Over the years I've seen the medical/health care community change positions so many times on the management of many particular diseases/health care issues. Studies are done on the same issue/disease year after year, and different, often apparently opposing, conclusions are made. Conclusions in the studies are based on what facts were included as "evidence" (and which facts were NOT included), and the methods used to study the "evidence" (and what methods were NOT used). Outcomes and conclusions can be skewed without difficulty based on which particular facts, methods, and statistical analyses are used, or NOT used. The result, when bureaucrats and healthcare panels get involved, is often "policy schizophrenia".
This most recent episode (the 'mammogram' thing) ought to indicate to some, and reinforce to others, how heavy-handed and over-bearing will be a government that involves itself in health care. You, as an individual, will see that if, how, and when you're treated for a health issue will be more and more based on someone else's ideology, rather than on your reality. If you want to see "self-interest", "waste", "mean", and "harmful", give the feds more control over healthcare, business, information/media, etc, etc.
"$98 billion improper US Government payments" (including $55 billion to Medicare/Medicaid)? I'd like to see what all they included in "improper", how they determined and defined "improper". I'd also like to see the media accompany this report with one that tells us the $ amount in improper US Government Medicare/Medicaid NON-payments.
My rant for the day!