Celiac Disease,Osteoporosis and Screening
Dr.Bauchman in his editorial proceeds though the usual protocol of estimating the number of patients with a given condition who would need to be screened, the cost of screening all of them and the cost in this instance to prevent a fracture.We are told it would cost 2 billion dollars to screen the osteoporotic population.
The cost of the two blood tests are about $200.The 2 billion figure is what the Medical Czar of a country would consider. But then we have no medical czar and the relevant number is really the cost of screening for a given patient.The real life questions becomes will " insurance pay for it" and if not would the patient be willing to pay the money herself and will the physician be sued for missing a diagnosis if he does not test. Publications seem to always discuss these matters in global terms when maybe the locus of interest should be the individual doctor-patient interaction and relevant factors in that transaction.