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To the Editor:
—Those of us in moderate circumstances find it a considerable drain on our resources to keep our libraries up to date. For instance, a work on practice composed of several volumes necessitates quite an outlay, and it is a hardship under present conditions to pay for a work ofthis kind when in five or six years it will be obsolete. I have wondered why some publisher has not issued this class of books in loose-leaf bindings, selling them on the condition of keeping them revised up to date by issuing new loose leaves when necessary, these to be slipped into place and the old leaves to be removed. Of course, this would call for a greater initial cost and a yearly assessment for keeping the work revised but it would be cheaper in the end, and we would have a work up to date as long as
Chilton CM. Loose-Leaf Medical Books. JAMA. 1912;LVIII(1):52. doi:10.1001/jama.1912.04260010054024