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Correspondence
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Volume 334:334-336 February 1, 1996 Number 5
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Healing by Design

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 by Horsburgh, C. R.
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 by Kline, S. E.
To the Editor: In Horsburgh's "Healing by Design" (Sept. 14 issue),1 he does not mention the pernicious way in which medical economic pressures are influencing modern hospital design. Hospitals in competition with one another for paying patients spend extravagantly for lobbies and entrances more appropriate for a bank or Las Vegas hotel, while cutting back on professional and ancillary staffing to try to improve their bottom lines. Compounding the problem is the desire of philanthropists to erect impressive testimonials to their generosity.

Simple but relatively skilled and labor-intensive care remains the key to managing many common and compelling medical problems.2 . . . [Full Text of this Article]

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