To the Editor.—
Regarding the Council on Scientific Affairs report on home care in the 1990s,1 it is unconscionable that the physician assistant profession was omitted. In describing the "myriad services" that can be provided in the home, no fewer than 26 different types of individuals are listed as being important in providing home services. The physician assistant is totally omitted.Today, there are more than 20 000 certified physician assistants functioning in the United States in every type of medical discipline. We have been in this country for 25 years and are still consigned to second-class status by those who should know better. Our profession is no longer an experiment; we are triedand-true and vital health care providers. It is time that we be recognized for our growing presence and our quality contribution to the health care in this country.