A large proportion of illness occurs, is cared for and should continue to be cared for in the home and the problems incident to illness, economic and other, often represent major threats to the very existence of this unit which in the aggregate constitutes the community and the nation. High grade health services are available for the rich and poor but provisions are inadequate for bring-ing the best which modern medical knowledge offers to those of moderate means who, in reality, are the main element of our national life and strength. Any plan of organization proposed to adequately meet the health problem, therefore, must be predicated upon these considerations.