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To the Editor.—
It would appear at first that the article by Marsh (235:45, 1976), advocating practices of the British National Health Services, was misplaced, rather belonging in the JAMA 75 YEARS AGO section. It is hard to believe that he is serious when he proudly proclaims that he treats two thirds of his patients with acute myocardial infarction at home, obviously without the benefit of cardiac monitoring. Acute myocardial infarction patients here in Blue Earth, Minn, were treated that way years ago with a 40% mortality; now they are treated in hospital coronary care units with a 10% mortality. It is doubtful that acute myocardial infarction patients are treated in their homes in England because it is a better means of medical care, rather it is likely to be in answer to England's shortage of hospital beds (no new hospital construction) under their costly, inefficient British National Health Services
Anderson JW. Acute Myocardial Infarction Treated at Home. JAMA. 1976;235(14):1426. doi:10.1001/jama.1976.03260400014014