How Will Our Research Affect Our Patients?

The editorial decision1 to publish the letter from Dr. Ho et al2 with various allegations and rebuttals is a unique educational opportunity. In the December issue of Annals, a lively debate between numerous authors provided stimulating methodological critiques, salient reminders of conflicts of interest, and issues that arise with use of commercial data. This debate is ultimately responding to the authors' thematic conclusion—despite the need for further research—that "freestanding EDs [emergency departments] potentially waste societal resources because they represent a high-cost provider for services that could be delivered in lower-cost settings."2

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