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March 30, 1940


JAMA. 1940;114(13):1139-1141. doi:10.1001/jama.1940.02810130001001

My purpose in this paper is to offer an inventory of special opportunities for development in medicine in the decade now before us—a decade that will see us half through the twentieth century. It is an inventory more commonly of what is lacking than of what is insufficient, a list of what could sensibly be added rather than a mere notation of what exists inadequately.

We face ten years of considerable importance to medicine in America and in the world generally. The years from 1940 to 1950 will witness not only the effects of reduction of income from existing endowment but also a considerable change in leadership. In most parts of the country the refunding of substantial blocks of securities held as endowment for medical education is imposing reductions of from 15 to 35 per cent of the most effective income of the medical schools, and at the same time