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This is not the same and why analogies are not a good way to think about this. There are global costs/issues borne out societally that is downstream of these decisions (in the form of low value procedures that get covered by insurance and then spread across beneficiaries)
early detection very rarely leads to better outcomes outside of a narrow set of conditions heart disease is the least of which
Are you suggesting the lipid test would not more accurately inform my decision to make or not make diet and lifestyle changes? Or that the even the dr prescribed simple test is unnecessary? After typing I realize you can’t be case specific.
Early detection of familial hyperlipidemas would safe a life or two
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