Abstract
IT is fitting that the New England Journal of Medicine should include the National Institutes of Health among the topics of a series dealing with social, economic and organizational problems affecting medicine today. This is quite within the tradition anticipated in the prospectus for the forefather of the present journal — the New England Journal of Medicine and Surgery — when it appeared in January, 1812. "The pages of the Journal," the prospectus stated, "will always be open to the accurate observer of nature, the useful experimenter, and the rational theorist." It is in the role of "useful experimenter" — . . .

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