Guest, I think you misunderstood me in that I am only relating the rationale, not agreeing with it, in fact I would recommend every male over 40 to have regular PSA's even if they have to pay for them. If your PSA comes in high you can then get a more diagnostic test which measures the bound and free PSA and can distingush more accurately between cancer and hyperplasia due to other causes. If that indicates a possibility of cancer then a biopsy should be undertaken.

I say screw the insurance companies and the government health systems and take responsibility for your own health and do what you feel is in your own best interest.