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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: Az Joe
Is the finger supposed to go in and out several times like with my doctor?

My older friend said his doctor was able to give him the test with BOTH hands on his shoulders, somehow.

61 posted on 10/26/2025 11:49:11 AM PDT by Captainpaintball (America needs a Conservative DICTATOR if it hopes to survive. )
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To: Red Badger

Bkmk.


62 posted on 10/26/2025 11:57:26 AM PDT by sauropod
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To: Red Badger

Ping


63 posted on 10/26/2025 12:01:59 PM PDT by mikeus_maximus ("It's a republic, madam, if you can keep it.)
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To: Red Badger

Well, my husband’s prostate cancer was caught from a routine PSA test. He was 50, and the cancer was aggressive. He had successful surgery, but it went to just outside the prostate.

I’m glad he had his PSA test! He’s alive!


64 posted on 10/26/2025 12:33:24 PM PDT by luckystarmom
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To: Red Badger

Experts recommend that men pay health insurance premiums but do not attempt to use medical services that might trigger a need to pay claims.


65 posted on 10/26/2025 1:19:51 PM PDT by Brian Griffin
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To: House Atreides

To See or Pee, that is the question!

Thanks for that info.


66 posted on 10/26/2025 1:32:18 PM PDT by NonValueAdded (First, I was a clinger, then deplorable, now I'm garbage. Feel the love? )
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To: logi_cal869

My Father-in-Law ate extremely healthy, exercised regularly (bicycling, even in winter), worked with his hands (saw mill), and didn’t smoke, and drank little. It was all genes. If he had gotten a colonoscopy, he would likely be alive today, many years later.

Genes count.


67 posted on 10/26/2025 1:44:04 PM PDT by Dr. Sivana ("Whatsoever he shall say to you, do ye." (John 2:5))
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To: Red Badger

article is misleading. PSA alone does not cause biopsy. Nowadays MRI with or without gadolinium dye can indicate whether biopsy is necessary. There are reports of using high resolution sonograms which can indicate whether biopsy is necessary. There are also genetic tests in the urine which can lead to a biopsy decision. A digital exam can show abnormal bumps in the prostate. Finally the rate of increase in PSA(velocity) vs the actual size of the PSA can help decide whether biopsy is indicated. PSA value alone does not indicate that a biopsy is done. It’s just an alert.
Anyone who has delayed biopsy and got a highly developed aggressive prostate cancer that metastasized will tell you early biopsy would have spared lots of physical problems.
The reason why Prostate CA is not deadly as it used to be is because there are lots of therapies which can stop it
Most men with Prostate CA that is treated can die from other diseases. So it looks as if the diagnosis of Prostate cancer is not deadly.
Based on the misleading and uninformed opinions of the authors of their piece about the value of PSA/biopsy I would not trust their statements unless I read all information on the subject, talk to guys who have prostate cancer and get a professional urologists general opinion.


68 posted on 10/26/2025 2:08:43 PM PDT by Getready (Wisdom is more valuable than gold and harder to find.)
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To: HartleyMBaldwin

The biopsy is usually only 12 punctures so they may not get all the areas. Nowadays the biopsy locations are informed by the MRI info. Computers help map the abnormal areas and generates an image which informs the urologist where to puncture the prostate.
Usually MRIs can indicate better info. A negative biopsy with rising PSA would would be problematic.


69 posted on 10/26/2025 2:27:39 PM PDT by Getready (Wisdom is more valuable than gold and harder to find.)
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To: Red Badger

I am in hospital here in Japan for another matter but while in hospital some blood was found in my stool and after a few tests they suggested a colonoscopy and I had it done last Thursday . 4 polyps were found , one 2cm in size . Should get the results today or tomorrow .Praying none are cancerous .


70 posted on 10/26/2025 2:32:47 PM PDT by sushiman
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To: Getready

Yes, I had my biopsy following an MRI. PSA stays high but steady.


71 posted on 10/26/2025 2:45:40 PM PDT by HartleyMBaldwin
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To: sushiman

I had Polyps on my first two colonoscopies. None were cancerous.

Have had two since then and no polyps!..............


72 posted on 10/26/2025 2:47:28 PM PDT by Red Badger (Homeless veterans camp in the streets while illegals are put up in 5 Star hotels....................)
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To: Red Badger

I had “Brachy-Therapy” for elevated PSA.

Twenty-six (needle) insertions of radioactive Iodine (contained in titanium “seeds”) irradiated my prostate for months. It burned, but no futher treatment is necessary.

Supplemental insurance didn’t cover it, so beware.


73 posted on 10/26/2025 3:39:00 PM PDT by Does so ("Things will now change in Minneapolis AND AT HOME"....Dem☭¢rat... ∅ ™ ¿ ¡ ☞ ½¼)
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To: hecticskeptic

You were having at that time a situation where half of your beats were electrical and there was no pulse wave follow thru. The oximeter can only measure the pleth wave of oxygenated blood being pushed out thru your heart’s ventricals...thus the 29 beats via your oximeter. Your ventricals half the time weren’t pushing out enough blood to register a wave on your oximeter. That is not necessarily good over time if it is a constant thing. I assume the heart rate does increase with activity and exercise and thus the ventricles would push out more needed blood to compensate?


74 posted on 10/26/2025 4:08:22 PM PDT by mdmathis6 (A horrible historic indictment: Biden Democrats plunging the world into war to hide their crimes!)
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To: NonValueAdded

At age 57 my PSA shot up. I could barely pee.

I was in shock that I had Prostate cancer. The biopsy showed an aggressive cancer.

Long story, short. We do not need a prostate if we are done having kids. And if they catch it early, and remove it, sexual function returns in about 6 months and peeing becomes normal.

After 6 months, no incontinence. Benefit, when you pee, you empty the bladder in less than 10 seconds. The first two months are upsetting. Then you begin to take control.

My advice to anyone, test once a year and remove it if they advise to do so. It’s a difficult thing to deal with, but a year will pass, and life will begin to feel normal again.

If you wait too long, the cancer will destroy the nerves that produce erections. They rest on the prostate. They save these nerves by detaching them. If they are attached to cancer, they go with the prostate.

When we meet men that are getting chemo because the cancer has spread to bones, and they are also getting the prostate removed, that is when we see the reason to test every year.


75 posted on 10/26/2025 4:14:17 PM PDT by PA-RIVER ( )
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To: healy61

My FIL had a hip replacement even though he was bedridden in a nursing home. We weren’t told until after it was done. My husband was livid.


76 posted on 10/26/2025 4:20:17 PM PDT by liberalh8ter ( This tagline has taken the month off to attend the inauguration.)
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To: Mariner

Sunk cost. No pun.


77 posted on 10/26/2025 4:27:43 PM PDT by Theophilus (covfefe)
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To: aquila48
It saved your life every time and it always will!

And whenever you do die, why, you would have died anyway. There was nothing left to do.

78 posted on 10/26/2025 4:32:00 PM PDT by Theophilus (covfefe)
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To: Az Joe

Are you sure he is using his hand?


79 posted on 10/26/2025 4:46:50 PM PDT by central_va ( I won't be reconstructed and I do not give a damn...)
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To: logi_cal869

If Joe Biden had had one PSA test in the last 10 years then he would not be in the mess he is in.


80 posted on 10/26/2025 4:49:25 PM PDT by central_va ( I won't be reconstructed and I do not give a damn...)
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