As you know PSA screening recommendations of the U.S. Preventative Services Task Force (USPSTF) are still opposed by the American Urological Association (AUA). The AUA, who likely has more practical experience then anyone says they disagree with the U.S. Preventive Services Task Force recommendation against prostate cancer screening.

Urologists working with patients who may have prostate cancer in various stages of severity must be allowed discretion to recommend this screening based of their knowledge of individual patients and case histories, not based on abstract averages that may not apply to their specific case.

Penalizing providers for offering the PSA test for prostate cancer screening will most certainly foreshorten the lives of tens of thousands of men like myself who might never know that they have prostate cancer until it's too late for the least invasive remedies.

Considering the minimal cost of this test and the huge strides the US has made in reducing the incidence of advanced prostate cancer it would be criminal to penalize doctors who choose to us it.