In Reply.— The discussion by Dr Pollack et al about objective analysis of ICU resources is useful to all pediatricians. Objective analysis may be especially helpful in individual case discussions when a physician's fears about one or more patients seem to be excessive and result in inappropriate utilization of high-cost care. Former stressful experiences of the physician or of the patient and family with the specific medical disorder, within a health care institution, or with one another may result in a disproportionate anxiety and sense of threat not easily soothed by simple reassurance.