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Finances, a reality of life and death, were only one area addressed in my editorial. However, it seems more than a coincidence that when the US government announced it was contemplating offering aid to hospices, the number of organizations calling themselves hospices doubled.While it may be argued that Americans are too cost conscious, it is widely held in England that fiscal inadequacy is the reason British hospitals are "overcrowded" and "understaffed." The United States, as noted in my editorial, has no shortage of hospital beds; thus, pressures on the British health care system are different from those pressures on ours, making hospices appear more relevant there than here.
John P. Callan. The Hospice Movement-Reply. JAMA. 1979;242(16):1736. doi:10.1001/jama.1979.03300160020014