Abstract
To the Editor.— Ginzberg 1 has effectively refuted some simplistic fallacies about the relationship between hightech medicine and rising health care costs. He has also gone beyond the bounds of the traditional narrow debate and focused attention on the larger question: given that demographic factors and public demand will force increased expenditures on health care, how can a democratic society meet that demand? Medical technology can help provide the answer to that in three ways. First, the medical products industry is a major contributor to the economic growth that Ginzberg suggests is important to balance the effect of future health care expenditures on the overall economy. According to the Department of Commerce, some segments of this industry are expected to grow by 10% in 1990—compared with overall manufacturing growth of 2%. Moreover, the industry chalked up a trade surplus of $1.8 billion in 1989, and exports of US medical products,
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