It's fun to play with numbers and compare AS to Surgery as if there is no after costs to surgery or other treatments. You still have to get PSA tests at least every year and have follow up doctor's visits, and there are ongoing costs dealing with the complications such as ED meds and incontinance issues. At least 30% will have some sort of salvage or HT treatments.
This is a difficult issue and the author brings out some very good points, but I for one don't want a Bureaucrat in Washington determining what treatments I should have. Maybe we should have a minimum standard and let people who want more buy additional insurance. We have different levels of coverage for auto and home insurance, why not health insurance. I can't accept having my choices limited by Washington.
I've read some related articles and it looks like Proton treatment for PC is on the firing line. Some insurance companies and Medicare are looking into dropping Proton coverage in favor of IMRT because of the cost benefit; Kaiser won't pay for Proton. A lot of insurance companies, mine included, won't pay for Robotic because it shows no benefit over
open or laprascopic surgery. And these are the simple issues. When we start to look at the cost benefits of many of the drugs we
open a whole new can of worms.
I guess we can always go to Mexico to get the treatments we want.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.
2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.
Scheduled for 5 weeks IMRT in July