It is a wonderful, broad, warm, human document. It accomplishes what we were commissioned to do. Several of the points that troubled me have now been corrected.
The only thing that still concerns me a bit is our advice to the government on the tax structure. While I realize that every citizen has the right to make his opinions known, I really do not know enough to advise the government how to tax people or how to withhold taxes from others. As I read this carefully, however, I see that it simply represents an effort to get more bright kids through college; kids who are poor and who otherwise could not get through college. In other words, it advises the government that our first interest is in people and that people are our greatest resource....
Had I been writing the report, I do not think I would have been quite as positive about some things. One gets the feeling in spots of a slight air of belligerence, but I know it was not intended. Besides, I guess my efforts would be designated as pusillanimous, and I guess one is as bad as the other.
Essentially I am in full agreement with [the report], except for one recommendation. On page 268 of the report, it is recommended that all existing State hospitals of more than 1000 beds be converted into centers for the long-term and combined care of chronic diseases, including mental health. I cannot agree with this recommendation since I believe that all of the reasons which contraindicate the care of patients in large mental hospitals apply equally to the care of patients with other chronic diseases.
Authorities in planning for the chronically ill have long pointed out that the institution which cares for the long-term chronically ill patient not only must provide essential medical care and related services but also must be