[wrcwill]

this just reads to me as "our tests don't test for the right things, since when we act on those tests (even if they were 100% accurate), it doesn't lead to better patient outcomes".

I feel like a better conclusion is that we need better tests, that detect things that when acted upon improve patient outcome. Of course, we're nowhere near that yet, but do you really think in 1000 years we will still wait for patients to be responsible for correctly noticing symptoms and going to the doctor? Of course not.

It's good that we have studies that show we should move with caution in this territory, but completely ignoring it forever seems absurd.