Abstract
To the Editor: Neither the articles on the Civilian–Military Contingency Hospital System (CMCHS) in the March 25 issue1 , 2 nor the letters in the response (September 16 issue)3 focus directly on the reason that this is such a divisive and painful issue for many physicians. It represents the classic dilemma that physicians face almost daily: What choice should be made when the needs of the patient are in conflict with those of society? Kidney dialysis is just one of the many examples. Many physicians recognize that the social cost of this program is rapidly becoming unsupportable, but most of these same . . .

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