any groups of americans, for whatever reasons, economic, geographic, occupational, or other, we must find a way to meet their needs and fulfill their hopes. dwight david eisenhower in 1955 said, clearly our nation must do more to reduce the impact of accident and disease, two fundamental problems confront us. first, high and ever rising costs of health services. second, serious gaps and shortages in those services. so said dwight eisenhower in 1955. and in 1945, harry truman said, millions of our citizens do not now have a full measure of opportunity to achieve and enjoy good health. the time, he said, has arrived, for action to help them attain that opportunity and that protection. and then another president said