Studies reporting steep declines in acute myocardial infarction (AMI) hospitalization rates through 2007 have found lesser declines among blacks.^1–4 Although subsequent studies have reported continuing—albeit less steep—declines overall through 2011,⁵ racial differences in declines have not been closely examined. Therefore, we looked at trends in AMI hospitalization rates among elderly Medicare beneficiaries over the 10-year period 2002 to 2011, focusing specifically on whether the post-2007 declines are also more modest for blacks than for whites, potentially reflecting a growing gap in care.