Here we go again. PSA tests saves lives, lots of lives, every day, every year. You could argue away the logic of having any medical tests if you follow that path. It's not about how many men don't need PSA tests, it about how many of them that do need them. You don't want to have an agressive strand of PC and not know about it, or find out when it's too far gone, or even a lesser stage that jumps the fence because the patient didn't know it was there.
You write: "Will we see the end of the epidemic of PSA testing?"
Strong opinion about the fact that more men are informed these days and are having a simple blood test to determine if they have PC or not. The larger number of men testing is a testimony that men are finally listening to men's health issues, something that has not always been the historic case.
The money part of your argument has some merit of course, and would always make one suspicious of motivation, but I would stick to what is best for the man, the patient. And not knowing, because of a lack of a simple test, do me, doesn't show much faith in acquring basic information to help yourself.
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9 .05, 6 month on 5/9