Abstract
To the Editor.— Your EDITORIAL, Care of Tuberculosis Patients: Reprise, may well involve you in a very hot issue with inadequate consideration of all sides of the problem. Physicians engaged in tuberculosis work have resisted closing of facilities and have emphasized the points made in your EDITORIAL, but the truth of the matter today is that the fiscal crisis that exists in every government unit in the country is simply forcing city councils, county supervisors, and state legislators to look to a change in ways of managing tuberculosis as a means of reducing expenditures. And, it is not entirely unreasonable, because very considerable savings can be realized without compromising quality of care, if intelligent reorganization of facilities is undertaken in advance. In former years, and persisting to the present, outpatient facilities for supervision of chemotherapy have been an appendage to inpatient facilities. Outpatient facilities have usually had no real budget
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