It is the purpose of this commentary to focus upon the future organizational structure of the medical centers that are responsible for the production of physicians. Medical educators, medical administrators, the public, students, and government are all now in the process of drawing up the plans for the medical profession of the next decades. It is important that the organizational guidelines provide for flexibility. Any sharply-defined differences of view which may polarize into argumentative confrontations should be explored before a rigid stand-off occurs.
In its simplest terms the problem may be stated as follows: If the private practice of medicine serves a useful purpose for some areas of our society, should it be encouraged in the tax-supported educational institutions which produce physicians? At the risk of being indicted as an apologist for the organization that underwrites the publication of this journal, the answer here is, "Yes." But the purpose of