The PSA test was never a cancer test. The protein it measures sits in every prostate — healthy, enlarged, inflamed, or cancerous — and the man who discovered it has spent the last fifteen years telling anyone who will listen that giving it to every grown man is a public health disaster. They give it anyway. Thirty million American men every year. Of every thousand sent for a biopsy on the strength of an elevated reading, three or four have a cancer that could ever hurt them. The rest get a needle through the rectal wall into a sterile organ, a cascade of surgeries and radiation and strong medicine, and the two companies that have grown rich on the aftermath — one selling pills for the men who can no longer function with their wives, the other selling diapers for the men who leak. Beyond the PSA brings together the voices that have been raising this question from the inside of the medical system itself. Richard Ablin, who discovered PSA, calls what has been built around it a hoax. Anthony Horan, who performed forty years of prostatectomies, wrote the book saying the surgery itself is the product of a culture that cannot stop cutting. H. Gilbert Welch, Mark Scholz, and Vernon Coleman each add their own evidence. Thomas Cowan, Thomas Seyfried, and Max Gerson offer a different frame for what cancer actually is: a terrain phenomenon rather than a genetic lottery, a containment response rather than an invasion to be killed. Twenty chapters, five parts, four appendices, and a practitioner directory for men who want to act on what they have read. What follows is a reference. What a man does with it is between him and his own judgment.