Coronary mortality in China: fence, ambulance, or hospital treatments?

In a poem titled “Fence or Ambulance” written more than one hundred years ago, Joseph Malins described the policy dilemma a city faced in tackling the rising morbidity and mortality from accidental falls from a dangerous cliff. The 2 policy options considered included building a strong fence around the edge of the cliff or raising funds to support an ambulance down in the valley. The city initially chose to fund the ambulance to efficiently transport victims to the hospital for treatment. However, the city eventually realized that even the best and most efficient ambulance system was not enough and that it also had to build the fence.