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May 13, 1968

Medical Manpower

JAMA. 1968;204(7):623. doi:10.1001/jama.1968.03140200063020

In previous communications I have indicated that I believe that health care of high quality can be organized and delivered to the nation economically and with maximum accessibility and availability, in a context of competitive, market-oriented enterprise.

I have also indicated, however, that the success of this effort depends upon our candid recognition of those characteristics of the health care service area that violate the precepts of competitive enterprise. The feature to which conservative economists—like Friedman—have most often alluded as a failure in the enterprise approach, is the continuing and serious bottleneck confronted by qualified aspirants who seek to enter our profession.

I am happy to report that the American Medical Association and the Association of American Medical Colleges are now working in close cooperation and harmony to reduce this obstruction as soon as possible. In a recent joint statement the two organizations agreed that "all medical schools should now