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Milwaukee, Oct. 21, 1901.
To the Editor:
—The article appearing in The Journal under date of October 5, reflecting on pension examiners, is entirely unwarranted, and the department that furnished you with such data is either incompetent or malicious.It is far more probable that all of these twenty soldiers, aged between 50 and 70 years, should have heart disease than that none of the scarred and rheumatic veterans should have an organic heart lesion. Your comments, you will observe, carries their own refutation. I make small doubt that a far greater percentage of old soldiers have some organic heart lesion than the pension records show. Members of pension boards, through their frequent consultations and large experience, become very proficient in detecting heart murmurs, while many of your "disinterested physicians," I regret to say, can not detect a fairly loud murmur. There is no professional restraint on the pension board;
Elmergreen R. Pension Examiners. JAMA. 1901;XXXVII(18):1196. doi:10.1001/jama.1901.02470440046013
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