Health messages coming from the White House, health bills piling up in the legislative hopper, and Ralph Nader getting into the act with his report described as An Inquiry into the Profession's Performance in Self-Regulation 1 all give evidence of a mounting crescendo of concern for the nation's health and those who are responsible for it. There are many who expect the election year 1972 to be noisy and perhaps even decisive with regard to governmental involvement in health and health manpower. Very little time is left for the medical profession to demonstrate its own effectiveness in self-regulation, to use Nader's term. If those in positions of leadership in medicine really do wish to give evidence of self improvement without government intervention, the time to act is now. Four years have passed since the Report of the National Advisory Commission on Health Manpower 2 that, in a far-ranging view of