Recently Hill has shown the
existence of an abelian p-group with the property that each infinite subgroup can be
embedded in a direct summand of the same cardinality but the group is not a direct
sum of countable groups. Megibben has since observed that this phenomenon occurs
in a larger class of abelian groups. In this note we show that such pathology is
present in modules for a rather wide class of rings. In fact, the lack of such
phenomena for a particular class of modules serves as a characterization for left
perfect rings. Our results also yield some facts concerning pure injective
modules.