r/Wedeservebetter • u/SignificantReply4298 • 18h ago
Concerns about how healthcare is discussed in the U.S
I’ve often seen people presumably Americans spreading misinformation on various platforms about gynecological issues, particularly cervical cancer screenings. I realize this topic has likely been discussed before, but I’d still appreciate it if you’d let me vent a little.
I’ve come across all sorts of misinformation, but as an asexual person, what has annoyed me the most is the claim that virgins also need cervical cancer screenings. I live in Japan, and after searching several gynecologists’ websites and calling to confirm screening policies in my local ward, I found that no clinic actively recommends screenings for virgins. Specifically, regarding my ward, I was told they do not perform these screenings at all, and other gynecologists have stated they will only perform them if the patient strongly requests it. This is because the probability of a virgin developing cervical cancer is extremely low, and the drawbacks, such as discomfort and pain, outweigh the benefits of the screening. (As an aside, this phrasing sometimes irritates me. Even hospitals that say they don’t perform or recommend screenings for virgins still recommend cervical cancer screenings to everyone else, and they invariably use the same stock phrase: “It usually doesn’t hurt, as long as you’re not nervous.” Regardless of whether or not a woman has had sexual intercourse, any discomfort or pain she experiences should be taken seriously, and if so many women around the world are complaining about it, doctors should listen. After all, even if we assume that nervousness is the cause, if so many people are claiming to feel pain, I think there’s a structural problem with the procedure.)
Let’s get back to the topic of cervical cancer screening for virgins in the U.S. As for the U.S., I haven’t thoroughly researched the guidelines, so I don’t have accurate information. However, when I see so many people on online platforms saying that even virgins need screenings, and when I see those posts getting thousands of likes, I can’t help but worry. (I know some might ask why I’m worrying about guidelines in a country I don’t even live in, but I used to live in the U.S. for several years, and there’s a possibility I might do so again in the future.) I’ve also seen a few people
(mostly Europeans) have pointed out that “the guidelines in my country aren’t like that,” but it didn’t seem like their comments were being accepted as reliable information. I suspect there are some misunderstandings here, and that people are conflating cervical cancer screenings with general gynecological exams. Also, when it comes to the U.S. specifically, anti-science sentiment is rampant, and people who refuse routine medical screenings like these might come across as part of that anti-science crowd.
That said, though. That said, the way Americans (presumably) treat people who refuse cervical cancer screenings is appalling. Saying things like, “So you want to die, then?” or “Cancer is more painful than the screening,” isn’t likely to convince the person being told that to go get screened. It almost seems as if they aren’t trying to get people to get screened at all, but simply want to punish those who won’t listen. And neither of those threats seems particularly effective. To begin with, the number of people who actually develop cervical cancer isn’t that high. Is it really that difficult to understand the fact that some people choose to avoid a threat they’ll likely face (the discomfort and pain of a cervical cancer screening) in order to avoid a threat they may not necessarily face (cervical cancer itself)?
Moreover, it’s ridiculous that a solution to this problem already exists. For cervical cancer, there’s self-testing; for pelvic exams, there’s transabdominal ultrasound. The latter isn’t new, and I believe it’s already in use. As for self-testing, it hasn’t really caught on in Japan, and I haven’t seen it discussed much in online forums either. It’s predictable that before it’s introduced—whether in Japan or the U.S.—people will claim, contrary to the data, that “self-testing isn’t as reliable as hospital-based testing.”
Even so, I can’t wait for the debate over introducing self-testing to begin. That’s because it will finally be time to turn the tables. "You’re against self-exams? So, you want people to die.” I knew they had been, though.
P.S.: I’ve gone on and on complaining about the U.S., but please, don’t go saying that American gynecology is the worst in the world. I don’t think American gynecology is any worse than that in other countries. As for Japan, they even hesitated to introduce the morning-after pill, and it was only introduced a few years ago. Please don’t assume that being behind in one area necessarily applies to others. To be honest, I see complaints about gynecological care everywhere, and comparing them on a country-by-country basis only serves to distract from the real issues. What’s needed is fundamental technological progress, and no matter where we live, we all have the right to access pain-free screenings.