Abstract
DEATH, health workers note with a touch of irony, is the most valid index to a change in health. If so, this is a good reason, in addition to the normal will to live, for citing death rates in discussions of health progress. Nevertheless, the health communicators do borrow trouble in using death as a measure of results in governmental medical programs. The trouble comes when they try to justify efforts that do not produce evidence of significant reductions in mortality.This danger has been so repeatedly overlooked in Washington that, at least in the eyes of the health-care cognoscenti . . .

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