In a nice article by Rita Rubin in the USA Today it is revealed how Americans forgo preventive care when the money has to come out of their own pockets. This is a real issue and one that doctors have been battling with for a long time. It has been even more magnified in a recession. The bottom line is that human beings tend to only treat symptomatic diseases because they feel pain, dizziness or a headache. Things like colon cancer, high cholesterol or high blood pressure aren't felt and are minimized until bad things happen. I recently had a women blast me for trying to "dig up" problems on her as if I was a mechanic getting paid on commission. What I had dug up was skin cancer, very high cholesterol, and severe osteoporosis. She refused treatment for all of them. She subsequently fired me.