RT Journal A1 Flynn JT T1 EConomics of medical education JF JAMA JO JAMA YR 1979 FD January 26 VO 241 IS 4 SP 358 OP 358 DO 10.1001/jama.1979.03290300012006 UL http://dx.doi.org/10.1001/jama.1979.03290300012006 AB To the Editor.—  Despite his earnestly presented COMMENTARY (240:831, 1978), Dr Alexis' concern about minority enrollment in medical schools is more likely to be frustrated by the rising cost of medical education than by direct effects of the Bakke decision. Today, even medical students from financially comfortable families require tuition loans and subsidies, while the schools themselves vie for increasing federal dollars. Tomorrow, the new graduate physician will be the indentured servant of his government, while his school will struggle against progressive bureaucratic control. Despite our zeitgeist on minority needs, the economics of the situation will strike hardest at the least financially favored student during the ensuing clash of social and academic needs.