There is a need for improving the outlook in breast cancer. The Health Insurance Plan program has indicated a one-third mortality reduction in a five year follow-up. Both mammography and clinical examination have been essential for this reduction. A practical mass screening program for earlier breast cancer detection using a tandem technique using interview, clinical examination, mammography and thermography has been developed at the Guttman Breast Diagnostic Institute in New York City. Techniques to improve motivation for increased acceptance of the procedures by women at risk have been developed. Portable equipment and a mobile unit are used to perform the entire examination directly in communities.