'T was midsummer 1990, I received a letter from Vince Fulginiti:
In May 1991, each of the AMA family of journals will devote all or most of their issues to articles that report individual and professional societies' ideas and suggestions for improving health care to the poor and underserved in this country. AJDC will focus on infants, children, adolescents, and young adults... who are not receiving it [health care] currently, or who are poorly served by our present system.... This would be an excellent opportunity... for you to [record] your concept of the academic health center/community relationships... [for the health care of] the underserved and unserved...."
Vince (my one-time student, now colleague, and from the beginning, my teacher) is correct in his implication that an overriding concern of mine is that the state of our national health care is not nearly as good as it could be. The most serious