ABSTRACT
The disturbing fact is that the chairs, by and large, seem to be functioning in the days of the 1970s or 1980s and are elated with the failure of the Clinton administration and others to provide universal access and assistance for the medical schools of our nation. There is, however, some cause for a saving optimism. A few clinical chairs, particularly those in departments of family medicine, and younger faculty members seem to be enlightened. An occasional basic scientist seems to understand the operations of the entrepreneurial world not only in relation to his or her projects with industry but also the implications of the changes in health care delivery for his or her future research and teaching.
