In considering the future of anesthesiology, I would like to begin by mentioning a few pertinent items that have recently appeared in print. One is from the AMA News, and is a quotation from our president, James Z. Appel, MD1: "Physicians as individuals and as a group must constantly bear in mind the basic principle that the primary object of the medical profession is to render service to humanity." As you consider this, do you honestly believe that you personally have a reputation for doing this? I hope and trust that we here today have such reputations, and that we enjoy life because we are enjoying the giving of such service.
A second item comes from the note in Lancet,2 written by a former psychiatric patient, who said:
I was chiefly struck by the godlike detachment of the hospital physicians. They thought they could cure anything with drugs