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The Great Prostate Hoax
unbekoming.substack.com ^ | Oct 16, 2024 | Richard Ablin and Ronald Piana

Posted on 10/26/2025 9:06:59 AM PDT by Red Badger

It’s not just women that Cartel Medicine feeds on, although it does prefer them.

Men are also meat for the grinder, especially when their privates are involved.

The screening hoax we witnessed with mammograms has a counterpart with prostates and the PSA test.

The predation here is especially synergistic as the maiming and destruction caused by prostate interventions feed two sub-Cartels: those of erectile dysfunction and incontinence. The adult diaper business is thriving because of this butchery.

Urologists, not wanting to be left behind by pediatricians, psychiatrists, cardiologists, dermatologists and dentists have their own cozy racket.

With thanks to Richard Ablin and Ronald Piana for telling the truth.

Let’s start with an analogy.

Analogy Imagine you're the owner of a large orchard filled with thousands of apple trees. You know that some of these trees might have a disease that could potentially kill them, but it's rare - only about 3% of your trees will actually die from this disease. The rest will live out their natural lives, disease or not.

Now, a salesman comes to you with a new "revolutionary" test that he claims can detect this disease early. He suggests testing all your trees regularly. It sounds great at first, but there's a catch:

The test often can't tell the difference between healthy trees, trees with harmless spots, and trees with the actual deadly disease. In fact, it's wrong about 80% of the time. When the test says there's a problem, you're forced to cut off large branches from the tree to check if the disease is really there.

For every 1,000 trees you test, you might save one tree from dying of the disease. But in the process, you'll unnecessarily damage hundreds of healthy trees. Many of these trees will never produce apples again, some will be permanently stunted, and a few might even die from the damage caused by your well-intentioned but overzealous pruning.

What's worse, the salesman and the pruning company are making a fortune from all this testing and pruning, which costs you millions every year. They're so invested in this process that they resist any suggestion to change it, even when other orchard experts start to question its value.

This is essentially what's happened with PSA screening for prostate cancer. The test, like our hypothetical orchard test, is often inaccurate. It has led to millions of men undergoing unnecessary biopsies and treatments, which frequently result in life-altering side effects. All of this for a disease that, in most cases, would never have caused them harm. Meanwhile, the medical industry has profited enormously from this process, creating a powerful incentive to maintain the status quo despite mounting evidence of its flaws.

The book's main message is a call to recognize this situation for what it is - a public health disaster driven more by profit than by sound medical science - and to advocate for a more measured, evidence-based approach to prostate cancer detection and treatment.

12-point summary

Here's a 12-point summary of the book, including key data and statistics for those that don’t want to read the longer Q&A below.

1. PSA (Prostate-Specific Antigen) is not cancer-specific. It's present in normal, benign, and cancerous prostate tissue. There is no specific PSA level that definitively indicates cancer.

2. Routine PSA screening leads to significant overdiagnosis and overtreatment. For every 1,000 men screened, only 1 man may avoid death from prostate cancer, while many others suffer unnecessary biopsies and treatments.

3. Prostate cancer is age-related. About 40% of men aged 40-49, 70% of men 60-69, and 80% of men over 70 have prostate cancer. Most of these cancers are slow-growing and unlikely to cause death.

4. The lifetime risk of dying from prostate cancer is only 3%, meaning 97% of men will die from other causes, even if they have prostate cancer.

5. Radical prostatectomy, a common treatment resulting from PSA screening, often leads to significant side effects. Up to 60-80% of men experience erectile dysfunction and 10-20% have long-term urinary incontinence.

6. PSA screening has not significantly reduced prostate cancer mortality. Studies show similar death rates between screened and unscreened populations.

7. The PSA test has a high false-positive rate of up to 80%, leading to many unnecessary biopsies and treatments.

8. Active surveillance is increasingly recognized as an appropriate option for many men with low-risk prostate cancer, potentially avoiding unnecessary treatments and their side effects.

9. The U.S. healthcare system spends an estimated $3 billion annually on PSA tests alone, with billions more on subsequent procedures and treatments.

10. New technologies like robotic surgery and proton beam therapy, while heavily marketed, have not shown superior outcomes to traditional treatments but are significantly more expensive.

11. Conflicts of interest are prevalent in prostate cancer care. Many researchers and physicians promoting PSA screening have financial ties to companies that profit from increased screening and treatment.

12. The FDA approved the PSA test for screening in 1994 despite significant reservations from its own advisory panel. This decision, along with aggressive marketing by medical companies, led to widespread adoption of PSA screening before its benefits and harms were fully understood.


TOPICS: Business/Economy; Health/Medicine; Military/Veterans; Society
KEYWORDS: bigmed; bigpharma; bigsubstack; cancer; clickbait; disaster; healthcare; hoax; prostate; psa; substack; substackclickbucks
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To: Mariner

I appreciate the honesty of your post.

I will point out, however, that I watched my own father die a miserable and painful death from treatment of his prostate cancer. My grandfather died after a different treatment, and probably only tangentially related.

I am stumped. I believe that we all have to decide for ourselves. The medical “profession” has devolved into chasing dollars in “health maintenance”, and no longer has my trust.


21 posted on 10/26/2025 9:51:21 AM PDT by Empire_of_Liberty
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To: Az Joe

Do you feel his hands on your shoulders? If so, a red flag.


22 posted on 10/26/2025 9:53:28 AM PDT by Bonemaker (invictus maneo)
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To: Dan in Wichita

You might appreciate this.

https://youtu.be/jdOliYDY-LM?si=REcXineNTfikWUnu


23 posted on 10/26/2025 9:53:31 AM PDT by Disambiguator
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To: Mariner

“These authors are full of shit.”

With Thanksgiving around the corner, one of the things I’m grateful for is modern medicine. It has saved my life on more than one occasion.

Can it be improved? Of course, but let’s not forget all the good it does and lives it saves everyday!


24 posted on 10/26/2025 9:53:40 AM PDT by aquila48 (Do not let them make you "care" ! Guilting you is how they. control you. )
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To: Red Badger

DRE


25 posted on 10/26/2025 9:54:04 AM PDT by Bonemaker (invictus maneo)
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To: Red Badger

Heh. I’m 71 and I ain’t been screened for nothin’. At least, not in the last 40 years.

That said, I did have an aortic valve replacement surgery about 3 years ago and they barely caught it in time. And I just had hernia surgery three days ago. Both showed symptoms, obviously.

At our age, my wife and I agree that if we should get some kind of cancer, we’ll forego AMA sanctioned treatment, other than holistic stuff. Nobody lives forever.

“To live is Christ and to die is gain.” — The apostle Paul


26 posted on 10/26/2025 9:54:34 AM PDT by cuban leaf (u)
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To: Mariner

“These authors are full of shit.”

totally ... it’s not the absolute value of PSA that matters, but its change over time, which the article conveniently ignores ... if your PSA suddenly shoots up and keeps rising rapidly, then it’s time to take a hard look at what’s going on ...


27 posted on 10/26/2025 9:55:50 AM PDT by catnipman ((A Vote For The Lesser Of Two Evils Still Counts As A Vote For Evil))
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To: Dan in Wichita

I stopped all that nonsense 20 years ago. I am seventy, very healthy. And i do not suffer that humiliation.


28 posted on 10/26/2025 9:57:19 AM PDT by exnavy (See article IV section 4 of our constitution.)
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To: cuban leaf

https://www.youtube.com/watch?v=X8Ow1nlafOg


29 posted on 10/26/2025 9:58:16 AM PDT by Red Badger (Homeless veterans camp in the streets while illegals are put up in 5 Star hotels....................)
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To: cuban leaf

I’m with you, bible says “He heals my infirmities.” I believe.


30 posted on 10/26/2025 9:59:16 AM PDT by exnavy (See article IV section 4 of our constitution.)
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To: TexasGator
For every 10,000,000 screened, 10,000 lives are saved?

Perhaps.

Now factor in "the millions of men undergoing unnecessary biopsies and treatments, which frequently result in life-altering side effects. All of this for a disease that, in most cases, would never have caused them harm."

31 posted on 10/26/2025 10:00:34 AM PDT by FreeReign
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To: Az Joe

32 posted on 10/26/2025 10:04:22 AM PDT by Red Badger (Homeless veterans camp in the streets while illegals are put up in 5 Star hotels....................)
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To: logi_cal869

I would argue that the same applies to colonoscopy.

For 30 years I’ve been telling my docs no way. I am here at 80 with no indications.

I wonder about people who go to medical school with the idea of being a colonoscopy expert. It is financially rewarding from what I gather.

At my job when they instituted physical testing. I said I bet that will include a colonoscopy for managers (it did not) but my manager when I suggested it to him said why would they do that. My answer, because they only want perfect a holes for managers. He laughed, he was a good sport and manager but when he passed it on, he was met with some distain.


33 posted on 10/26/2025 10:05:03 AM PDT by Mouton (There is a new sheriff and deputy in town now!)
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To: Red Badger

My PSA is always high. Got a biopsy and the urologist said there was no cancer, just a really enlarged prostate due to BPH. I’ll continue to get a PSA test and exam every year, since my father died at 77 of prostate cancer and both of my brothers have been treated for it.


34 posted on 10/26/2025 10:05:42 AM PDT by HartleyMBaldwin
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To: Red Badger
There is no specific PSA level that definitively indicates cancer.

Probably true. I get it 3 times per year so increasing levels can be tracked and addressed if need be.

35 posted on 10/26/2025 10:06:24 AM PDT by Bloody Sam Roberts (Perfection is impossible. But if you pursue perfection...you may achieve excellence.)
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To: Mariner

Have you considered trying ivermectin and fenbendazole(or mebendazole)? Many sources and studies are reporting excellent results.

https://www.onedaymd.com/2025/04/fenbendazole-ivermectin-prostate-cancer.html


36 posted on 10/26/2025 10:06:50 AM PDT by Blennos (This is the official Blennos tagline. Thanks to Big Red Badger. )
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To: Red Badger

Dad died a horrible death from prostate cancer. PSA is a pointer, nothing more and it is simple and inexpensive. The agent in Dad’s death was prostate cancer but the cause was neglect and a smart man ignoring the symptoms and signs for a very long time.

I get tested each year, I will not easily submit to a biopsy without there being other indications. I will not panic but I will not ignore the pointers. MRI is becoming the gold standard for diagnostics in prostate problems. It is simple but the medical community has resisted it, there is no money in it for them or at least not much and not near as much as a string of biopsies and prostate removals.

Most nights I sleep from the time I go to bed until I get up in the morning. I take that as a good sign.

I take heed to these articles but will not let them change my decisions. To each his own of course.


37 posted on 10/26/2025 10:09:45 AM PDT by Sequoyah101
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To: logi_cal869
I would argue that the same applies to colonoscopy.

Disagree. My wife's father, who died of colon cancer at 53, would likely be alive today if he had a colocoscopy. Both his parents also died of colon cancer. His siblings get tested and caught malignant polyps, as did my sister in law.

If you are in the danger zone. Get tested. Treatment is very straightforward and can often be done during the colonoscopy.
38 posted on 10/26/2025 10:09:58 AM PDT by Dr. Sivana ("Whatsoever he shall say to you, do ye." (John 2:5))
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To: Red Badger

PSA slightly above cutoff, but fairly consistent. What they don’t tell you is that the last time the prostate was “used” can change the results. Yes, I look for the trend over time rather than panic.

BPH, but scan shows it is uniform, just enlarged. Flowmax keeps the yellow gold flowing and I can tell if I missed a dose. However, the white gold tends to go into the bladder rather than make its escape. I’m told this is a path-of-least-resistance result.

I said no to the UroLift option. I think that is what the adult diaper sentence in the article was about.


39 posted on 10/26/2025 10:12:33 AM PDT by NonValueAdded (First, I was a clinger, then deplorable, now I'm garbage. Feel the love? )
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To: NonValueAdded

Same story here................


40 posted on 10/26/2025 10:15:37 AM PDT by Red Badger (Homeless veterans camp in the streets while illegals are put up in 5 Star hotels....................)
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