To the Editor.
—I wish that the Editorial by Dr Shalala1 was more realistic. Our new Secretary of the Department of Health and Human Services has an approach that is not going to improve the current state of affairs in our population. Here in Chicago, the Board of Health offers vaccines at no cost to recipients. We also have programs to bring public health nurses to some of the economically disadvantaged communities to immunize the children who are otherwise not going to the clinics. Although it would seem that such programs would ensure vaccine compliance, such is not the case.It is important for those in positions of power to realize that what would seem to be a solution does not work when the hypothetical meets the real world."Negotiating" the price to reduce the costs of the vaccines is unrealistic. There are certainly profits being made by some