Abstract
EDITOR'S NOTE The late 1960s has grown a corps of students who hold serious concerns about the major social and political issues of our time. These men and women are now beginning to appear in the ranks of our medical schools and hospitals. Their ability to articulate the character of the problems and their willingness to venture into paths of activity that engage directly in the solution of these problems has profoundly altered the behavior of the men and women who are the senior leaders of the medical profession. Jay Skyler, MD, is one such young "actionist." A graduate of Jefferson Medical College, he came to Duke University for his medical internship and there quickly identified himself as a conscientious and dedicated physician. In the course of that year, though he was very thoroughly involved in the daily responsibilities of a demanding internship, he initiated a series of discussions with