Thank you to Natosha Cramer for identifying, in "The Blame Game" (Reflections, April), a major problem within the health care system. The bold subtitle, "Judging patients for poor life choices is neither right nor professional," says it all. I'll be citing this article in my teaching and future writing.

This problem has long been neglected.

Beth Furlong, PhD, JD, MS, RN

Omaha, NE