To the Editor.
—I was very pleased to see the January issue (Arch Intern Med127:49-110, 1971) venture into social medicine. I am also glad that you delegated editorial responsibility for the issue to a young, and obviously exercised, member of our profession. Dave Rogers' rugged honesty, Bertram Carnow's careful documentation, David Gilbert's logic and Gene Stead's imaginative proposal all made delightful reading. Even Jim Wyngaarden's charmingly "stand pat" position was at least effectively stated.Two aspects of the issue did bother me. The first was Skyler's strident hyperbole which left even his first sentence ("There is only one problem facing American medicine today-that of providing optimal medical care to all 200 million citizens.") stuck in my craw. Perhaps he could give me an idea as to just which day he is referring to since at 4:32 PM on January 23 in the year of our Lord nineteen hundred