How we pay for medical care and what we get for what we pay"" shows up the more purulent practices of organized medicine- the A.M.A.- as it attempts to maintain its fee- based relations between private doctors and private patients, an obsolescent system, and opposes any attempt to create wider benefits and wider services. Systematically attacking the A.M.A. as it has created the socioeconomic cul de sac which exists today, this shows how it has opposed public health services; health insurance (unless it favors the fee privilege); group health programs and clinics; federal intervention in several areas- including the expansion of medical schools which might have relieved the doctor shortage and the advancement of a few at the expense of many. Justifiably predicated on the argument that the A.M.A. will not ""move until it is pushed"", this is a shove in the right direction- and it may help to bring public pressure to bear.