David F. Ransohoff, Harold C. Sox
For 32 years, the United States Preventive Services Task Force (USPSTF) has served the nation with analyses that are scientific, transparent, and untainted by conflict of interest and political influence. While the task force has been the acknowledged leader in developing preventive services guidelines, its work environment is evolving under intense scrutiny from many powerful interests, including patients, clinicians, insurers, and politicians. The Affordable Care Act of 2010 added to the challenges by mandating private insurance coverage for preventive services that the USPSTF strongly recommends (that is, preventive services that receive a grade of A or B).1,2
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