Thank you for asking that.
Quickly, one of the reasons I think there should be a complete dismantling and rebuilding is that this problem is not just isolated to breast. Breast is sort of the tip of the iceberg. Multiple other screening guidelines in cancer and non-cancer fields have similar reactions from experts and are similarly concerning. As one gastroenterologist told me in an email regarding the colorectal screening guidelines, people are going to die.
Unfortunately, there is no accountability structure. Because it's at arm's length, there's no way to fix the guidelines that are wrong, and there's no way to update any sooner than they feel like updating, so we have guidelines sitting there that are very outdated, dating back to 2012 and 2013.
Ultimately, we can make any fix to any individual guideline we want, but the problem will happen again and again and again, because the problem is fundamental to the structure and the accountability of the task force. I think that, ultimately, there are many national and international guidelines that are well accepted. Experts in the fields can guide you to use a better guideline in the interim while we restructure the guidelines—