THE purpose of this paper is to state briefly the causes that, in my opinion, have led to an increase in the cost of sickness, to review the various attempts that have been made to meet it, and to suggest certain lines of approach that might lead to a solution of the problem.The present high cost of sickness had its beginning in the latter part of the last century, and is due almost entirely to the rapid advances of medical science and the general acceptance of the community hospital instead of the home as the best place for the . . .