JJ, no doubt Elmer served up some heaping helpings of BS at times, and seemed to have some pretty bizarre anecdotal "evidence" of bullet failures. I love the ones where he tells you EXACTLY where an animal was hit which was ultimately lost because the "pest rifle" bullet failed--information that would be well nigh impossible to obtain without an autopsy. (Like the heart example you gave.)
As a general principal, you can't argue with "bigger is better"--modern premium bullets may narrow the gap some, but if a 150 grain .270 partition or Trophy Bonded is good, how much better must be a .338 250 grain bullet of the same construction?


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