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Are we also to assume that excess radiation dose, incompetence or
inexperience of radiologists as well as appropriateness of referral for
mammography are all 'under control' much more so in large centres ?
And, is it also a foregone conclusion that, while bigger may be
better, that it is always more costly, tends to recall patients at shorter
intervals and gives a greater sense of urgency to women (and their
practitioners) in the community to take advantage of what modern medicine
has to offer.
The presence of a multimillion dollar centre alone will generate
business that otherwise might not evolve.
And then we will have to discuss the number of women who, perfectly
healthy, took the opportunity to be tested and,
"through no one's fault" ended up with cancer caused by radiation.