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Laboratory features of pleural effusions.

evidence that the Medical Research Council found convincing 50 years ago. One of the most interesting proposals is that the 10 areas with the worst mortality records should become special development areas to which £30m of extra funds might be given. This is a far more ambitious proposal than Sir Keith Joseph's demonstration centres for such services as geriatric care and rehabilitation eight years ago or the earlier attempt to start health centres in underdoctored areas. Such an overall effort might indeed help, though it would inevitably produce new inequalities. The report contains a mass of material.that deserves full analysis. It is, however, far less well presented than and different in form from the US Health Department publication Healthy People of a year ago. It has a different purpose-furthering change in an established service-and concerns other departments as well as the DHSS. Surely it should be examined more closely than Patrick Jenkin's foreword suggests that it has been. Even though its objects are not attainable in the short term and may be wrong in some major respects, it could be modified so as to become a long-term development plan for health and social services. Mr Jenkin should think again.