A New Rx for Cancer: Ignore It (Sometimes)

You might expect that the next advances in cancer prevention will mean better and more frequent tests that will pick up tumors at the earliest possible stage, followed by a blitzkrieg treatment that will completely wipe out the disease. Not so, predicts physician H. Gilbert Welch, professor at the Dartmouth Institute for Health Policy and Clinical Practice. He believes that as our understanding of cancer biology improves, we will use cancer tests more judiciously —and treat less. Already, he says, we have overdiagnosed and overtreated millions of patients who would have done just fine without medical intervention. Welch wants doctors to do the unthinkable: Consider ignoring some early signs of cancer. It sounds like an outrageous proposal, but some of Welch’s skepticism about the value of aggressive screening and early treatment is taking hold. In March the National Breast Cancer Coalition spoke out against a bill that promotes early-detection screening ...