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Unfortunately, every civilization is built on “the blame game.” We’re barely an eighth of the way into Donald Trump’s second term, but his trademark brand of populism feels like it hit its apex decades ago. When millions of people are out of work, underpaid, and overall disgruntled, it’s easy for leaders—particularly those on the far-right—to redirect citizens’ anger towards a disenfranchised target: immigrants, racial minorities, anyone who isn’t cisgender and heterosexual. Why would people in power take accountability if it stopped lining their pockets? This leads us to the contemporary normalization of conspiracy-theorist and grifter culture, a not-so-fringe-anymore series of “movements” that Yorgos Lanthimos hyperbolizes in his Oscar-nominated latest, Bugonia .

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When I first heard the announcement on Wednesday that the Department of Defense will begin a mandatory testosterone screening program for service members, my mind naturally leapt to a series of questions derived from my career studying men’s health and population-level screening in men’s health. In particular, I fear that the widespread rollout of testosterone screening may lead to some surprising and unintended consequences that must be carefully weighed if we want to prioritize the health of U.S. servicemembers.

As a practicing urologist and health outcomes researcher, I have seen firsthand how testosterone supplementation has received growing interest in recent years. I have also studied the impacts and implementation other types of screening tests, including among military servicemembers . As with any type of population-level medical screening, a careful examination of risks and benefits is vital.

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