RT Journal Article SR Electronic T1 Democratic and ethical problem of lung cancer screening: exclusion of true high-risk populations. Can it be fixed? Yes JF BMJ Open Respiratory Research JO BMJ Open Resp Res FD British Thoracic Society SP e000811 DO 10.1136/bmjresp-2020-000811 VO 7 IS 1 A1 Oluf Dimitri Røe YR 2020 UL http://bmjopenrespres.bmj.com/content/7/1/e000811.abstract AB Screening a population for a potentially deadly disease, the ultimate goal must be to prevent morbidity and mortality from this disease for the whole population. Unlike breast cancer or cervical cancer screening, where all women are screened after a certain age, CT screening for lung cancer has been based on selection of putative high-risk individuals based on age and smoking cut-off values. The type of selection used leaves too many high-risk individuals behind. The solution is to use only validated risk prediction models for selection.