A life insurance examiner has a difficult position to fill. He has four people to satisfy; the applicant, the agent, the medical director and himself. The straight and narrow path of strict honesty is his only salvation. By being honest with himself he necessarily gives a square deal to the other three parties. No applicant who has palpable arteries or hypertension can be considered a first class risk. It can not be denied that men with arteriosclerosis live to an advanced age and may even outlive those who have apparently normal arteries, but the average life expectancy at any age for an arteriosclerotic is less than that for a normal person. The apparently healthy applicant who learns for the first time when examined for life insurance that he has the early or moderately advanced signs of arterial disease, should thank the agent and examiner for showing him the danger signals ahead. The sensible man then orders his life so that he puts as little strain on his heart, arteries, and kidneys as possible and may add many years to his life. It is on account of this very insidiousness of onset that I have elsewhere urged as a prophylactic measure the examination every six months of all persons over forty years of age. I am more and more convinced that it is of vital importance to the health of the public. As I have remarked, the average man consults his dentist at least once a year so that no tooth may be so far diseased that it can not be saved. It is purely a means of preserving the teeth. Why not do the same with the whole body? Of what use is it to save the teeth and lose the body? It seems to me that the great army of life insurance examiners are in an enviable position in their ability to add years of life to many men and women. I doubt whether they realize their importance in the campaign for health. I should urge life insurance companies not to employ recent graduates unless they have had at least a year's hospital experience. For the company as well as for the individuals I believe that there is a prognostic sense which the examiner should have and this can only be acquired by experience. I believe that arteriosclerosis and hypertension are increasing for the reasons which have been given in another chapter. There can be no doubt that when these conditions are recognized long before symptoms would naturally supervene, men and women would not only live longer but also die more comfortably and many very likely would be carried off by some disease having no relationship whatever to arteriosclerosis. Slight enlargement of the heart downward and to the left, accentuation of the second aortic sound at the base, a full pulse, arteries which are palpably thickened, increased blood pressure are signs to which attention must be paid.