To the Editor: There is a suggestive word substitution in “Measuring the Quality of Medical Care” by Rutstein (N Engl J Med 294:582–588, 1976). The second footnote on page 583 reads, “Thereafter, the rate decreased by half almost every five years to 29 in 1940, 16 in 1945, and 8 in 1950, and then declined asymptomatically to 3.3 per 10,000 live births in 1973.” No doubt the correct word is asymptotically. It may indeed be more than a coincidence that such a mistake appears in an article heavily biased in favor of objective standards of quality of care. Although.
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