Any aficionado of presidential. addresses to scientific societies over the past few hectic medical years must have noted a preoccupation with the general theme of "Government and Medicine." Favorite topics have ranged from the general to the very specific: "The Nation's Health"... "The Delivery of Medical Care"... "Grants and the Technological Revolution"... "Grants and America's Survival"... "Grants and the University's Survival"... "Grants and My Survival."
The approaches to such topics can usually be classified in the manner of the multiple choice: (1) Cite and deplore; (2) Cease and desist; (3) Rally the troops; (4) Mea culpa... maybe... after all, they are right; (5) Accommodate and survive; or (6) None of the above.
There is, of course, a clear danger that the presidential address may become too ritualistic—a form of hand-wringing entertainment rather than a strategy or a guideline based