A physician who is too thorough in conducting a medical checkup is likely to subject the patient to the discomfort and expense of unnecessary tests.
Conclusion (therefore)
It is generally unwise for patients to have medical checkups when they don't feel ill.
Evidence
Too thorough = unnecessary tests, discomfort, expense. Not thorough enough = missed serious problems and false sense of security.
Physicians can't easily judge the right level of thoroughness.
Evaluate
At first, this argument reads like a False Choice.
If you're too thorough, bad things happen. If you're not thorough enough, bad things happen.
So the author is thinking, "bad things are gonna happen either way". But this framing seems to ignore the possible middle ground: what if you're just the right amount of thorough?
If doctors are usually the correct amount of thorough, then it would be usually still be wise for patients to have a checkup.
But -- there is a premise saying that it's hard for doctors to judge the right amount, so that makes it harder to argue that they're usually the right amount of thorough.
Do we have a way to say that even if the doctor is too thorough or not thorough enough, that it's still worthwhile to have medical checkups?
Goal
We need to talk about the upsides of having medical checkups when you otherwise feel healthy, or to minimize the downsides of doing so.