A life-saving tool exists, is simple to use, and is largely ignored. Researchers at the University of Cincinnati Cancer Center have found that only 15 percent of eligible Americans have ever raised the subject of low-dose CT lung cancer screening with their physicians — a striking contrast to the 70 to 80 percent participation rates seen in colonoscopy and mammography. In a region like Greater Cincinnati, where roughly one in three adults smokes, this silence between patient and doctor carries particular weight. The gap points not merely to a failure of information, but to something deeper in