Back to basics. Interesting! Since this article primarily discussed BC, I discussed it with my wife and she laughed at me. She informed me that mammograms are part of her annual physical and there are no discussions. At 5'10" and 175# I didn't assume that I could be at risk for diabetes, but a simple blood test indicated otherwise; there was no discussion before the test and I would not have had the knowledge to "specifically ask" for the test.
Most of the members on this forum, not all, had a screening test by chance or due to the diligence of their doctors, and I doubt that any (few) declined the test(s) after an "informed discussion". It's interesting to note that the largest medical system in the country requires men at "high risk" to include family history and, potentially, Agent Orange exposure to "specifically request" the psa test and after discussion with his provider the test may be done; is this the cart before the horse syndrome? Most men who have been to the Nam have no idea what a psa test is and have no knowledge of PCa so without this information how could they "specifically ask" for the test.
The question of ethics and morality certainly comes into play here, but we have the pronouncement of the Medico Intelligentsia as gospel. I believe that the "voice of reason" (Clocknut) once stated that it makes sense to give a man a psa test and then have an "informed discussion". I subscribe to his beliefs. "No physician should make decisions on a patient's care without involving the patient". Without going into details, this concept was certainly "blown" in my case.