after a confirmed myocardial infarction, Medicare clients "with comorbid mental disorders were substantially less likely to undergo coronary revascularization procedures then those without mental disorders" (25). In western Australia, psychiatric clients were found to have a higher fatality rate from cancer, even though they did not have a higher incidence rate of cancer (26); the higher fatality rates were attributed to screening and treatment deficiencies. In Vermont, "the incidence of cancer for adults with serious mental illness is more than twice the incidence for the general population" (27).