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The Big Squeeze - A Social and Political History of the Controversial Mammogram (Paperback)
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The Big Squeeze - A Social and Political History of the Controversial Mammogram (Paperback)
Series: The Culture and Politics of Health Care Work
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In 2009, an influential panel of medical experts ignited a
controversy when they recommended that most women should not begin
routine mammograms to screen for breast cancer until the age of
fifty, reversing guidelines they had issued just seven years before
when they recommended forty as the optimal age to start getting
mammograms. While some praised the new recommendation as sensible
given the smaller benefit women under fifty derive from
mammography, many women's groups, health care advocates, and
individual women saw the guidelines as privileging financial
considerations over women's health and a setback to decades-long
efforts to reduce the mortality rate of breast cancer. In The Big
Squeeze, Dr. Handel Reynolds, a practicing radiologist, notes that
this episode was only the most recent controversy in the turbulent
history of mammography since its introduction in the early 1970s.
In a book written for the millions of women who face the decision
about whether to get a mammogram, health professionals interested
in cancer screening, and public health policymakers, Reynolds shows
how pivotal decisions made during mammography's initial launch made
it all but inevitable that the test would be contentious. He
describes how, at several key points in its history, the emphasis
on mammography screening as a fundamental aspect of women's
preventive health care coincided with social and political
developments, from the women's movement in the early 1970s to
breast cancer activism in the 1980s and '90s. At the same time,
aggressive promotion of mammography made the screening tool the
cornerstone of a huge new industry. Taking a balanced approach to
this much-disputed issue, Reynolds addresses both the benefits and
risks of mammography, charting debates, for example, that have
weighed the early detection of aggressively malignant tumors
against unnecessary treatments resulting from the identification of
slow-growing and non-life-threatening cancers. The Big Squeeze,
ultimately, helps to evaluate the ongoing public health
controversies surrounding mammography and provides a clear
understanding of how mammography achieved its current primacy in
cancer screening.
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