I am in Canada with “so-called” public health. I feel for you a 100%. I am sorry that your doctor is not “allowing” you the choice of a double mastectomy. A prophylactic mastectomy brings the chance of cancer down to 5%. Why aren’t they doing it? Angelina Jolie had it right. And how dare these doctors treat patients like children and make the decision for them. They may have the training but it is not they life to gamble with as they don’t pay the consequences if they are wrong. When I was originally diagnosed I thought decisions were supposed to be consensual but I quickly found out for most oncologists it is a power game. Oncology infantilizes the patient and this needs to change as the field is not rocket science. I had to beg following my single mastectomy to have the other side removed. I had a recurrence on the chest wall (botched mastectomy I believe) and was able to lobby for double mastectomy due to calcification on the other side after leaving my home province. All of this was massive lobbying. My sister, in a different province, on the other hand, was offered a DMX at the onset even though her cancer biology wasn’t as as dangerous as mine. We are both thrilled with our double reconstructions. Better than before. My fight was extremely inconvenient and expensive. Unfortunately you may have to go somewhere else. Contact American Cancer Association they might be able to assist. Medicine has to change. Good luck to you.