Before silicosis was recognized in the textile sector, we established a diagnosis using invasive procedures, including bronchoscopic transbronchial biopsy and surgical lung biopsy, as detailed in our previous studies.2,3 However, both patients who had surgical biopsies died following the biopsy. Their study dataset might shed information about such risks. In addition to disease progression and mortality, the high compensation rates of the patients in the study by Bakan et al1 also attracted our attention. It would be useful to know whether the patients received compensation because they were insured or if they were successful in receiving compensation as the results of the temporary national law that provided compensation rights for uninsured workers through May 2011. It is plausible too that poor working conditions are more likely for workers employed without insurance because such workplaces are unlikely to be well regulated and inspected. Thus, being insured might confer better working conditions and better health outcomes.