It remains to get the message to the general public. “It is clear that the failure to recommend such screening may be misunderstood, admits Dr. Dupagne because some men, among those who will not identify by choice or no incentive to do so, will develop cancer . When they know they can blame the doctor and ask whether a test that was performed earlier could have saved them. However, in doing so does not detect, many men are, themselves, saved from the consequences of treatment. Conversely, they will not know. That’s why it takes courage not to advise the screening. Personally, I act on behalf of the first principle of medicine, primum non nocere (first do no harm). So PSA or not? It is well to face the facts: this is for everyone to choose in good conscience.