Courtney Bugler on the Real Logistical Barriers to Colonoscopy and Early Detection
Courtney Bugler

Courtney Bugler on the Real Logistical Barriers to Colonoscopy and Early Detection

Courtney Bugler, President and CEO at ZERO Prostate Cancer, shared a post on LinkedIn:

“Yesterday, I got a colonoscopy. (Yes, this photo is from pre-op.).

Not my first. Not even close.

I had my first one at 21, after my brother was diagnosed with colon cancer at 23. Since then, I’ve had one every 2-3 years for nearly three decades. At this point, I have… opinions. (We can absolutely talk about prep strategies another time.

Why is anyone still drinking the gallon?

But here’s what’s been on my mind this time: Even for me – someone with great insurance, a flexible job, deep healthcare knowledge, and a very compelling family history – getting a colonoscopy is still hard.

Not medically. Logistically.

Because someone has to be there.

I’m a single mom without family nearby. That often means asking a friend to rearrange their life for me. Sometimes that’s easy. Sometimes… it’s not. And yes, there have been times it’s affected when I scheduled (or delayed) my screening.

So if this is a barrier for me – a healthcare ‘super user’ with every possible advantage – what does this look like for someone without those supports?

This is what we mean when we talk about barriers to early detection.

Logistical. Structural. Human.

  • Time off work.
  • Childcare.
  • Transportation.
  • Cost (even with insurance).
  • And yes – having another person available to help.

All of these things stand between people and screenings that save lives.

March is Colorectal Cancer Awareness Month, and the guidance is clear: if you’re 45 or older, it’s time to get screened.

But awareness isn’t enough if access isn’t real. If we’re serious about early detection, we have to design systems that meet people where they are – not where we assume they should be.

Also, for the record: My first colonoscopy prep at 21 year old involved me taking ‘shots’ of prep solution alongside my friends doing actual vodka shots. It was the only way I could get it down. Not medically endorsed. But highly effective at the time.

If you’ve been putting it off, consider this your sign.”

Courtney Bugler

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