Tests cost money, and unfortunately with chronically understaffed facilities and overpriced everything the goal of most doctors is to get each patient out of the door as soon as possible. Basically, unless there is serious reason to suspect a problem, you won’t be referred to tests and exams just as a cautionary measure. This means that for a lot of people, the early stages of a serious condition go unnoticed until much later.
There is also the fact that people themselves usually aren’t thrilled to go to doctors so they might not be as diligent with their checkups.
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