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December 1974

Presidential Address: Backward and Forward Integration

Author Affiliations

From the Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Arch Intern Med. 1974;134(6):1127-1131. doi:10.1001/archinte.1974.00320240161026

The annual meetings of this organization and of its fellow societies should stimulate us each spring to consider the past and to anticipate the future. The decade that began with the assassination of President Kennedy and ended with disheartening revelations in the executive branch of the federal government was not one of America's best. But neither was that which began with the assassination of President Lincoln and ended with the scandals of the Grant administration. This country survived the one and it will survive the other.

At this point, I recall the presidential address of Dickinson Richards1 in 1962 when he likened himself to an aging pugilist who "comes out swinging, hell bent to land one last despairing haymaker, before going down for the count." In attempting to analyze some of the challenges of today, I would like to use as my text the words of Dag Hammarskjöld