We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

The Closing Circle: Nature, Man, and Technology.

Charles D. Aring, MD
Arch Intern Med. 1973;131(2):305-306. doi:10.1001/archinte.1973.00320080141023.
Text Size: A A A
Published online


In an editorial entitled: "Smog, Smut and the Socialization of Human Endeavor" (Cincinnati J Med 30:84-85, 1949) written over two decades ago, I noted that if self preservation is the first law of human behavior, the second must be exploitation. Man enterprising freely was considered to be bringing upon himself the socialization that he purported to dread so. Obviously he was not dreading it enough to halt the degradation!

Alfred North Whitehead said a half century ago: "The early liberal faith that by the decree of benevolent providence, individualistic competition and industrial activity, would necessarily work together for human happiness had broken down as soon as it was tried." Despite the innumerable harbingers of impending catastrophe, exploitation of the ecology has continued unabated, and pollution increased as there has piled up a debt to nature so massive that nothing short of a world-wide alert can now hope to contain it.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.