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I read with interest the article by Wu et al¹ showing better outcomes when patients with asthma are managed by specialists rather than generalists. Although this may not come as a surprise to some, it should be of concern to all, not only in the United States but in other countries, such as the United Kingdom, where the majority of patients with asthma are managed by generalists. Studies from the United Kingdom have confirmed that inpatient care of patients with asthma is better when delivered by pulmonologists rather than by general physicians.² A study has also demonstrated that management is better when pulmonologists treat their asthmatic patients on specialist respiratory wards rather than general medical wards, suggesting that some of the improved care from specialists is a result of the process of care such as provided by nurses experienced in the care of asthmatic patients.³ Similar evidence exists for patients . . . [Full Text of this Article]