Listen now (22 mins) | Listen Now A few years ago the federal Agency for Healthcare Research and Quality sponsored billboard ads that stating simply "this year thousands of men will die from stubbornness." The message was intended to encourage moreover middle age men to seek preventive health screening since they are 25 percent less likely than women to visit a doctor in any one year and 30 percent more likely to be hospitalized for a preventable condition. While prostate cancer is largely survivable, aside from non-melanoma skin cancer, it is the most common cancer among men (most prevalent among African Americans) particularly men over age 50, it usually presents without any symptoms and men "stubbornly" ignore being (routinely) tested. Nearly 200,000 cases are diagnosed annually causing over 28,000 deaths. While the value of PSA testing is debated, a digital rectal exam, while incomplete, evaluates the back of the prostate where 85% of prostate cancers arise.