Today in America, people are calling for more determined and definitive action toward alleviating both the burdens of an overtaxed medical care delivery system and the continuing critical shortage of physician manpower which services it(1,2). One such approach, as reported in the current literature, is the indepth training of skilled and qualified paramedical personnel-nurses, medical corpsmen, midwives, pediatric nurse practitioners, and physician's assistants(3-8). In the care of patients with chronic disease, use of the registered nurse follows as a logical sequence of her in-hospital and clinical preparation and her close service relation with the physician. One such expanded role is being developed at the Kaiser-Permanente Medical Center in Oakland California. Medical care as a right is getting increasing consideration. In response, services have been made more available, through prepaid plans, Medicare and Medicaid, which eliminate personal payment of fees for covered services. A rapid increase in the number of people entering the care system has resulted. A significant proportion are well persons, whose demand for medical attention dissipates physician manpower, makes services unavailable, and rapidly accelerates cost. In a recently described method for delivery of medical care, the founder of the Kaiser-Permanente Medical Care Program proposed a health testing regulator, which would realistically match patient needs to medical care resources(9). This regulator would separate the entry mix of people seeking care into its basic components of (1) well persons, (2) asymptomatic sick, and (3) sick. Matching services would be provided to fulfill the requirements of each of these components. Physician care would be available for the sick and a new care service for the well. A preventive maintenance service for the asymptomatic sick and for those with chronic illness who require surveillance would be developed according to critera established by supervisory physicians. This service would be staffed by qualified and well-trained paramedical workers.