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As we know, the current story line has Jim in hospital after having suffered a potentially fatal heart attack. This raises the question of what is the most appropriate thing to do about it. Given that the Pattersons have the unhappy tendency to zone out in the face of a genuine crisis, what would be a difficult decision for normal people occasions futile hand-wringing. Iris's exhortation that they do nothing is taken literally because they're so relieved to have a plan of action, they don't even see that she may in fact be condemning their negligence. This tells me that Liz will march down the aisle never suspecting that Jim is dying. I fear that the revelation of his passing will be greeted by either some sort of "Circle-of-life" nonsense about how he's with them in spirit or a futile rush to the hospital by the whole wedding party when there are more intelligent options. Worse still, we'll all have to read letters from people who buy into their hateful attempt to salve their consciences. This is because there are a lot of people who aren't really paying attention to what they're reading. Just as they don't see what a horrible person Anthony is, the don't see that the Pattersons consistently do the wrong thing.