After several years of extensive experience in evaluating children with reading problems, I agree with Kenny et al. that medical and neurological evaluations of these children have only a minimal role. Previously unrecognized poor vision, previously unrecognized epilepsy, and previously unrecognized mental retardation are just not found. Also, any teacher or parent can recognize clinically significant hyperactivity.

However, the authors have overlooked a very important function of the physician's evaluation. In many parts of this country the children with reading problems are left to the whims of aggressive school districts and rigid programs of remediation.

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