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Gentlemen:—I have promised to occupy your attention on this occasion, in considering the present status, and future tendencies of the medical profession in the United States. There is probably no more difficult problem than that involved in the question, as to the real status and tendencies of the times in which we live; and especially in reference to communities or classes of communities of which we constitute a part. An intelligent mind furnished with all the facts of the past history of a people, or of a profession, does not find it difficult to trace the various influences and measures which have contributed to their development and progress up to a given period in the past. But our minds are so liable to be influenced by such part of the events transpiring in the present as are most nearly related to our own interests, that we find great difficulty in