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If you're 16-45 and your body does the things you want it to, you probably don't need a yearly.
I'm in favor of well child checks because that is where autism, asthma, and a lot of other diseases can get caught early, plus keeping on the vaccine schedule (MMR, TDAP, Varicella, HIB, HPV are great, don't at me)
At 45 (and in some, 35) the "silent killers" really start: hypertension, diabetes, colon cancer, etc. Women have the added fun of cervical cancer screening at younger ages (although expect this to change as more people get HPV vaccinated)
A big issue is people thinking tests are harmless. Tests very frequently show things that are "abnormal" but will never cause a problem. Then we biopsy and cause real harm that was unnecessary. As a hospitalist/ICU doc I get to clean up the disaster side effects of "routine" biopsies gone wrong on a regular basis.
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