As a man with prostate cancer who has studied this a great deal, I believe that without getting a PSA test(s) that many men will not be diagnosed in a timely fashion, and as a result will be diagnosed when it is too late....many will die.
Unfortunately there is over treatment among men who have been diagnosed with low aggressive, low volume disease who as a result suffer serious side effects. In my opinion this issue needs to be addressed, not the this simple diagnostic test, although imperfect, is a great indicator to be used along with other tests to determine a need to biopsy.
Frankly I am surprised by Dr. Carter's position who I have read about, who is a surgeon and heads the Active Surveillance program with delayed treatment if necessary at Johns Hopkins.
My opinion is that this position is that it is criminal. I am saddened by this announcement.