Newporter, you raise an important issue in your last sentence. My prediction is that this WILL be the case at some point in time. What many are saying now is that doctors and patients do not have the discipline to use AS even if it is likely the most appropriate treatment. I'm not saying that is right or wrong for purposes of this discussion, I'm just saying this is a premise that is gaining traction. With more traction and with the increasing pressure to reduce health care costs in the USA, I can see a time that medicare and the insurance companies will have some very specific guidelines as to when they will pay for PCa treatment. Just as insurance won't pay for a leg amputation for an early stage squamous cell skin cancer on an ankle, the time may come when it won't pay for a prostate amputation/zapping for an early stage prostate cancer.
Time will tell but this will be interesting to watch over the next few years.
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey: