Abstract

For the vast number of readers who lived through it, in varying degrees of intensity, the report in this issue of The Annals of Thoracic Surgery by Nguyen and colleagues1 from The Society of Thoracic Surgeons Database confirms what we all thought we were experiencing. No one could have missed the cliff off which elective cardiac surgery fell in the Northeast, and the somewhat lower cliff off which cardiac surgery fell in other parts of the country, a phenomenon well illustrated in Figure 5 of the report by Nguyen and colleagues.

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