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It is always unpleasant to differ from those whom we have regarded with respect if not actual deference, and yet there are times when stern duty demands that simple facts should be stated in plain language, whether they prove palatable or unpalatable to friends or foes. The arrogance with which a few members of the profession in the cities of Philadelphia, Baltimore, Washington, and Boston, assume to constitute not only the profession of those cities, but also the representatives of all the respectability and science of the profession in the United States—the bitterness with which they assail the American Medical Association—and the odium they attempt to cast upon the representatives from each State, chosen by the Association to constitute a part of the Committee on organization of the Congress, through their chosen organs, the Medical News of Philadelphia, the Medical Record, of New York, and the New York Medical