Sir,I find the response of Morrell to my Comment unconvincing. The reduction in breast cancer mortality that has occurred in many countries (including New Zealand) is not related to the introduction of mammography screening, but to the introduction of treatment advances. This reduction was not instantaneous, but followed a five-year lag, as would be expected.We should not continue with the fiction that mammography screening is the solution for all evils related to breast cancer mortality. It is time to recognise that other strategies, including Early Diagnosis as recommended by WHO (2017), are preferable options.