Breast cancer screening: The message from Australia where they looked at more recent research (not 20 years old as did the UK Independent Review) is that fewer lives are saved by screening and there is more harm than concluded by the Marmot Review. Opting in instead of opting out is suggested. Instead of sending set appointments which women have to either decline (often with difficulty) or accept, they would have access to full information. This is not only sensible, it is what women need if they are to have autonomy re screening. It is not the place of breast cancer charities or the NHS to recommend an intervention that causes so much harm and so little benefit.