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More importantly, this debate about screening demonstrates a fundamental and vitally important flaw in the way we think about healthcare and insurance.Screening efficiency requires evaluating the cost of both the diagnostic tests and the treatment of the disease itself.A comparison with car insurance may be enlightening.Bad drivers pay much higher rates than good drivers, and insurance companies are allowed to judge this risk and charge accordingly.Hence the argument against paying for lung cancer screening invokes the high cost of the scans in relation to the eventual cost of treating the disease.

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