Abstract

To the Editor .— Does universal newborn hearing screening (UNHS) save money by reducing expenditures on special education services for children with congenital hearing loss? An article by Schroeder et al1 in the April issue of Pediatrics provides the first empirical evidence to address this important question. The investigators produced an important new analysis of economic costs of medical and special education for children with permanent, bilateral congenital hearing loss (PCHL) and their families in selected areas of England. Here we situate their findings in the context of US-policy discussions on UNHS. Schroeder et al compared costs among children with PCHL aged 7 to 9 years who were born in areas with or without UNHS programs, including children who participated in the Wessex trial of UNHS.2 The authors …

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