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AlaskaAngel,
I believe the tide is turning, but ever so slowly. The fault isn't entirely with the medical establishment. There are many patients who stand to derive marginal benefit from chemo who nonetheless demand it from their doctors. It's like Dr. Hudis says in the article, the belief is the more toxic the therapy, the better it works. This is why the study they wrote was about "less chemo" instead of "no chemo." There is a pervasive distrust associatied with endocrine therapy as the primary systemic therapy that will not easily dissipate.
Hopeful
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