This lecture was sponsored by the Bilderback Foundation, the Doernbecher Hospital Guild, the Portland Academy of Pediatrics,
and Department of Pediatrics at OHSU.
My lecture was as broad as possible for the varied pediatric audience and began with a history of the progress we had made
against infectious diseases in children, then I sketched a brief profile of the demography of the patient population of the
future that led to the "Graying of America", and on to the causes of death most prominent in today's culture.
Then shifting course a little, I talked about the major hurdles ahead of us, which included too little time, and not enough
money, and then went on to delve deeper into those two problems that had to do with subjects as far ranging as smoking, physical
fitness and exercise, research-based public education programs directed to the vulnerable, and into the problems the coming
development of the "baby-boom" generation.
I closed the lecture by pointing out as I have been before the necessary connection between the practictioner and his experience
informing the research endeavors of the country.
My ability to deliver this lecture was facilitated by one of my former trainees, John Campbell, who was director of the section
of pediatric surgery in the Department of Surgery at the Oregon Health Sciences University.
Biomedical and Behavioral Research
Blood pressure control
Demography of patient population
Demography of care
Dilemmas, research, priority fragmentation and parochialism in medicine