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Because this test has been around for literal decades. People don't like finding out what they learned as fact is wrong and admin doesn't want to spend the money changing. Racism and sexism are alive and well in hospitals. Clinically a new clinical test has to be found, go through a rigorous validation before it will be accepted (even new machines may take months to year+ to be validated). Then the test has to be scaled to where the pricing isn't that different or better than the original.The fight to change this has taken a lot more effort and been going on longer than the article thinks.