Transcripts For CNNW At This Hour With Berman And Bolduan 20

CNNW At This Hour With Berman And Bolduan October 20, 2015

Specific recommendations. They used to say women should start getting annual mammograms at the age of 40. Now theyre saying dont start until age 45. They also used to say that women should get doctors exams, in other words, a doctor manually feeling the breast for lumps and breasts also around age 40. Now theyre saying no one needs them. They say these breast exams as well as mammograms in your early 40s, they say theres no Scientific Evidence that shows that they catch cancer early and save lives. Why is less more, elizabeth . It sounds counterintuitive . It really is counterintuitive. What the American Cancer Society says is, look, mammograms are great. No question they save lives but theyre not perfect. They are notice foorious for falsepositives es specially on younger women whose Breast Cancer is denser and harder to image. They see something on a mammogram isnt sure about, it have you to have a biopsy, maybe more mammograms, more radiation. Its a big deal. Some women say, ive gotten so many falsepositives im going to stop getting mammograms. Nobody wants women to do that. Thats the reason they say you dont need to do them in your early 40s. All of this is a big deal. Kind of to your point. That leads me to wonder, is there total agreement around this . No, there is not agreement at all around this. One of the big problems is the studies the American Cancer Society and others have looked at are film mammograms. Nobody does that anymore. We use digital mammograms which are way better than film mammograms. They think these recommendations dont make a lot of sense. Lets take a look at the three major groups that make recommendations to women about when to do screening. American Cancer Society now says start regular mammograms at age 40. The American College of obstetricians and gynecologi gynecologist American Cancer Society says 45. American college of obstetric n obstetricians and gynecologists says 40. The u. S. Preventive Services Task force says start at age 50. I can just imagine women as well as doctors are going to throw up their hands and say, what do we do . Then the question, will insurance continue to cover mammograms for women in their 40s now that the American Cancer Society has made their change. And what experts tell me the answer is, talk to your doctor and decide what risks youre willing to put up with. If youre willing to put up, possibly a lot of false positives, maybe you do want one. The American Cancer Society says, look, were recommending 45, but if you want to start at 40, feel free. We think you should be able to go ahead and do that, but we recommend 45. Doctor, you know you are about to get a lot of questions from a lot of confused patients who will say, hey, look, i thought Early Detection was the key here. Now all of a sudden youre telling me, wait five years before doing this. I assume this doesnt apply to anyone with a family history, correct . I think that is correct. Im a doctor that sees Breast Cancer patients on a daily basis. Ive seen a lot of young women whose lives have been saved by having yearly mammograms. Im concerned young women moving forward without this recommendation. Im concerned about what it projects of how important we feel mammograms are. I think its an individual conversation between women and her doctors. We know theyre not perfect but the best screening we have. Digital mammograms are better than our film mammograms used to be. The other thing is that the Cancer Society really used the basis that a Screening Test has value when it saves lives. This is certainly true. I think picking up cancers earlier where treatment is earlier for patients. We can spare patients mastectomies or chemotherapy is better for women. One of the thing the American Cancer Society is really leaning on here is the big concern and the big problems that can come with false positives and overdiagnosis. Everything is on balae. Where is the risk worth it here . For you, Early Detection, is it worth the risk of the false positives . I think it is. Even from a cost perspective, if the Insurance Company came to me and called me today and said, should we spend this money . 50 for a mammogram . I think thats money well spent. We have gotten better at treating these Breast Cancers even when theyre more advanced and incurable, which is an excellent thing for Breast Cancer and for cancer in general. But this comes with a great cost, monetarily and also to the patients that have to live with this incurable diagnosis every day. Its not to make light of the fact some women have to go back for unnecessary procedure such as a biopsy, but the problem i have is where we associate overdiagnosis as being the same as overtreatment. We know that theres some women we overtreat but i dont think not having that information, not having the diagnostic information and then being able to make our own decision with that woman about what to do with that information is worth the cost of possibly not catching these Breast Cancers early when there is something that needs to be done about them. You can see right here very clearly, not total agreement for sure around these new guidelines, but very important, nonetheless, to be discussing it. Elizabeth cohen, thank you for bringing us this breaking news. New guidelines coming out from the American Cancer Society. Dr. Erica hamilton, thank you very much. Thank you. Were going to take another turn to a very important topic weve been following, to politics. Vice President Joe Biden speaking a short time ago, taking some not so subtle jabs, perhaps, at Hillary Clinton. Listen here. I dont think my chief enemy is the republican party. This is a matter of making things work. Weve got two great secretaries of state. But when i go, they know that i am speaking for the president. I dont think my chief enemy is the republicans. What is he talking about there . Remember the cnn debate last week where Hillary Clinton was asked to list the enemy she was proud of and she added at the very end there, republicans. This is the second time in two days that joe biden has made that statement. Not very thinly veiled at all, me thinks. Lets bring in senior Political Correspondent breanna keilar. Biden had a lot of interesting barbs, i would say, today. He sure did. And that comment, as you are noting, didnt happen in a vacuum. He also talks about the amount of miles hes traveled. 1,500,000 miles. Hillary clinton just under a 1 million. Now the bin laden raid. Its widely reported Hillary Clinton was for the raid and joe biden was against the raid. Heres his take. Only two people who were sdwintive and were absolutely certain. Le leon panetta said go and bob gates said dont go. Others were at 5941. Some end wanted up saying go, but it was such a close call. I joked and said, you all sound like 17 Larry Summers economist, on the one hand and the other. And they said, well, joe, what would you do . There was a third option that i didnt really think we should do. I said, well, i said, i think we should make one more pass with another uav to see if its if it is him. And the reason i did that is i didnt want to take a position to go if that was not where he was going to go. So, as we walked out of the room and walked upstairs, i said i told him my opinion, that i thought he should go but follow his own instinct. Its really just fascinating when you listen to that, hes saying, leon panetta and bob gates were the only two around the table who had definitive yes or no answers. He does not, guys, put Hillary Clinton in that category. Its really fascinating. So hes kind of downplaying the fact that she said yes, which is reported. Hes also downplaying that he said no, which is reported. Instead sort of illustrating himself to be thoughtful, kind of deliberate about it but not saying no. Telling the president to trust his instincts. He says that was his answer on Osama Bin Laden. Hes muddying his answer at least whats been reported in the past in conspicuous absence of Hillary Clinton as someone who supported the raid there. That was loud, breanna. We heard it. Thanks so much. What is joe biden doing here . That is the key question. If he is not running, what does he get out of this . Is it just bizarre . If he is going to run, when will he say so . Plus, a new cnn poll out today shows donald trump dominating the field. But a new report also surfacing suggesting the republican establishment is not only worried about this but planning some kind of big action to stop trump. Well talk about that. And some breaking news out of arizona. A water rescue under way right now. Were told at least one person trapped in this minimummy van youre looking at here. Standby, were watching this live. Awe believe active management can protect capital long term. Active management can tap global insights. Active management can seek to outperform. Thats the power of active management. New citracal pearls. Dedelicious berries and cream. Soft, chewable, calcium plus vitamin d. Only from citracal. Milk has 8 grams of highquality protein. Which could be the difference between just living life. And milking it. Start every day with the power of protein and milk life. Vice President Joe Biden just a few minutes ago saying republicans are not his enemy. That is different than what Hillary Clinton said. Also, joe biden omitting Hillary Clinton as someone who wanted to launch the raid that killed Osama Bin Laden. Hmm. Lets discuss this with, hmm, cnn political commentator van jones when i laugh and submit on smis, everybody. Sorry, america and beyond. Brads wou brad woodhouse. Yes, you should have worn your tarp today. Welcome back. Good morning. Good morning. First off, what is joe biden doing here, brad . These are not so subtle jabs at Hillary Clinton. Theres no way when you say republicans are not my chief enemy that youre not talking about Hillary Clinton. Well, i guess he is talking about Hillary Clinton. Im not sure im not sure what the point is. First of all, i thought her entire answer, she was smiling, laughing. A lot of it was tongue in cheek. Hey, if you want to go into a democratic primary hugging the republican party, have right at it. Im not sure how good it will do you. We dont know what joe biden is going to do. These comments make some sense if joe biden is going to get in the race. What im trying to figure out, what a lot of people are trying to figure out, is how they make sense if hes not going to get into the race. Do you have any thoughts there . No, they dont make sense if hes not getting in. Most people watch that debate. What necessity see is the incredible strength of Hillary Clinton. Bernie sanders stole the show with some oneliners. I think joe biden saw it different from everybody else. I think he saw the incredible weakness from the rest of the field. Hes probably thinking, i wouldnt let hillary get away with that answer. What about this . What about that . When youve been in hub life as long as he has, when youve been in the white house for six, seven years, and you know this by the back of your hand, to see a bunch of amateurs and the lily who couldnt tie down gulliver, it must have been difficult for him to watch. I think he thinks to himself, if these clowns can be on the world state getting on snl, i could do at least that well. Is this the kind of debate the Democratic Party wants going into the democratic primary . Do you want your party leaders, party hopefuls, president ial candidates fighting over and drawing contrast for who was for the Osama Bin Laden raid and sitting in the situation room. Is that what you want . Im not sure its what we want. Im not sure its what the Vice President wants. The Public Record is pretty clear and sounds like there is some revisionist history going on here. Im not sure youre not leading with your chin when theres been so much discussion, so much about where you stood versus where she stood going into that rate. I think the real problem is this routine is getting a little is getting a little tired. You know, we have now been on biden watch for a very long time. Ill say this. I respect the Vice President. He should take as long as he wants and he should take everything into account. But the leaks about his decisionmaking i dont think have suited him well. This week is a critical meeting, next week is a critical meeting. We have repeated leaks hes interviewing staff. Ive seen that three different times. I think i agree with you. I think democrats are getting a little tired of that. I have to agree as well. I think hes got to if he doesnt get in this weekend, i think he needs to let the news cycle move on. But i think hes probably going to get in. Youre seeing more and more leaks in this direction. Also dont forget, president obiden there you go. You just gave him what you wanted. Thats the ad. Come on when president obama is up in the polls, hes above 50 , so i think that may be encouraging him. It may not be such a bad thing to go for an obama third term if obama is above 50 . I think a lot of things are pushing him to go but he needs to go or get off the stage. We want to leave you all with the one psychology thought here. Our friend at abc brought this up. Maybe joe biden is doing this, youre going on a little assault to retreat to make it look like youre leaving on your own terms. Its important to leave and not get in the race on his own terms. Rather than saying it was decided for you and you didnt see your path. Well leave you with that. Van, brad, thanks, guys. Thank you. Thank you. A lot of breaking news coming up for us out of the middle east. A new attack. A driver ramming into a crowded bus stop. One of the apparent targets, an israeli soldier. Well take you there life for the very latest. Plus, Donald Trump Tells thousands of supporters that president obama wants to take away their guns. Where is that coming from . Well talk about that. Well also talk about his astounding rise in the polls and what happened to Carly Fiorina . Plaque psoriasis. Isnt it time to let the. Real you shine. Through . Introducing otezla, apremilast. Otezla is not an injection, or a cream. Its a pill that treats plaque psoriasis differently. Some people who took otezla saw 75 clearer skin after 4 months. 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This month eight israelis have been killed, many stabs by palestinians. Security forces have killed 45 palestinians. Some directly connected to the attack say the israelis, others killed in clashes. Joined now from jerusalem where another day, another round of attacks. Three attacks today, mostly focusing on the northwest city of hebron, a tense city, a city with small minority of Israeli Settlers living there amidst a bigger population. Thats become the flash point. The latest of these attacks is where the idf, Israeli Military says a palestinian driver drove into a bus stop, injuring a soldier and civilian. That driver, they say, was killed at the scene. A short while before that, a couple of hours before that, police say that there was a hitandrun attack. Say or Emergency Services say his car was pelted by stones. He stepped out of his car. Emergency services said he was hit and run he was killed by a hita

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