So sorry to learn about your sister-in-law, but it's not necessarily your health system. PC is rare, about 3.2% of all cancers. Plus, symptoms are very vague and it is not uncommon to not have any symptoms until it has spread to other organs. Early diagnosis often happens from a scan looking for something else. There are major efforts in play to find clues to early detection. PanCAN organization has lots of info regarding this problem.