The funding of intern and residency training is now becoming a major consideration of executive faculties and hospital administrators as they attempt to plan for the future. There are two views of this economic issue—and one might have anticipated that the positions involved related to whether or not you are the payee or the payor. The house staff would like to have higher salaries; the administrators are reluctant to increase the costs of health care in their institutions. Also involved, however, is the broader question of the specific purposes of graduate medical education and of the balance of elements that must be struck between what are the educational goals and responsibilities of the training physician and what are his or her needs and expectations as a young man or woman in our aspiring society.
The central point of discussion is the level of salary for a house officer. At many