problem o1 a tumor and ignore the patient's diabetes, or polio or broken arm. At the same time, medical attention which is not justified can do more harm than good, because it makes the people think that there is something seriously wrong when that is not the case at all. It creates what is referred to as the “worried well" syndrome, which has been a serious problem for the delivery of medical care in this country. S.R. Garfield, et al., “Evaluation of an Ambulatory MedicalCare Delivery System," 294 New England Journal of Medicine 426 (1976). The consumption of health care services by those who are well and nevertheless worried, is a luxury which we cannot afford in a program of this kind. Furthermore, it is simply a way of creating a new and unneeded problem for the people themselves. In order for the program to provide for each group and each atoll that which is appropriate, and no more, the entire program will have to be carefully and thoroughly integrated under centralized management. All four elements of the program are essential to all of the people concerned, but at the outset and over time the emphasis of each er several will necessarily vary. Program Administration Although the bill does not prescribe any particular struture for the management of this radiological program, we think that it will require both a group to set policy and -