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Thousands and thousands of Americans suffer from ARDS each year. Many more suffer throughout the world. Until the recent past, this devastating condition was uniformly fatal. However, since ARDS was first described in 1967, steady progress has been made in reducing mortality. Today, as many as 60% of ARDS victims recover to leave the hospital. More than ever before, survivors are returning to productive and rewarding lives. Medical doctors and scientists still have more work to do to further improve mortality and functional independence after recovery.