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JAMES A. HECKER, MD
Cheyenne Children's Clinic, PC 433 E 19th St Cheyenne, WY 82001

Am J Dis Child. 1991;145(10):1086.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—The May 1991 issue of AJDC, with the impressive articles by outstanding leaders in the field, was most interesting. Unfortunately, most wanted to put more money and effort into the plight of children without asking anything in return! Twenty-five years after a marked increase in social expenditures, we are worse off because we did not ask anything in return!

Hinman¹ was the only author who suggested it may not be just money, but "incentives, either positive or negative." Cleveland,² Stahlman,³ Haggerty,⁴ and Blum and Blank⁵ touched on rationing, jobs, and lack of accountability. Conspicuously absent was Louis Sullivan, Secretary of Health and Human Services of the United States, who is outspoken on changing life-styles for better health and on individuals taking some responsibility. Many nationally prominant persons have pointed out our finite resources as a reminder that spending here means taking away there.

While . . . [Full Text PDF of this Article]

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