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Leon Reinstein, MD
Baltimore, Md

JAMA. 1993;269(14):1788-1789.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—I read with shame and dismay the article by Miles.¹ He described an indigent patient admitted to his medical service after an assault. He noted: "An orthopedic surgeon said the patient's arm required internal fixation to set the fracture but declined to take the patient to surgery because she did not have insurance.... " Ultimately, the patient went to the county hospital where the fracture was set.

Of great interest, in that same issue of JAMA, the section JAMA 100 Years Ago, from November 12, 1892,² includes a description of the death of Dr H. T. Thomas, a medical missionary in Kashmir, who, during a cholera epidemic, was one of only two European physicians who remained, caring for victims during the epidemic, only to die of cholera himself.

A hundred years from now, on November 12,2092, what will physicians think of 1992 American medicine when they . . . [Full Text PDF of this Article]

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