Lower Breast Cancer Rates May Not Mean Less Cancer

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According to a report released today by the CDC, fully 1.1 million fewer women aged 40 and over had mammograms last year than in 2000. This decline might explain, in part, the recent drop in breast cancer rates in the U.S., meaning rates might not actually be going down. Fewer diagnoses does not mean fewer cases, just fewer known cases. So, while we have seen detection rates decrease, deaths from breast cancer could increase, the report says.

The reason for the drop is unclear but the CDC researchers point to a couple of disturbing trends that move beyond the taking-it-for-granted explanation:

“One study has indicated that breast-imaging facilities face challenges such as shortages of key personnel, malpractice concerns and financial constraints.”

“Because the number of U.S. women aged more than 40 years increased by more than 24 million during 1990 to 2000, the number of available facilities and trained breast specialists might not be sufficient to meet the needs of the population, whose overall median age continues to increase.”

This feels wrong. Wrong, not in the incorrect sense, but wrong in the how can there not-be-enough-facilities-for-such-basic-needs sense. And let’s get some more “breast specialists” trained, this is a must people.

The report did not look at mammography rates by age, geographic region or socioeconomic status though the researchers say they do plan on examining whether the decrease in mammography rates is concentrated among certain groups, such as the poor and uninsured.

Each year, more than 200,000 women in the U.S. are diagnosed with breast cancer and about 40,000 die from the disease. According to the report, screening might reduce breast cancer mortality by 20% to 35% among women ages 50 to 69 and by 20% among women ages 40 to 49.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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