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A new agenda and a new alliance.

I WELCOME this occasion to sort out some of my thoughts on having been vice president of the Temple University Health Sciences Center in Philadelphia, Pa. My colleagues there, I am sure, have their own second thoughts on the subject, but then we perceive and proceed from rather different biases. Education, research, and the care of patients are all in varying degrees the products and the processes of a university health-sciences center. Without them there is little reason to exist. Yet I am not a scholarly academician, nor have I high qualification for the rigors of research. And, admittedly, my years with the Public Health Service had done little to credit me as an outstanding clinician. Perhaps this very lack of credentials in any one aspect of health sciences gave me the opportunity-and even the necessity-of focusing on the totality. The setting of goals, establishment of priorities, and allocation of resources among the three sectors was to become the arena for my adjudication; others would deal more competently with these issues within each of the sectors. I was to be, of course, primus inter