Abstract
Recently, I was participating in the deliberations of a health-services research advisory panel that had as its charge review and decide whether or not to fund submitted proposals on various aspects of health care for the disadvantaged. Some of the deliberations typified not only the entire meeting but also the bureaucratic plight of black Americans on health matters. My notes at the meeting illustrate further: They are sitting here actually trying to write this grant for them (an established, private eastern predominantly white university with researchers who know the members of this committee by personal affiliation, name, reputation and . . .
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