Maryland has the worst air on the East Coast and highest premature death rate in the nation. National Academy of Sciences data suggest that health impacts resulting from fossil fuels cost $73 per household per month in Maryland and are a drag on the economy. Yet conservative deniers and their self-serving, corporate backers hyperbolically insist that lowering the smog ceiling, mainly by limiting pollution from coal generators, would hurt Maryland's economy and therefore its families ("EPA moves to toughen smog limits," Nov. 26). When did human and environmental health become second to ingrown, economic perspectives? Does "preventive medicine" still ring true?