in availability of mammograms. Enzmann et al conducted a study of seven medium to large mammography centers and found all operating at a net loss every year. The larger the center, the larger the loss. "The more you do, the more you lose," said Ellen Mendelson, MD of the Breast Diagnostic Center, Western Pennsylvania Hospital, Pittsburgh, PA. Cost alone is not the issue. Fewer radiologists are seeking mammography fellowship positions. Sloan-Kettering has had a drop in applications from 40 to 12. Perhaps the notorious US tort system has a hand in this. Failure to diagnose breast cancer is now right up there with cerebral palsy in malpractice claims and judgements. The negative mileu of potential litigation is a powerful argument for persuing other interests in Radiology. Last one out, please turn out the lights - except for California - they may be out already. art
-- art fougner, md
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