Starting Monday, millions of people who have avoided colon cancer screenings can get a new home test that’s noninvasive and doesn’t require the icky preparation most other methods do. The test is the first to look for cancer-related DNA in the stool.

But deciding whether to get it is a more complex choice than ads for “the breakthrough test … that’s as easy as going to the bathroom” make it seem. On one hand, the test could greatly boost screening for a deadly disease that too few people get checked for now.

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