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There has been a great deal of discussion about the shortage of physicians in America with emphasis upon the scarcity within the inner city ghettos and the rural backlands. This has led to the enlargement of medical school classes and to the development of several new medical schools. The federal government has encouraged this expansion by paying a premium for the increase, prorating its financial support according to the number of students that the school has added. All along, it has been almost a tacit suggestion that if the schools would just "crowd up" a little more—live a little less luxuriously—that the expansion could be accomplished with relative ease. Perhaps there would have to be some new space in some of the schools, but, by and large, the argument has been that a little harder work would get the job done without much capital expenditure for bricks and mortar. Interestingly