“Medicare doesn’t pay for that”

Not by people who know what they’re talking about. Quite the reverse. Sure, there are still cholesterol denialists about with their own following and …much like anti-vaxxers … they seem to have a strong presence in the internet echo chamber.

The role of individual lipoprotein particles in initiating atherosclerotic plaques…like Apo-b, for instance…is well understood. Of course, if it’s not measured (and it oftentimes isn’t), then the person with ASCVD won’t know a darn thing about it…or their disease status…if they listen to the cholesterol denialists and statin averse. Until they have their heart attack. Sudden cardiac death is still a common first sign of coronary artery disease, apparently.