Sir.—I was encouraged when I saw the title of August's the editorial board speaks, "Health Care and the Poor," but reading it proved to be a considerable letdown!
Dr Pruitt seemed genuinely concerned about the reestablishment of a double standard in health care in the United States but seemed unwilling to speak of the origin of this sad state of affairs, leaving one to conclude that it is an instance of spontaneous generation.
It was surprising to read that the middle class is "shaking off the bitterness and the sense of economic injustice that it experienced in the 1970s." This suggests that the so-called middle class is better off in the 1980s than it was in the 1970s. I do not think the unemployed workers in the auto, steel, and other heavy industries will agree. They have slipped from the middle class to the poor. So have thousands of