alt Hacker NewsI have a friend nearing mid-60s. Retired military so now covered by Medicare, then Tri-Care. Having prostate issues. PSA went from 12 to 19. Desperate to get a PET scan to determine his is benign BPH, or cancer. Cannot get his scan approved since both insurances will not approve a PET as an early diagnostic tool (scan is about $7500). Cannot imagine what will happen if everyone getting a cancer DNA signal of this type tries to get clarification via additional tests. USA health care really does not work that way. HTH, RF
A PSA of 12 is pretty far past the threshold for an MRI (don’t know about a PET scan) and an MRI would be pretty determinative about whether or not a biopsy is warranted. A biopsy would be pretty good at identifying cancer.
Sounds like either there are complicating factors or an absence of standard protocol adherence.
US health insurance is a mess, but that doesn’t sound like the entire story. I suspect urologists see a fair amount of friction for routine procedures related to prostrate health.