Abstract
To the Editor.— The article Outcome and Cost for Stroke Patients in Academic and Community Hospitals: Comparison of Two Groups Referred to a Regional Rehabilitation Center (240:1878,1978) is a welcome addition to accumulating studies suggesting that the overspecialized and overmechanized medicine in supercenters is not necessarily beneficial to the patient and is always expensive. We also receive similar reports about the overdiagnosis and overtreatment in our costly intensive care units. Since the cost factor will be dominant in the medicine of coming years, the pendulum must swing in the opposite direction. The downgraded community hospital and the humble family physician must regain their old recognition.
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