“You have just seen Sarah, a 45 year woman asking for advice. Her older sister, Rita, who is 60 years old, was diagnosed with breast cancer two weeks ago following her noticing a lump in her right breast. Rita opted out of the national screening program for breast cancer because she found mammography to be painful. Two other sisters, aged 56 and 52 are following the usual screening program schedule. Six month ago one of them had a positive finding followed by more tests, had a biopsy with no clear result, and finally had a nodule removed that was diagnosed as benign.”