Creating the Institute of Medicine -- The Page Discussion Group -- Walsh McDermott and the Board on Medicine -- The Heart Transplant Statement -- Business of the Board -- Debate over a National Academy of Medicine -- Rejection by the National Academy of Sciences -- The Diplomacy Reconciliation -- The Institute of Medicine -- The Institute of Medicine Begins Operations -- Recruiting Members -- John Hogness -- Staffing the Institute and Bureaucratic Routines -- Cancer Wars -- Entitlement and Health Contrasts -- Health Effects of Aboration -- Policy Statements -- The Costs of Education Study -- The Program Committee -- Fund-Raising -- Organizational Routines -- Relations with the National Academy of Sciences -- Donald Fredrickson -- The Hamburg Era -- David Hamburg Arrives -- Ruth Hanft and the Social Security Studies -- The Institute Recharts Its Course -- Reorganization -- Clearing the Pipeline -- The Malpractice Study and the Polio Study -- The Embrace of the Carter Administration -- Working for the Carter Administration on International and Mental Health -- Working with the Carter Administration: The Dental Study and the Surgeon General's Report -- Riddles of Power -- Fund-Raising -- Defining the Institute's Mission -- Fred Robbins and the Sproull Report -- Searching for Frederick Robbins -- Backlist of Projects -- The Ebert Report -- Advent of the Reagan Administration -- Studies During the Reagan Era -- Fund-Raising -- The Sproull Report -- Defending the Institute of Medicine -- Expansion of the Institute of Medicine.