Industry has come to recognize that the toll of death and disability in the management group is excessive. This is evidenced by the report of the Labor Economic Section of General Motors Corporation in 19441that 189 men in that corporation's management group had died in the preceding five years. Realizing that the health maintenance program for the supervisory group had proved inadequate, the corporation set up a program of diagnostic health examinations to prevent this catastrophic loss. The Life Extension Institute reported that of 1,000 holders of life insurance policies in amounts of $25,000 or over who had received extensive examinations since Jan. 1, 1938, of whom 81 per cent were more than 40 years of age, 79 per cent were found to have physical impairments (18.5 per cent of which were high blood pressure and 22 per cent abnormalities of the heart). More recently, Franco2reported