Official websites use .gov A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
NOTE: The text of the speech is heavily edited by Koop, and includes unnumbered insertions and skipped pages. Pages 3-10 are missing from the original and there is an inserted section between pages 56 and 57.