The women who are more likely to present with advanced breast cancer are women of all races and ethnicities other than white. This is because the peak age at which they are diagnosed with breast cancer is their forties. They are not able to access screening programs in many parts of the country based on these guidelines and based on a lack of access to a family physician. This is, unfortunately, similar to what we see in some of the developing world, with advanced breast cancers presenting in these women at a 2.5 times higher rate than white women in Canada.
These guidelines are very harmful. That's why I would recommend that we reject them and start again.