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EXTENSION OF REMARKS June 6, 2002
We have a breast cancer epidemic in this country. An estimated 203,500 new invasive cases of breast cancer are expected to occur among women in the United States this year alone. Every three minutes a woman is diagnosed with breast cancer, and every 13 minutes a woman dies from this disease. This year in my home state of Michigan, about 6,500 women will be diagnosed with breast cancer, and the disease will kill 1,600. Breast cancer is a progressive and systemic disease, in which our ability to treat and cure a small tumor is much greater than our ability to treat and cure a large tumor. For this reason, it is vital that we ensure the safety, accuracy, and accessibility of mammograms for all women. Our top health institutions, including the Department of Health and Human Services, the National Cancer Institute, and the Agency for Health Care Research and Quality, recommend screening mammography every one to two years for women ages 40 and over. MQSA is a federal law that establishes a number of requirements aimed at strengthening and ensuring high quality standards for all mammography facilities. The MQSA program requires all mammography facilities in the United States to meet stringent quality standards, be accredited by a Food and Drug Administration-approved accreditation body, and be inspected annually. The 2002 reauthorization legislation continues all existing requirements. It is simply not enough to have mammography screening facilities; we must demand and ensure that these facilities are responsible, reliable, and precise. MQSA requires that the FDA establish quality standards for mammography equipment, personnel, and practices. These standards apply to the following people at the facility: the technologist who takes the mammogram, the radiologist who studies the mammogram, and the medical physicist who tests the mammography equipment. All of these people must have special training and education, and must meet continuing education and experience requirements. I urge all of my colleagues to support this important and beneficial bill which will help to ensure that women receive improved, accurate, and complete information with regard to their mammography screening. High quality mammography, while not a perfect tool, is currently the best available tool for the early detection of breast cancer and MQSA provides our best assurance of that quality.
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