Rep. Paul Ryan Seeks Unity to run for House Speaker; Mammogram Guidelines Changed Again.
PEREIRA: This morning, growing questions about the new guidelines for mammograms. The American Cancer Society now says women should start them later and have them less frequently. In fact, the new guidelines suggest starting annual mammogram at age 45 instead of 40. Why are they changing again? Here to discuss is Dr. Susan Love. She's the president of Dr. Susan Love Research Foundation and former director of the UCLA Breast Center. Knows a thing or two about the matters we're going to talk about. I heard from women on social media, in public on the street. Sort of like, what, what is going on? Why are they doing this? This doesn't make sense. What about those women? Early detection is key. Why are they delaying it to 45? Overall, are you thinking that these new guidelines are the right stuff?</s>DR. SUSAN LOVE, PRESIDENT, DR. SUSAN LOVE RESEARCH FOUNDATION: I think the new guidelines are the right thing.</s>PEREIRA: Really?</s>LOVE: You know, the idea is we hoped that early detect was again to be the answer but what we've found is, it is the answer for some cancers. You can find them early and make a difference. Some are so fast, we're never going to find them in time and some are so slow, it doesn't matter when you find them, they're never going to kill you anyway. And so, we're sort of prying to guide to where is the right time, the right amount of mammography, because it is radiation, it is often extra biopsies. And we don't need all of that.</s>PEREIRA: We don't need all of that. But I think there are so many people that are so afraid. Let's look at the difference now. I think we can show the old standards, the guidelines. The old was start at 40, new starting at 45. And after 55, women can choose to have them every other year. Explain that, but that doesn't make sense.</s>LOVE: No, it does make sense, because your breast tissue gets less dense after menopause. And 55 is a surrogate for menopause. And so, now, you can see three them much better, mammograms are much more accurate. So, every other year is fine. Whereas before menopause, the breast tissue is much denser, and it's like looking for a polar bear in the snow. You just can't see it.</s>PEREIRA: OK. Now, the next guideline change that is also big is they're essentially doing away with the regular breast exams by the doctors. I'm sorry, that doesn't make a lick of sense to me.</s>LOVE: Well, the doctors are not that good at it. They're not trained at it.</s>PEREIRA: Shouldn't they be better doing it?</s>LOVE: Feeling is not always -- you know, you're better at it because you feel from the inside out and outside in when you're palpating --</s>PEREIRA: Good point. But we don't necessarily know what we're looking for.</s>LOVE: No. If you feel something that's different, that feels unusual, you need to get it checked out. And I think that's a more important message. The doctors are half the time thinking about something else and it's never been shown that a doctor breast exam makes that much difference.</s>PEREIRA: But, you know, when women hear this and people hear this, they say, wait, is this just about the insurance companies trying to make sure that they're not paying for these tests and what- have-you? That's going to feel true to some people.</s>LOVE: I'm sure it will feel true but it's not true. The actual fact, it doesn't have to do with insurance. It has to do with the fact that we hoped and really put too much into thinking mammograms would be the answer to all our problems. And now, we're pulling back to some things that are more realistic than what we're doing.</s>PEREIRA: You're saying mammography isn't the best indicator, best test to detect certain types of breast cancer? But then what is? So, OK, I'll go with you, maybe we should not put all the emphasis on mammography. But then what?</s>LOVE: We have to figure out how to prevent breast cancer in the first place. I think we need to take a lot of the money and a lot of the effort we put into finding cancers that are already there and to preventing it and figuring out how you can prevent it.</s>PEREIRA: That's going to take time. And in the meantime, are we going to lose women are they going to lose their breasts while we're searching for the preventative measure?</s>LOVE: But mammography isn't going to solve that. Mammography is like the TSA. It is. It's screening. It's trying to find cancer.</s>PEREIRA: There's a pat-down involved. That's for sure.</s>LOVE: Some of them are going to get by, because they really weren't. Some of them are false positives. They had, you know, too much liquid but they really aren't a terrorist. Some of them -- and somewhere in between. So, you have all the pluses and minus of it and what they're weighing is, when does it become worthwhile? When are we really saving lives and not doing too much?</s>PEREIRA: But you can see also that it is crazy for the average woman at home who is caring about her health, whose health is forefront in her mind. When you see these guidelines change, you can't seem to find consensus. You have three different guidelines, one from the American College of Obstetricians, one from the Cancer Society, one from the Preventative Task Force. Why can't we find --</s>LOVE: Because we don't the truth. The truth -- you know, science is trying to figure it out. We are continually doing more research to try to figure it out, but we don't have the answer. And so, therefore, everybody is coming at it from their own direction, trying to make the best guess. And, actually, we're getting much closer than we used to be. The American Cancer Society used to say 40, the U.S. task force 50. Now we're 45 to 55. We're getting a little closer. And I think what we really need to do, what we try to do at Dr. Susan Love Research Foundation is find the cause.</s>PEREIRA: Right.</s>LOVE: Because if we could prevent it the way we can prevent cancer of the cervix and a lot of other cancers, then we'd be much better off.</s>PEREIRA: Right. Well, we should point, these new guidelines are for average risk women. If you are high risk, the situation is quite different. Dr. Love --</s>LOVE: Thank you.</s>PEREIRA: Really a pleasure. Thanks for being here with us. You can join in on the conversation by joining us on Twitter or Facebook, make sure you post your comments there. Alisyn, Chris?</s>REP. PAUL RYAN (R), WISCONSIN: It is our duty to serve the people the way they deserve to be served.</s>CUOMO: Congressman Paul Ryan saying he's willing to run for speaker of the House but -- there's a but.</s>UNIDENTIFIED MALE: This is a job Paul Ryan does not want.</s>UNIDENTIFIED FEMALE: This is a huge sacrifice for that family.</s>UNIDENTIFIED MALE: He'll get enough votes and it will be a sign of unity.</s>JOE BIDEN, VICE PRESIDENT OF THE UNITED STATES: The only two people who didn't disagree on a single substantive issue were the president and me.</s>UNIDENTIFIED FEMALE: The best indicator yet that Joe Biden is running for president.</s>CUOMO: Hillary Clinton squares off with the House Benghazi Committee.</s>UNIDENTIFIED FEMALE: A multi-front, Democratic attack taking shape.</s>UNIDENTIFIED MALE: We are reaching out for help everywhere.</s>UNIDENTIFIED FEMALE: A young African-American driver shot and killed by a police officer.</s>UNIDENTIFIED FEMALE: The officer thought he was checking out an abandoned car.</s>UNIDENTIFIED FEMALE: Police say they found this handgun near Jones's car.</s>ANNOUNCER: This is NEW DAY with Chris Cuomo, Alisyn Camerota and Michaela Pereira.</s>CAMEROTA: Good morning, everyone. Welcome back to your NEW DAY. Paul Ryan says he's willing to help end the Republican leadership crisis and take the reins as House speaker if conditions are met. Here's what he wants: support from all of the warring GOP factions and time with his family.</s>CUOMO: So, Republicans are struggling to right the ship after a rough few weeks. And the American people are taking notice. Take a look at this. New CNN/ORC poll this morning shows disapproval for Republican leadership rising to 74 percent in the last few months. Can Ryan help reverse the tide? The answer to that is yes, if the party can get around him. That's the big question. CNN senior political reporter Manu Raju live in Washington with the latest. And what is that?</s>MANU RAJU, CNN SENIOR POLITICAL REPORTER: Hey, Chris. Paul Ryan had no ambitions to become House speaker but agreed to put his hat in the ring to avoid further turmoil in his party. But it's not done yet. Ryan wants to be a unifying candidate. So, the question is this, will a group of roughly 40 conservatives in that House Freedom Caucus who helped drive out Speaker John Boehner and torpedoed Majority Leader Kevin McCarthy's bid do the same to Paul Ryan?</s>RYAN: I have left this decision in their hands.</s>RAJU (voice-over): The ultimatum is set this morning by Wisconsin Congressman Paul Ryan.</s>RYAN: This is not a job I've ever wanted.