This issue of Pediatrics contains (on page 1060) an article by Dr. Arthur Kaufman entitled "Gasoline Sniffing Among Children in a Pueblo Indian Village." Many readers may not appreciate one significant aspect of this study; it is an attempt to go beyond the problems of episodic or chronic organic diseases so much more pressing among Indians than in non-Indian children. For the facts are that physicians in the Indian Health Service have little time for this kind of study and reflection; they can do little more than the equivalent of putting out fires. At a time when most American children have adequate health care–and many perhaps suffer from too much–and when pediatricians are turning their attention to such problems as education, learning disorders, emotional development, and improving the quality of life for children, Indian children display too many health problems that have long ago been solved for most other children in this country.