NYT does not terrible job of explaining why experts don’t like early PSA screening.

https://www.nytimes.com/2025/05/20/health/joe-biden-prostate-cancer-diagnosis-screening.html

Basically it’s a lousy test. High false positive, high false negative, and in 80+ the goal isn’t 20y survival.

“… about half of men have some cancer in their prostate by their 70s or 80s, although most have no symptoms.”

If you find a PSA you have to pay attention to it – even if you don’t want to.