Their conclusion isn't bs. It makes a lot of sense when you look at an entire population and the risks and benefits. The risk isn't just the false positive, it is what you do with the positive results. Wait and see is stressful. Biopsies have risks. And when tumors are found there can be incredible anxiety, even when those tumors may be slow growing and never life threatening. People don't like having cancer growing in them. But men have to decide for themselves and recommendations are for the test to be an individualized decision based on things like age and risk factors rather than an across the board decision.