The outcry over the Task Force's recommendation shocked many. Over the past decade, Annals has peer-reviewed and published over 50 USPSTF recommendation statements and background reviews. Although prevention is vital to public health, none of the previous guidelines grabbed the public's attention as much as the Task Force's recommendation against “routine screening mammography in women aged 40 to 49 years.” For example, although depression is far more common than breast cancer, the Task Force's December 2009 recommendations that advised against routine depression screening in the many primary care settings where depression care supports are not in place (12) were met with relative silence. Yet, the media and politicians presented the breast cancer screening recommendations as a major departure from existing guidelines that heralded an age of rationed care. Confusion, politics, conflicted experts, anecdote, and emotion ruled front pages, airwaves, the Internet, and dinner-table conversations.