Grandfather died of colon cancer at 43.

Went into my PCP at 40 asking for a colonoscopy, he said insurance wouldn’t cover it until I was 50.

…

PCP is certainly not going to be the one doing the colonoscopy.

maybe they’d do the stool sample or some silly blood test if you are extremely insistent and can somehow demonstrate a risk factor.

I’ve dealt with a few PCPs and they seem less informed about their own area than a 30 sec google search.

They’re basically L6 tech support…

Screenings are not risk-free. There are always some false positives which then may lead to more invasive and unnecessary tests or treatment. There are a lot of rare conditions (based on age and/or history) that we don't screen for on a routine basis.

Colonoscopies here (midwestern US) are upwards of a couple thousand outside of the usual schedules enforced by insurance companies.

If there’s a complication they can easily skyrocket into the tens of thousands.

Most people around here can’t soak that.