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A new study in JAMA on advanced cancer patients with Medicare showed that 9 percent of the women received screening mammograms and 6 percent got Pap tests for cervical cancer, 15 percent of the men were checked for prostate cancer and 2 percent of the patients had tests for colon cancer. You have to wonder whether this is going on because the doctor doesn't want to be honest with the patient or whether the screenings are on computer "autopilot" without anyone stopping them. I also wonder that if docs are graded on their screening rates in the future for P4P profits, will the amount of useless testing get even worse?