> Second, many recommendations are based on resource limitations that simply don't exist for a POTUS.
AFAIK, the PSA one isn't based on resource limitations, though.
It's based on the specificity being low enough and the risks, especially with advancing age, of the follow up tests being high enough that at a certain point the test is perceived as having zero-to-negative value in terms of QALY for the patient.
Second, many recommendations are based on resource limitations that simply don't exist for a POTUS.
Last, and similarly, standard of care is based on standard doctors, treatment, and hospitals. They go out the window when these aren't true.