for me to keep accentuating their importance in the course of my work in the ward. In all of this, moreover, I do not believe that I am very different or more sordid in attitude than most men. It is not wholly a question of to whom the fees are paid (often there are no fees), although this certainly is a factor in establishing and maintaining the personal bond. The main point is that the patient has sought you or me personally and not the hospital. In the last analysis, the whole problem resolves itself into what kind of men you select for the hospital staff. If they do the type of work they are expected to do, they can never see more than a very few private patients--fewer, indeed, than come now to the private wards of some “full-time” clinics. If they want to see more patients they must be transferred to the clinical staff. Practically, the issue has seemed to me to solve itself without presenting any great difficulties, and without resorting to an overorganization that limits the freedom of the individual. What we want is less of the system and law that kills and more of the spirit that gives life.