Reporting from Washington -  A core tenet of the healthcare overhaul President Obama is pushing through Congress is that medical care can be improved — and costs contained — if the country relies more on experts to determine which procedures and treatments work best.

But Monday’s mammography report by the U.S. Preventive Services Task Force delivered a swift and stark reminder that few ideas are more explosive in healthcare.

The expert panel — which recommended that women in their 40s should no longer get annual mammograms to screen for breast cancer — sparked an outcry from those who say that the federal government is more interested in saving money than in improving women’s health, even though the panel did not consider costs in its analysis.

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