The physicians dealing with problems of occupational medicine and industrial injuries stand in various relations to industry. Some are in community practice, and among their patients are employees sent by management for treatment or for answers to specific questions. Others have become specialists in occupational medicine through experience and by academic training, and they are employed by industry, although they must function on an impartial basis. Finally, some physicians function as medical directors, as integral parts of management with responsibility for policy and for decision. The goal of organized labor is complete prepaid medical care for the worker, his dependents, and the retired person. As this setting changes, the physician will have to accept greater responsibilities, and the degree to which he is able to do this will affect the future practice of medicine.