Detroit, Sept. 14, 1906.
To the Editor:
—As a contribution to a correct estimate of the criticisms in Association management, the following observations are presented:1. There has always been criticism of the American Medical Association management, a criticism varying with its prosperity. In this it falls under the general law of powerful organizations. Someone is always ready, with a club, to hit the head of anyone who rises above mediocrity, so as to reduce him to the general level. Hence, no friend of the American Medical Association need be disturbed by wild criticism, criticism inspired by hostility to its fundamental principles.2. The medical profession has never learned cheerful submission to the guidance of its leaders. Many are restive under any regulation essential to effective organization, criticising both the committees who make and the officers who enforce them. It seems an American characteristic to be "agin the givernment." Very