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???There is zero chance (0%, empty set, null) that this is a new prostate cancer diagnosis. Any oncologist suggesting it is has political motivations for doing so.
How can you make a definitive statement like that? I'm not saying that you're definitely wrong, but your post more so reads like someone who has political motivations for stating that this is NOT a new cancer diagnosis.
The report is that he hasn't had a PSA checked since 2014. Why is it crazy for him to metastatic pCA, especially Gleason 5+4=9 disease?
Even if that report was mistaken and he had a PSA in 2019 (and not since then) he could totally have developed metastatic disease from nothing in 5-6 years.
To suggest that there is NO POSSIBLE WAY that his PCP didn't screen him for prostate cancer (for whatever reason, be it for personal or political reasons) AS IS RECOMMENDED by the USPSTF (and there is a whole separate discussion about value of PSA screening in all men, let alone men > 70) is.... hyperbolic.
If he had pCA when he was president, we would've very likely have learned about the diagnosis in SOME manner. It's far too juicy of a story to truly keep under wraps, HIPAA be damned.
It's not like he got colon cancer because he didn't get his RECOMMENDED colonoscopies. He followed instructions from USPSTF and did not get PSA screening.
I mean it doesn't even matter if he has metastatic disease, average lifetime from diagnosis to death in metastatic cancer is 8 years.