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This review finally confirms what many already knew — PSA screening saves lives. For too long, men have been denied a simple blood test that now has gold-standard evidence behind it. With modern MRI and smarter diagnostics, the fears of overtreatment are increasingly yesterday's argument. Every man deserves the chance at early detection.
The Cochrane reversal doesn't change the core problem: screening 500 men to save one life means hundreds face biopsies, anxiety, incontinence and sexual dysfunction for cancers that would never have harmed them. A blunt test driving a cascade of irreversible treatments is a system that profits from fear.