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Previous Volume 337:638-639 August 28, 1997 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: You and Dr. Pauker (April 24 issue)¹ completely miss the point in focusing on the negligible difference in outcomes between screening and not screening for breast and prostate cancer. The difference is negligible only in large populations. For one person, the difference in outcomes can be and frequently is fatal. Each year in this country, thousands, if not tens of thousands, of lives are affected by the decision whether to screen, and for each of these persons, the decision can be crucial. Factoring in patients' preferences and autonomy is well and good, as long as patients' denial . . . [Full Text of this Article]

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