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—Dr Lang raises two points in respect to screening children for eye disease. The first is whether the government should have a role. Second is his assertion that his test has been proved to be appropriate for screening 2-year-olds.Regarding the question of the government's role and mandation of eye disease screening for children, Dr Lang has concern about the dangers of bureaucracy intruding into medicine. While I share his concern about inviting government to intercede, I have greater concern about the children who are of school age before their amblyopia is discovered. Governments have seldom entered medical practice unless a clear-cut need exists or unless a national health scheme of some sort encompasses all of the medical care. Often, in fact, some intermediary role is taken, such as the government's subsidy of inoculations for smallpox and polio. My plea was and remains, "Let us raise the voice
Reinecke RD. Screening 3-Year-Olds for Visual Problems-Reply. Arch Ophthalmol. 1986;104(8):1113-1114. doi:10.1001/archopht.1986.01050200019008