The letter by Dr Lasky in reference to the recently published “Lipid Screening and Cardiovascular Health in Childhood” clinical report from the American Academy of Pediatrics Committee on Nutrition makes the point that statins are already being used across the United States in children at least 8 years of age or older, presumably for their cholesterol-lowering effect. In Dr Lasky's review of CVS Caremark pharmacy and Medicaid databases, it would seem that ∼4300 children are currently on statins who are subscribers to CVS Caremark or are receiving drug prescriptions through Medicaid in 17 states. As Dr Lasky knows, 50 states and the District of Columbia are included in the Medicaid and CVS Caremark databases. In 2004, the CVS Caremark database covered 17.6 million children under the age of 18 years. An additional 5.5 million or so children are covered by Medicaid in the 17 states reviewed. If there are...

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