Letters to the Editor

Emergency Medicine News welcomes letters to the editor about any subject related to emergency medicine. Please limit your letter to 250 words, and include your full name, credentials, and city and state of residence or practice.

Letters may be edited for content, length, and grammar. Submission of a letter constitutes the author’s permission to publish on all media, including print, online, and social media, but does not guarantee publication. Letters express the views of the authors and do not necessarily reflect those of Emergency Medicine News and Wolters Kluwer.

Letters to the editor may be sent to [email protected].


The COVID-19 crisis has brought many changes to our lives and challenges to the medical system. Some will disappear when the pandemic recedes, but many will persist, at least in part.

Much has been said and written about the stress to and the flaws of the medical system, but I feel compelled to speak in disagreement with these critics. Flaws were exposed, but the system did not collapse, despite all the reasons given that it would. Emergency physicians were and still are in large part responsible for this remarkable accomplishment. The system continued to function through, as Anthony Fauci, MD, said, the “most disastrous pandemic that we have experienced in our civilization in over 102 years.” (Infectious Disease Special Edition. Oct. 21, 2020; https://bit.ly/3sIfvOn.)

The system continues to provide life-saving care under these extreme and unprepared-for circumstances. When we finally have time, a detailed analysis should be done to improve the system, but I hasten to suggest that the strength that underlies health care in this country is without question the talent, adaptability, and resourcefulness of front-line practitioners. Whatever changes come from an analysis must not diminish this in any way. The most valuable part of our health care system is the initiative, independence, and adaptability of its practitioners.

Paul Janson, MD

Lawrence, MA