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September 16, 1983

Traveling New Streets: A Compact With the People

JAMA. 1983;250(11):1407-1408. doi:10.1001/jama.1983.03340110021024

In ascending to the highest elective office of our Federation, I stand before you acutely aware of both the size and the import of the attendant responsibilities. I also stand before you with my first message as your President. It will be a straightforward and plainspoken message, and it is a message I hope AMA Delegates and other physicians will share with our colleagues back home.

My message has to do with a different kind of medical marketplace that is fast developing in this country, a marketplace characterized by increased competition and pronounced changes in reimbursement and delivery. My message has to do with the challenges posed for everyone concerned. It has to do with the societal challenges, with the economic challenges, and with the governmental challenges associated with the marketplace.

It has to do with the need for the American people to understand that since we all have contributed