clarified in the course of the processing of complaints. However, if the act is not to become a means of arraigning the medical community against those who seek its services, if it is to lead to upgrading of medical practice, to creating a more humane people-oriented system of health delivery, all the actors doctors and medical institutions, the state and the patients, primarily the first two need to redefine priorities. There is a grave need to regulate medicare; whether this is done through state legislation or self-regulation is in a sense immaterial for the large majority of the 'consumers'.