Dr. Robert A. Hoekelman's commentary entitled “Primary Care: We Need All the Help We Can Get!” (Pediatrics 59:315, March 1977)raises some very important questions about the practice of pediatrics as a medical specialty.

Whether we like it or not, we must admit that there are different classes of pediatric care even in the health supervision of apparently well children. We are all familiar with well-child care as practiced by the qualified pediatrician. If we were to deny that the pediatrician who devotes his career to the care and study of children and adolescents cannot do this work better than

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