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In Reply.—Dr Willson cautions against sole reliance on statistics when making judgments on US foreign policy. I quite agree but would add that, as we all learned in medical school, even more caution should be used when dealing with anecdotes. The story about a physician being jailed for listening to "Voice of America" is unconvincing to anyone who is aware that, in Nicaragua, it is common to tune in broadcasts from all over the hemisphere, one of the more popular items being US baseball games.
With regard to Hospital Bilwaskarma, the hospital, located in the northeastern corner of Nicaragua, was attacked and partially destroyed by Honduras-based contra forces in 1982. It was then closed down by the Sandinistas, who felt they could no longer defend it. Attacks by the contras on health care facilities and personnel should not be considered flukes. Rather, they are part of a major stratagem
SCHLENKER TL. Conditions in Nicaragua and Honduras-Reply. Am J Dis Child. 1986;140(2):91. doi:10.1001/archpedi.1986.02140160008009