We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

The Concern for Supply-Sensitive Neonatal Intensive Care Unit Care If You Build Them, They Will Come

Aaron E. Carroll, MD, MS1,2
[+] Author Affiliations
1Center for Pediatric and Adolescent Comparative Effectiveness Research, School of Medicine, Indiana University, Indianapolis
2Center for Health Policy and Professionalism Research, School of Medicine, Indiana University, Indianapolis
JAMA Pediatr. 2015;169(9):812-813. doi:10.1001/jamapediatrics.2015.1597.
Text Size: A A A
Published online


When people acknowledge that life expectancy has increased dramatically in the past 5 decades, many mistakenly believe it is because of huge improvements in care for diseases that affect adults and the elderly at the end of their lives. What is missed is that many, if not most, of the gains we have seen are the result of saving the lives of children and infants. Saving an infant adds many more years to overall life expectancy at birth than does prolonging an older person’s life for a few years.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment
Further marginlization of the general pediatrician
Posted on July 28, 2015
Abraham Bergman
University of Washington and Harborview Medical Center
Conflict of Interest: None Declared
This is an absolutely wonderful editorial, though perhaps a bit too polite. I don't think gross venality is the chief cause of NICU overuse. Rather it our pediatric educational system decreeing that any sick infant or child has to be seen by some 'ologist. Dyspnea, tachycardia, or high fever is enough to dispatch a patient from the ward to the ICU. All heart murmers must be evaluated by cardiologists, potential abuse victims must be referred to \"abuse specialists,\" and a child with ethical issues referred to \"ethicists.\" Not clergy, not experienced pediatricians. Ethicists! The general pediatrician? Well child care, immunizations, and handing out books.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles