Political positions aside, the quote in the article from MD Anderson, "Some cancers go from nonexistent to metastatic in the year between screening tests. Others don’t even show up on a P.S.A. test", suggest that even guidelines for active surveillance may not be enough to prevent some aggressive cancers from moving really quickly.

To me its an additional wake up call to trust but verify the issues in your body regardless of your age as quality of life can be fleeting. My brother had colon cancer 20 years ago, prostate cancer 2 years ago, pancreatic cancer 1 year ago, his spleen removed and part of his pancreas removed. Friday he had his leg removed due to an infection that spread and went from his foot to his leg. He is still surviving. He did not exercise or live that healthy a life. He is 75 and still fighting hard, something I am not sure I could fight through if it were me.

Our medical life needs to be a collaboration. I will question everything with my doctors, regardless of my age. Nobody wants to be in a position that forces them to decide on limited quality of life choices.