Service to the home has been rendered largely by the private practitioners of medicine and nursing and any plan of health activity which fails to emboby the elements of this service, which has become an integral part of the social fabric of most communities, is neglecting a well established and recognized avenue of approach to the essential unit of the whole problem.
For several reasons the character of medical and nursing practice is Changing but the indicated changes do not presuppose radical alteration or substitution. Unless there is clear evidence to the contrary the developmemt of a sound program must be one of evolution, not revolution.