My father’s side has a strong hx of cancer – his mother died from leukemia when he was 14. My father and at least five of his six sibs (don’t know about my other uncle, who passed a few years ago) died from lung cancer – they all smoked.
My youngest sister had a basal cell carcinoma removed from her face a couple years ago.The middle sister is a tanning junkie. The penultimate sister has been living in Australia for the past 3 years (where skin cancer rates are among the world’s highest), and she smokes. I had laser conization when I was in college. It seems to me skin cancer screening – having your primary care doc look at all the places you can’t see and the places you aren’t aware of – for our family – is a pretty good idea, even though it falls outside the guidelines.

IANAD – what would you say, Kevin?