In Reply The USPSTF devoted considerable attention to the disproportionate burden of colorectal cancer in black adults.1 The evidence supports multiple contributors to the higher incidence and mortality in black individuals, including biological factors in disease presentation, lower rates of screening, and variations in subsequent care. The phrase “equal treatment generally seems to produce equal outcomes” was not meant to suggest that racial disparities would be ameliorated with greater access, but rather to underscore the importance of screening and treatment in this population.
Bibbins-Domingo K. Colorectal Cancer Screening Recommendations—Reply. JAMA. 2016;316(16):1717. doi:10.1001/jama.2016.14930