Ruffian's breakdown and death led to a public outcry for more humane treatment of racehorses. As it is natural for horses to thrash and kick when coming out of anesthesia, a "recovery pool" was developed so that they awake suspended in warm water and don't re-injure themselves. Medications such as corticosteroids for inflammation and pain management came into common use. However, while helping the horses in the short term, the increased use of medications at the track had a downside, as many more horses were raced while injured. The average number of starts per year steadily declined, though this may also be attributable to economic factors.