The issue with PSA testing occurred in 2012 when the US Preventative Services Task Force recommended against routine prostate cancer screening (assigning the screening a “D” recommendation: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening-2012).

That one decision led to many of the advanced cases we see today.

However, due to political pressure, they upgraded that recommendation in 2018 (which is the current guideline). These current USPSTF guidelines recommend against PSA screening after age 70 (https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening).

Fortunately, few doctors follow this recommendation - except perhaps Presidents’ doctors…..