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                    <text>"CHANGING GROUND RULES FOR AMERICAN
HIGHER EDUCATION"
Remarks by
Russell G. Mawby, President
W. K. Kellogg Foundation
at the
67th Annual Conference
National University Continuing Education Association
Cincinnati,	 Ohio
April 6, 1982
I

Thank you very much for inviting me to be one of your featured
speakers at this, the 67th Annual Conference of the National
University Continuing Education Association.

I am pleased to

participate in the process you have undertaken to examine the
impact of change on higher education and the challenges
to continuing education.

presented.

You have the responsibility of accommodating

and adapting to change while achieving the goals of your institution.
Yours is not an easy assignment, but neither is it an impossible
one.
The decade of the 80s has been described as the "Decade of
Determination" in higher education.

It will, without exaggeration,

be a time of reckoning, culminating in the survival of the fittest.

�2
I'm reminded of Charles Dickens' wonderful opening of A Tale of Two
Cities:

"It was the best of times, it was the worst of times,
it was the age of wisdom, it was the age of foolishness,
it was the epoch of belief, it was the epoch of incredulity,
it was the season of Light, it was the season of Darkness,
it was the spring of hope, it was the winter of despair,
we had everything before us, we had nothing before us, we
were all going direct to heaven, we were all going direct
the other way--in short, the period was so far like the

•

present period, that some of its noisiest authorities
insisted on its being received, for good or for evil,
in the superlative degree of comparison only."

But such periods of stress, whether in Dickensian England
or today in America, too easily viewed only in a negative sense,
can and do hold dramatic opportunities for positive change.

Such

�3
change will be more possible for -- and familiar to -- the institution
which has historically viewed constant renewal as part of a
continual commitment, rather than a backed-into-a-corner imposition.
Most of us as individuals, as well as many of the institutions
we represent, are particularly receptive to change at times of
personal and professional crisis or misfortune.
My personal view is that institutions of higher education
must become both more creative and more conservative -- not
necessarily contradictory positions.
hand in hand.

In fact, the two can go

Leadership has an obligation to be increasingly

conservative in managing financial and human resources during
times of economic constraints.

At the same time we must ask --

how can our limited resources be more creatively applied to
existing or new educational challenges?

Can we challenge the way

things have "always been done" to develop better programs, while
at the same time we tighten the purse strings?
I am firmly convinced that you -- as creative leaders -- are
uniquely positioned to help assure your institutions' and your

•

�4

profession's viability through a strong, wide-reaching program of
continuing education.
You can stand head and shoulders above the crowd -- demonstrating
to your institutions that you are the experts in continuing
e duc a t i on and that you can run programs that prove it; proving,
through knowledge and leadership in the field, that you are the
expe r t resource in your institution's vital plans to restructure
and respond to population and clientele changes such as were
outlined by Barbara Caplan on Sunday.
I will limit my comments today to several steps you might
take in developing the type of strong continuing education program
that is well institutionalized and keenly involved in the campus
and community interactional network; and steps you might take as
individuals to make yourselves the masters of your professional
field and of your own destinies.
II
As all of us are well aware, the times before all of us will
not be easy.

Some say the outlook for higher education is particularly

�5
dismal.

The percentage of young people who go from secondary

school to college is steadily dropping, as is the percentage of
students retained until graduation. The baby boom which began
after World War II came to an end in 1960, after which the fertility
rate began a steady decline.

In the inexorable course of time,

the peak of this crop of babies reached college age between 1978
and 1982.

The pool of potential enrollees is now expected to

drop dramatically and continue falling for the rest of the century.
Meanwhile, many new kinds of postsecondary institutions are
emerging, all wanting their share of the declining numbers of
students.

Some of these institutions will be so compliant to the

whims of their students that they will debase the currency of
learning.

Others will devise curricula or methods to meet previously

unserved needs, which lie well outside the presently conceived
missions of colleges and universities.

Likely -- if we are

perfectly candid -- some will do a better job of providing education
than our existing institutions.

As you well know, there is

alre ady an increase in the numbers and quality of training programs

,

�6
by large health complexes, research and development units of
industry, and advanced science and technical bureaus of government .
If this trend continues, and if these training programs win the
right to award degrees or credentials, they may prove to be
respectable and worthy alternatives, serious competition for our
current programs of undergraduate, graduate, and professional
education.
If these possiblities materialize , then all of you in academia,
and the colleges and universities which remain, will be confronted
by problems of a nature and magnitude that we can hardly visualize

•

today.
But even if institutions of higher education do all the
things which we already know how to do to modify traditional
patterns of post-secondary education, the response may not be
sufficient.

The number of potential students of typical college

age will fall so drastically in proportion to the overall population
that our institutions must find new clienteles if institutional
talents and resources are to be fully engaged.

�7
We may speculate about the nature of these new clienteles
foreigners, physically handicapped, non-academically-gifted
persons, and minorities, all with educational needs to be met.
But there is another group, sufficiently large, capable, and
rewarding to our society to make broad use of the talent and
resources that colleges and universities possess.

I refer of

course to our adult population.
III
When I suggest a sharpening focus on the continuing educational
ne eds of adults, I do so not from any compulsion to "save our
colleges and universities" by finding another market.

I say it,

rather, because these needs reflect our changing contemporary
so ciety, the altering life patterns of our citizens, and the
burgeoning of new knowledge.

And I say it out of an emphatic,

whole-hearted conviction that the serving of lifelong learning
needs is a legitimate, but unfulfilled, role for institutions of
hi gh er education.

�8
Each institution must work out its distinctive destiny in
terms of its resources and the needs and interests it wishes to
serve.

There are at least 450 continuing education programs now

in operation across the country.
different futures.

There will be 450 -- and more --

But there are some general ideas that I would

share with you as you move ahead as leaders in this field.
Be creative in institutionalizing the concept of continuing
education.

Few institutions of higher education have really

accepted the full implications of the concept of lifelong learning
and done something about it in terms of their organizational
chart, patterns of financing, faculty reward systems, functional
activities, and relationships within the institution and with
organizations beyond.
In the 1960s, continuing education -- or extension, if you
will, -- was considered to be anything done to serve an outreach
function.

It was run by a campus extension office.

But increasingly,

as declines in student numbers on campus have led to cuts in
revenues, various departments have appealed for control of their

�9
own piece of the extension "pie" in an attempt to shore up clienteles
and budgets.

I know of one university, for example, which has 38

separate, independent, continuing education programs.
One way to view the future would be to say that extension
has won its battle to have the whole university regard adult
education as essential.

The idea is diffused everywhere.

"A

university can have as many as 38 extension divisions," you say.
"Hurrah!

We have won.

Now let us turn to other matters."

But even as such a viewpoint is hypothetically expressed, it
sounds more and more hollow ... Doesn't it?
Why?
I believe you know why.
---Because the essential spirit and balance of adult education
within the institution is lost in such fragmentation.

What is

everybody's business is nobody's business.
---Because the central managerial functions of adult and
continuing education -- residential centers, evening colleges,
off-campus cent ers, correspondence education, and other forms of

�10
distance learning including radio and television stations -- must
be centrally managed.
---Because the problems of society do not present themselves
in terms of the subject-matter departments of our colleges and
universities, but rather are interdisciplinary, complex in content
and require integrated educational approaches.
---Because the skills of adult and continuing education
program design and execution demand highly developed specialists
and leadership.
---And because the capacity to understand and work with
outside groups -- both fellow educational providers and clients
is essential and requires special skills, education and leadership.
In my view, there is a need and a place for a single continuing
education office (or department) on the campus, which is a part
of the central administrative structure of the university.

Such

central management is especially vital in light of current economic
pressures to which institutions find themselves subjected.

An

extension program cannot be cost-effective if evening classes

•

�11

have a budget and director apart from off-campus classes, which
h ave management different from outreach programs of another
nature.

Cost-effectiveness in managing a continuing education

program comes in having a central administrative and budgetary
structure with sufficient checks and balances.
Of equal importance to the administrative structure of
continuing education is the attitude structure for continuing
education.

The university was conceived in our society as a

knowledge resource center with responsibilities in teaching,
research, and service.
is for life.

It should practice the belief that learning

Learning is essential for occupational proficiency;

for civic competence; and for family, avocational, and self-fulfillment
goals; but most importantly learning is lifelong, in myriad forms
and circumstances.

The university must appreciate that adults

are different from young people, and must sensitively and adeptly
respond to their needs.
How can the university institutionalize the right attitude
structure for cont i nu i ng edu cation ?

I suggest we must be more

•

�12
creative in developing problem-oriented programs, in addition to
the more traditional discipline-oriented activities.
Consider such societal concerns as health care delivery, the
viability of our local political institutions, the efficacy of
elementary-secondary education, the family as the basic social
institution, the special problems of the aged.

Resources from

throughout the university must be mobilized to deal in new and
comprehensive ways with such issues.
Another part of this different response to the "Challenge of
Changing Ground Rules in American Higher Education" would be for
you and your institutions to show real creativity in working with
the informal network of other continuing education organizations.
Here I mean voluntary organizations, community agencies, business
and industry, libraries, and churches.

While continuing education

activities of universities customarily include these contacts, I
suspect such interrelationships have been neither as systematic
nor as comprehensive as they should be.

•

�13
Develop better linkages between the formal (traditional
undergraduate and graduate) and informal teaching programs.
Usually these teaching activities at the university exist side by
side with virtually no interaction.
Show creativity in inter-institutional arrangements, demonstrating coordination and cooperation.

Institutions of higher

education must be less unilateral in their educational activities.
Be more creative in the use of new technology in learning.
Much has been made of new hardware and software available for
teaching.

The challenge in the utilization of new technology

lies with the human element, both teacher and learner.
And, as leaders in continuing education, you need to furnish
that new spark of creativity and commitment in identifying specific
target audiences in various settings.

With some client audiences,

exemplary effort in continuing education can be cited; other
audiences are virtually or absolutely unreached.

No one would

advocate that a university should be all things to all people.
But institutions of higher education should be charged with

&amp;

�14
strengthening all of education -- with creating new institutional
forms if they are needed, nurturing them, preparing personnel ,
evaluating their effectiveness, and developing modifications so
that educational needs can be b etter met.

IV
It may be presumptuous, but let me cite some possibilities
for greater continuing education services.
To begin with, what about continuing education in the professions ?
"Oh, boy," you say, "where has this guy been the past 20 years?
Do esn't he know what we've been doing in continuing professional
education?"

Yes, I know, and almost everybody knows and takes as

an article of faith that lawyers, architects, dentists, pharmacists,
social workers, school teachers, and certain other professionals
need to go on learning throughout their lives.

We know about the

continuing education programs offered to them.

But we also know

that many professionals are laggards in this respect.

And so,

slowly and reluctantly, the professions themselves, and the state
governments which license some of them, are taking steps to bring

•

�15
matters under social control.

Many such efforts have to do with

supervision, regulation, and the imposition of penalties for
"poor practice," but a great deal of hope has also been attached
to the provision -- and the mandating --of continuing education.
How active are you, as continuing education's leaders and
spokespersons, in working with individual professions and professionals,
to help them understand the need for, develop, and then take
advantage of continuing professional educational opportunities?
How active is your institution ?
capitol?

In your community?

In the state

In testimony before licensing and other state boards?

In dialogue at national professional conferences?
national groups?

And with other

And how much progress is being made in relating

continuing professional education to individual needs, with
"success '! measured in terms of performance in professional practice
rather than simply accumulated CEUs?
Outside the professional fi eld, associations devoted to
religious, political, so cial, and economic causes are also now
turning to adult education as a way of achieving their diverse

•

�16
ends.

Large numbers of people are seeking to acquire basic

learning or fundamental life skills, to secure high school equivalency
certificates, to use experience in an educative way, to earn
non-traditional degrees, and to learn new kinds of work competence
or expand the ones they already have.

In many organizations,

particularly the military services and some major corporations,
work time and study time are meshed with one another.
Is it appropriate for me to suggest that you -- again as
leaders of continuing education -- recognize, reflect, and advocate,
in tangible ways, a commitment to continuing education?

What are

you, as leaders in the field, doing to pragmatically raise the
awareness of your college freshmen that they are launching a
process of learning that will be lifelong, and a relationship
with their, and your, academic community which should be continuous?
In this regard, I often ponder the fact that as a society we
hav e built a great industry around the concept of estate planning ,
but these elaborate plans are implemented only at death.

Why not

a comprehensive approach to building an individual plan for

•

�17
living -- for lifelong learning and growth, reflecting the latest
notions of the stages of adult development, incorporating an
individual's personal values and goals, and representing a totally
comprehens ive and refreshingly new accommodation of institutions
to the inter-relationships between work (profession, career),
family, leisure, and learning? Could it be done for the 18-year-old
college fre shman?

For the 23-year-old medical student or the

48-year-old computer programmer? Can you do it?

Can the institution

you represent do it?

v
In the hope that you will give further thought to these
ideas and questions, I offer two related cautions.

Both are

based on my foundation's some 40 years of supporting continuing
education programs in a variety of forms, settings, institutions,
and professions.
First, the path for creating new programs for adults is
neither simple nor easy.

Since 1970, a number of people have

believed that the essential idea of non-tradition al e duc a t i on was

,

�18
simply to do the opposite of what tradition suggested.

If a

program had previously been completely prescribed, then it could
be made completely elective; or, if all courses had been taught
during the day on campus, then t each them at night somewhere
else.

Some very costly mistakes have resulted.
Another cornmon error is to pick up a successful program in

one field and to put it down, intact, in another.

People have

not understood how complex is the model they seek to use and how
it has be en tailored to fit the situation in each of the places
it is used.

Perhaps its principles -- or, at least, some of

them -- can be transplanted, but their application to their new
setting is never easy.

If continuing education is to be as

firmly rooted in futur e practice as introductory e du c a t i on for
young people is today, we must expect no easy and quick gains but
must be prepared for dedicated, even dogged, e f f or t .
My s e cond caution relates to a point I made earlier.

If

colleges and universities are to become true centers of learning
throughout the adult years, then the desire to bring this about

,

�must be ardently pursued for its own sake and not merely because
such a course of action is thought to be necessary to save the
institution.

VI
So, how does all this relate to the changing ground rules of
American higher education?
university?

For my program?

What does it mean for my college or
For me personally and professionally?

I have tried to suggest that it must mean a new attitude
about continuing education.

Colleges and universities, and you

as professionals, can take the "low road" that looks on the
continuing education function as merely acquiring students who
pay tuition.

Or you can take the "high road" that advocates the

importance of continuing education for all students and individuals
of a l l ages .
It also means an awareness that if your institutions do not
transmit knowledge to the people who will, and actually do today,
control society, then you cannot effect necessary change.

t

�20
Full circle, then, to change as it relates to you and NUCEA.
For all of the foregoing hopes , dreams, aspirations, and potenti al
will depend

in the final analysis -- on the continuing education

of th e continuing education professional and on the abilities and
vision of key organizations like NUCEA.
NUCEA must strive to further develop a pool of continuing
education leaders.

Today there are only a few individuals who

have gained a national or international reputation as expert
continuing education administrators.

In too many instances,

those appointed to run continuing education programs are selected
because they have excellent track records as deans or faculty
members in other areas.

Once appointed, they are expected to

just tldo it," meaning run an effective continuing education
program .
Such narrow attitudes toward the skills, perceptions, and
qualifications needed from a continuing education director only
serve to explain why, under budgetary pressures, too many institution s ca s t un enli ghtened eye s at continuing educ ation as something
they can eliminate in an effort to cut corners.

�21
To advance the cause of continuing education, NUCEA might
identify and affiliate with leading universities that have an
impressive record of scholarship in continuing education.

NUCEA

might then direct new deans, directors, and faculty to these
institutions to participate in mentor experiences in order to
develop the skills needed as continuing education administrators.
There also needs to be continuous "two-way traffic" on the
bridge between scholarly research and theory development in
continuing education, and the application of that scholarship in
practice.
NUCEA might solidify its role as resource center for the 30
to 40 differing organizations which today provide continuing
education experiences for their members.

For example, l've been

told the NUCEA region coordinated by Memphis State University has
done a particularly good job of developing a network of resource
agencies, materials, and institutions that can be called upon to
meet a variety of programming needs.

NUCEA has the potential for

also developing greater awareness and support among college and

J

�22
university presidents for the challenges, opportunities, needs
and institutional payoffs which are reflected in making available
continuing education opportunities for their own continuing
education administrators and faculty.
The future is equally challenging and full of opportunity
for each of you as continuing education professionals.
If you are perceived as being without consequence or contribution
to new educational needs or solutions, you may well be among the
first casualties of the "decade of scarcity" ahead.
On the other hand, if you perform well professionally, you
will be recognized, accepted and called upon as individuals with
unique scholarly resources, experiences, and practical talents.
[Let me apologize here if my language seems a bit sexist.
I've struggled to balance the male and female pronouns in my
remarks, particularly so since I recognize that some of the
greatest leaders in extension work have been, and are today,
women. ]

I

�In either case, the effective continuing education administrator
will know how to perceive the needs of adults by knowing the
community which the university serves and its social and economic
fabric in relation to the greater social system.
He or she will keep abreast of advances in new knowledge and
ways of transferring that knowledge to the people who can best
use it.

He will be well read on the subject of continuing education

(more than 2,500 doctoral dissertations have been written about
it); he or she will attend conferences, when appropriate, to form
networks with resource agencies and others in the field; and he
will continually study personal successes and failures in order
to build a better program.
The effective continuing education administrator will be
that person who has so clearly become the master of the scholarly
"body of knowledge" on adult and continuing education that he has
demonstrated both his intellectual excellence and standing, and
his value to his institution in ways no one else has or can.
will hav e cr eated the environment in which he and his staff

He

�24

continue to learn and grow and develop programs in concert with
the people they serve.
From the unique continuing education knowledge base he
possesses, and through the special skills and talents he has
carefully honed, this professional will provide critical leadership
for his department and his institution during the coming era of
"changing ground rules in higher education."
He will work creatively to help his college or university
overcome an outdated, full-time equivalency based funding formula.
Through NUCEA and other affiliations, h e will help higher education
and America cast off the constraints of self-created systems of
credentialing and accreditation.

Using his reservoir of experience,

he will work effectively with his university faculty to alleviate
their discomfiture in dealing with other than captive, post-adolescent
students.

And, he will be at the forefront in successful efforts

to remove the reluctance of institutional decisionmakers -- and
those beyond -- to condone or champion unaccust omed approaches to
reaching educational objectives.

�25

VII
It is the best of times.

It is the worst of times.

The

characters in Charles Dickens' novel lived at a time of dramatic
social and economic change.

I suspect that so do we, and so does

higher education in America.

But I also sense a readiness on the

part of academia -- and on the part of learners -- to consider,
explore, test new concepts and patterns.
It is the best of times.

It is the worst of times.

Yet at

no time in the recent past have you as professionals and continuing
education as a concept and as a reality been better positioned to

..

help chart your professional futures, those of your institutions,
and that of higher education generally.
It is the best of times.

It is the worst of times.

But we

should remember that universities always honor faculty members
who demonstrate outstanding erudition and competence; even in
times of scarce resources, Nobel Prize winners are seldom fired
from their jobs.

Extension leaders who are equally knowledgeable

and able need have little fear for their futures.

Departments of

�26

continuing education and institutions of higher learning must
rest on the sagacity and performance of those who operate them.
On no other rock can they securely stand.
Godspeed in your efforts to reach such high, firm ground.

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                    <text>"CIRCA"
Dedication Ceremony
Remarks by
DR.

RUSSELL G. MAWBY
August 27, 1982

Thank you, Mayor Oglesby.
I

am delighted to be here this morning,

dedication ceremony.

This sculpture,

to join in this

"CIRCA," stands as the

"gateway" to the future of our community in both a symbolic
and a practical sense.
Because it is located here, beside our new intermodal
transportation terminal

(depot)

and a part of McCamly Square,

it provides a focus of interest for people arriving in Battle
Creek and for all of us as we move about the city.

It will

surely be a topic of conversation, perhaps even criticism -but I

predict that it will grow in our appreciation and

will become a symbol of our city,
Rapids and the Picasso in Chicago.
artist, Mr.
all happen.

Calli gan,

as have the Calder in Grand
We are indebted to the

and to the committee who have made it

�2

But "CIRCA" is more than a gateway in the obvious
tangible sense.

It is a symbolic gateway to the future of

Greater Battle Creek,
from the city I

a Battle Creek that is vastly different

saw when I

came here in 1966.

our city is not what it used to be.

I

People tell me

know they are right.

I know because less than two decades a go we had no Family Y
Center, no Michigan Mall,

no McCamly Square with its

Stouffer's Hotel and Kellogg Center;
Area Vocational Center;

there was no Calhoun

the Kellogg Community College campus

was just beginning to flourish;

Fort Custer Industrial Park

was an idea, not a reality; Binder Park Zoo didn't exist;
railroad consolidation was only a hope in the hearts of citizens
who waited in long queues of automobiles while endless lines of
boxcars crawled across the main streets; and the Lakeview Mall
development s eemed light years away,

if it was thought of at all.

So the sculpture represents for me a changing Battle Creek,
a different Battle Creek -- a prosperous, vibrant,
Battle Creek.

And,

a ppr opr i a t e l y ,

and vital

it is the result of

�3

community effort -- the combined contributions of countless
individuals,

in time,

talent,

and 6011ars.

Perhaps Ralph Waldo Emerson said it best:
so we do;

and as we do,

"As we are,

so it is done to us; we are the

builders of our fortunes and the future."
Today we are taking part in a
a ceremony of dedication.

I

time-honored tradition --

like to think that our participE-

tion in the dedication of this sculpture is a symbolic
statement.

As

a

component of our Sesquicentennial observancE,

linking the past to the present and the future,

this

ceremon~

is a declaration of our commitment to continue to work
together to make Greater Battle Creek,

the entire

metropolitE~

area, an ever better community.
Before coming over here this morning,
school Latin is a bit rust y,
to be sure I

I

be c ause my high

turned to the dictionary just

understood th e precise "translation" or

definition for

"CIRCA."

Webster's says Circa means "about,

or around," generally used in reference to a particular date
or point in time.

�4
This sculpture:

CIRCA -

Gateway to the Future,

represents an important point in time,

an important moment

in both the symbolic and real growth of Battle Creek.
symbolizes what Battle Creek can be
if we continue to work together.

and will be

It

�DED
ICAT
ION OF SCULPTURE
C
IRCA -G
a
t
ew
ay toth
e Fu
tu
r
e
F
r
i
d
a
y
, Augu
s
t 27
, 1982
I
n
t
e
rmod
a1 Ce
n
t
e
r
11
:30 a
.m
.

1
. \o
f
f
iLCOME - MA'
(ORFLOYD OGLESBY

I
I
.REFERENCE TO DAR DAV
IS
I
I
I
.INTRODUCE DR
. RUSSELL ~~

PRES
IDENT W
. K
. KELLOGG FOUNDAT
ION

IV
. INT
RODUCE M
ICHAEL C
ALLIGAN
, SCULPTOR
V
. INTRODUCEW
ILL
IAN "B
ILL
"K
ITCHEN

(R
e
spon
se
)

(R
e
spon
se
)

V
I
. INTRODUCE CHR
IS SCHWE
ITZER (R
e
spon
s
e
)
V
I
I
. INTRODUCE RALPH

li~

E

(R
e
spon
s
e
)

V
I
I
I
. R
IBBON CUTT
ING
IX
. CLOS
ING

lli~

MAYOR FLOYD OGLESBY

OF SCULPTURE DED
ICAT
ION

MRS
. CHR
IS CHR
IST

�</text>
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                    <text>HEALTH CARE SY STEM OUT OF SYNC
COMMUNITY PARTNERSHIPS: CREATIVE RESPONSES
TO A CRITICAL NEED
REMARKS BY DR. RUSSELL G. MAWBY, PH.D.
CHAIRMAN AND CHIEF EXECUTIVE OFFICER
W.K. KELLOGG FOUNDATION
COMMUNITY PARTNERSHIPS IN HEALTH PROFESSIONS EDUCATION
POLICY CONFERENCE
.
NATIONAL PRESS CLUB
WASHINGTON, D.C.
SEPTEMBER 11, 1991

I

IT IS A PLEASURE

TO BE WITH

YOU TO

HELP

LAUNCH

THE COMMUNIT Y

PARTNERSHIPS INITIATIVE AND TO SHARE A FEW OBSERVATIONS ABOUT REFORM
IN HEALTH PROFESSIONS EDUCATION FROM A LAYMAN'S PERSPECTIVE.
THANKS

TO

EACH

OF

YOU

FOR

BEING

HERE

FOR

THIS

VERY

OUR

SPECIAL

OCCASION.

MOST OF YOU HERE ARE PARTNERS IN THIS EFFORT WHICH AIMS TO INCREASE
THE

NUMBER

OF

PRIMARY

HEALTH

PRACTITIONERS

--

DOCTORS,

DENTISTS, AND OTHER HEALTH PROFESSIONALS -- AND TO DEVELOP

NURSES,

�MULTIDISCIPLINARY
COMPREHENS I VE

MODELS

PR I MARY

FOR

IMPROVING

HEALTH

CARE.

THE
I

PUBLIC'S

APPLAUD

CONTRIBUTION DURING THE TWO YEAR PLANNING PHASE.
SMALL ORDER.

ACCESS

YOU

AND

TO
YOUR

THIS HAS BEEN NO

EACH OF YOU KNOWS ONLY TOO WELL THAT THE SLOW PROCESS

OF INSTITUTIONAL CHANGE CAN PROTECT US ALL FROM HASTY DECISIONS OR
IMPULSIVE ACTIONS, BUT IT CAN JUST AS EASILY SMOTHER THE FLAME OF
INNOVATION.

YOU HAVE ALREADY SHOWN COURAGE, ENERGY, AND KNOW-HOW TO

AVOID THAT BEING THE CASE.

No ONE KNOWS BETTER THAN DO YOU, THAT

MORE OF SUCH COURAGE AND COMMITMENT WILL BE NEEDED AS YOU MOVE AHEAD.

YOu HAVE CREATED SOMETHING THE FOUNDATION BELIEVES IS GOING TO MAKE
A DIFFERENCE:
THE

COMMUNITY PARTNERSHIPS -- EACH ONE DIFFERENT BECAUSE

CIRCUMSTANCES

WASHINGTON

YOU

FACE

EMPHASIZING OUR

ARE

DIFFERENT.

WE

INTENTIONS TO WORK

ARE

ALL

TOGETHER.

HERE

IN

USUALLY

PHYS IClANS TALK WI TH PHYS IClANS, NURSES WI TH NURSES, PUBL IC HEALTH
SPECIALISTS

WITH

SOCIOLOGISTS

AND

POLITICAL

POLITICIANS AND POLICYMAKERS WITH THEMSELVES.

2

SCIENTISTS,

AND

BUT ALL DIMENSIONS OF

�THE HEALTH PROFESSIONS AND COMMUNITY LEADERSHIP ARE REPRESENTED IN
THIS

MEETING

OUR

PARTNERS

INSTITUTIOI~AL

ARE

REPRESENTED:

ME DI CI NE, NURSING, ADMIN ISTRAT ION, PUB LIC HE ALTH, THE ALL I ED HEALTH
FIELDS.
SCHOOL
JUDGES,

AND OUR COMMUNITY
PRINCIPALS,
MAYORS,

PARTNERS ARE

HIGH

SCHOOL

GOVERNORS

AND

PEOPLE, ALL OF YOU.

HERE AS WELL -- MIDDLE

TEACHERS,
MEMBERS

REMARKABLE!

OF

WONDERFUL!

SMALL

BUSINESS

CONGRESS

--

OWNERS,
CONCERNED

TOGETHER YOU WI LL BE

THE VANGUARD IN MOVING FORWARD, IN TANGIBLE AND GRATIFYING WAYS, THE
CONCEPT AND WISDOM OF THE COMMUNITY-BASED ACADEMIC HEALTH CENTERS TO
REDIRECT HEALTH PROFESSIONS EDUCATION.

IN THIS INITIATIVE, CARING HEALTH PROFESSIONS TEACHERS OF ALL SORTS
ARE

JOINING WITH

COMMUNITIES.
THE

COMMON

DOCTORS,

CARING

LAY

PEOPLE

FROM

ALL WALKS

OF

LIFE

IN

YOu ARE BOUND TOGETHER BY COMMITMENT, BY TRUST, AND BY
PURPOSE OF

NURSES,

BETTER

PHARMACISTS,

EDUCATING HEALTH
DENTISTS,

SERVE THE NEEDS OF PEOPLE.

3

PROFESSIONALS ---

AND ALL THE

REST --- TO

�You REPRESENT RURAL COMMUNITIES IN TENNESSEE AS WELL AS COMMUNITIES
IN THE HEART OF BOSTON AND ATLANTA.

YOU'RE FROM WEST TEXAS, HAWAII,

AND WEST VIRGINIA, AND, OF COURSE, FROM HILLMAN AND HOUGHTON LAKE IN
MY HOME STATE OF MICHIGAN -- A FOUR-HOUR DRIVE FROM LANSING
MICHIGAN'S STATE CAPITAL AND THE CLOSEST MAJOR CITY.

AS COMMUNITY LEADERS,

YOU COME

NOT ONLY FROM RURAL,

UNDERSERVED

AREAS, BUT FROM INNER CITIES FACING MAJOR HEALTH CRISES.
PROFESSIONALS,
DENTISTS,

YOU

ARE

PHARMACISTS,

DEANS,

TEACHERS,

PHYSICIANS,

RESEARCHERS,

SOCIAL WORKERS,

SPECIALISTS, AND OTHERS IN ALLIED HEALTH FIELDS.
INSTITUTIONS

AND

SMALLER

ONES,

SOME

AS HEALTH

PUBLIC

NURSES,
HEALTH

YOu REPRESENT BIG

LONG-ESTABLISHED

AND

OTHERS

RELATIVELY NEW.

TOGETHER -- IN PARTNERSHIP, COMMUNITIES AND EDUCATORS -- YOU 'LL MAKE
A DIFFERENCE.

4

�II

AS ALREADY INDICATED, MY BACKGROUND AND MY GRADUATE EDUCATION ARE IN
AGR I CULTURE.
LAYMAN"

COME TO YOU AS A LAYMAN ,

I

WHOSE

ROLE

AS

CHIEF

EXECUTIVE

HOPEFULLY AN "II'JFORMED

OFFICER

OF

A FOUNDATION

OBLIGATES ME TO BE AWARE OF ISSUES IN THE FIELD.

CURRENTLY

THE

FOUNDATION'S

HEALTH

PROGRAMMING

FOCUSES

ON

COMPREHENS I VE, HOL IST IC EFFORTS TO MEET THE HEALTH CARE AND SOC IAL
SERVI CE NEEDS OF COMUN ITY PEOPLE.

WE SEE COMMUN ITY-BASED HEALTH

SERVICES AS A CRITICAL FIRST STEP I N REACHING THAT GOAL, AND THE
FOUNDATION IS PROVIDING RESOURCES TO ENHANCE THE DELIVERY OF PRIMARY
HEALTH CARE.

ANOTHER STRATEGY INVOLVES CHANGE IN HEALTH PROFESSIONS

EDUCATION ITSELF.
MUST

BE

INVOLVED

WE BELIEVE THAT OUR HIGHER EDUCATION INSTITUTIONS
IN

INNOVATIVE

SOLUTIONS

TO

OUR

HEALTH

CARE

PROBLEMS, AND WE BELIEVE THAT SUCH INVOLVEMENT WILL BEST BE MADE IN
PARTNERSHIPS WITH COMMUNITIES.

5

�WITH NO PROFESSIONAL EXPERIENCE IN THE HEALTH FIELD, I STILL RECALL
VIVIDLY A SERIES OF uRUDE AWAKENINGS u AS I FIRST BECAME INVOLVED IN
THE FOUNDATION'S PROGRAMMING IN HEALTH.

I WAS DISMAYED, SHOCKED,

DISAPPOINTED BY MUCH OF WHAT I LEARNED OF THE INNER WORKINGS, BOTH
I N HEALTH PROFESS IONS EDUCAT ION AND PRACT ICE .

WH I LE THERE IS MUCH

TO BE ADMIRED AI'JD PRAISED, CERTAII'J STARK REALITIES TARNISHED AND
ERODED THE PINNACLE I N MY MIND UPON WH ICH I HAD PLACED THE HEALTH
PROFESSIONS.

I'VE TRIED TO LEARN WISELY AND TO CAREFULLY PLACE THE

VARIOUS COMPONENTS IN PROPER PERSPECTIVE AND BALANCE.

IN SO DOING,

I HAVE HAD TO LEARN THE LEXICON OF THE HOSPITAL HALLWAYS AND THE
DIFFERENCES

BETWEEN

RADIOLOGY

AND · RHEUMATOLOGY;

TO

RECOGNIZE

A

uTHIRD PARTY PAYOR u WHEN I SEE ONE; TO UNDERSTAND THAT uFOUR-HANDED
DENTISTRY u DOESN'T REFER TO A CLUMSY PRACTITIONER OR A CARNIVAL
FREAK;

AND

TO

APPRECIATE

A CAREER

LADDER

IN

POTENT IAL OF NURSE-MANAGED HEALTH CARE FAC I LI TIES.

NURSING

AND

THE

I SEE SOME OF

YOU SMILING FOR MANY OF YOU ARE LEARNING NOW JUST AS I HAVE LEARNED.

6

�ACTUALLY I MUST CONFESS THAT I BRING SOME BAGGAGE TO THIS MEETING IN
OUR NATION'S CAPITAL.

I GREW UP ON A FARM IN WEST CENTRAL MICHIGAN,

NOT REALLY "RURAL" BECAUSE THE HOMEPLACE IS NOW PART OF A SUBURB OF
GRAND RAPIDS, BUT A FARM NONETHELESS AND IN A FAMILY WHICH ENJOYED
FOR YEARS THE SPLENDID SERVICES OF A COUNTRY DOCTOR, DR.
VYN.

JAY D.

HIS WIFE WAS HIS NURSE/RECEPTIONIST; LATER HIS DAUGHTER SERVED

IN THAT ROLE ALSO.

THEY WORKED TOGETHER IN HARMONY -- WE NOW CALL

THAT JOINT PRACTICE -- SUPPORTIVE OF EACH OTHER, THE PATIENT, THE
FAMILY.

I AM NOT A NOSTALGIA BUFF, YEARNING FOR THE GOOD OLD DAYS
~

-- A RETURN TO THE OUTHOUSE, TUBERCULOSIS, AND BLOOD LETTING -- BUT
THERE WERE SOME THINGS IN THAT ERA WHICH SHOULD STILL SERVE US WELL
TODAY.

BUT PERHAPS MY BEST QUALIFICATION FOR BEING HERE IS NOT THAT OF A
FOUNDATION EXECUTIVE, BUT SIMPLY A LAYMAN -- A SON, HUSBAND, PARENT,
CONCERNED CITIZEN.

I HAVE BEEN BLESSED WITH GOOD HEALTH AND SO MY

DIRECT EXPERIENCES WITH THE HEALTH CARE SYSTEM HAVE BEEN MINIMAL.

7

�BUT IHAVE HAD MORE THAN ENOUGH OPPORTUN
ITY TO BE DEEPLY INVOLVED EMOT
IONALLY AND IN EVERY OTHER

-IN MY RESPONS
IB
IL
IT
IES AND

~ A

RELAT
IONSH
IPS W
ITH BROTHERS AND S
ISTERS
, PARENTS
, FR
IENDS
.

I HAVE SPENT MORE HOURS THAN I CARE TO REMEMBER AT A HOSP
ITAL
BEDS
IDE
, LEAN
ING ON THE WALL
ENDLESSLY IN A WA
IT
ING

OF A HOSP
ITAL CORR
IDOR
, S
ITT
ING

ROOM
.

I HAVE

SOUGHT INFORMAT
ION AND

ASS
ISTANCE IN EVERY CONCE
IVABLE WAY -ASK
ING
, BEGG
ING
, CA
JOL
ING
,
THREATEN
ING -TO GET A T
IDB
IT OF INFORMAT
ION
, A GL
IMPSE OF THE
TRUTH
, A GLI
MMER OF UNDERSTANDI
NG
.
TR
IUMPHS

AND

TRAGED
IES
,

I HAVE EXPERI
ENCED I
TALL -

COMPASS
lON
,

ARROGANCE
,

SELFLESSNESS
,

I
NSENSIT
I
VE CALLOUSNESS
, BOTH THE BRI
LLI
ANCE AND THE PETTI
NESS OF
THE CAR
ING PROFESS
IONS YOU REPRESENT
.
THAT

OF

A CONCERNED

sO THE PERSPECT
IVE IBR
ING IS

IND
IV
IDUAL
, A GRATEFUL

BENEF
IC
IARY
,

A

CONSTRUCT
IVE CR
IT
IC
, AN EAGER PART
IC
IPANT IN THE UNEND
ING PROCESS OF
MAK
ING THE SUPERB HEALTH SYSTEM AND S
ITUAT
ION WE HAVE TODAY EVEN
MORE RESPONS
IVE
, EFFECT
IVE
, SAT
ISFY
ING -AND AVA
ILABLE TO ALL
.

8

�W. K.

KELLOGG, THE MAN WHO STARTED OUR FOUNDATION, SAID IT WELL,

"EDUCATION OFFERS THE GREATEST OPPORTUNITY FOR REALLY IMPROVING ONE
GENERATION OVER ANOTHER."

THOSE OF YOU WHO ARE EDUCATORS ARE VITAL

PARTICIPAI\JTS

IN THE SELECTION AND MOLDING OF PHYSICIANS,

NURSES,

PHARMAC ISTS,

DENT I STS,

OF

THE

THE CHARACTER,

THE

FUTURE.

ULTIMATELY,

PERSONALITY,

OTHER

HEALTH

PROFESS IONALS

YOU INFLUENCE THE SHAPE,

THE VALUES,

HEALTH CARE SYSTEM.

AND

THE MORALITY OF THAT WHICH WE CALL OUR

THOSE OF YOU WHO ARE LAY PERSONS, AS I AM, WILL

NOW SHARE IN THIS HUMBLING RESPONSIBILITY.

FOR THOSE OF YOU IN THE AUDIENCE NEW TO THE COMMUNITY PARTNERSHIPS
INITIATIVE, YOU MAY ASK WHY AND HOW THE KELLOGG FOUNDATION DEVELOPED
THIS INITIATIVE.

THIS EFFORT DID NOT START WHEN WE ANNOUNCED OUR

GRANT OF 47.5 MILLION DOLLARS LAST JUNE.

IT BEGAN 5 YEARS AGO WHEN

WE ASKED OURSELVES, HOW CAN A FOUNDATION LIKE OURS --HELP TO IMPROVE
OUR HEALTH CARE SYSTEM?
THE QUESTION,

AS A LOGICAL FIRST STEP, WE THEN PURSUED

"IF WE COULD DESIGN

9

IT,

WHAT KIND OF HEALTH CARE

�ARRANGEMENT WOULD WE LIKE FOR OUR FAMILIES AND OUR NEIGHBORHOODS?N
THIS

IS

NOT

ASKING OF
LEADERS

AN

IDLE

MYSELF,

IN

THE

OR

IMPULSIVE

MEMBERS OF

HEALTH

OUR

FOUNDATION

PROFESSIONS

F I NALLY CONCLUDED THAT IDEALLY,
MY FAMILY

QUESTION;

FOR

A

IT

IS

ONE

PROGRAM

NUMBER

OF

SPEAK I NG FOR MYSE LF ,

AFFILIATED WITH A SMALL TEAM OF

I'VE

STAFF,

AND OF

YEARS.
I

BEEN

I'VE

WOULD HAVE

PROFESSIONALS -- PERHAPS

SOME COMBINATION OF PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS,
ONE OR MORE DENTISTS,
PERSONNEL
TH I S

IN

GROUP

NURSING,
WOULD
AND

HOSPITALS

WITH A RECEPTIONIST/BOOKKEEPER,
SOCIAL

HAVE

WORK,

AND

APPROPR I ATE

REFERRAL

THE

ALLIED

PR I VI LEGES

ARRANGEMENTS

OTHER SUPPORT
HEALTH

WITH

WITH

FIELDS.

COMMUN I TY

SPECIALISTS.

PHILOSOPHICALLY THE GROUP WOULD BE COMMITTED TO A PROGRAM OF HEALTH
PROMOTION AND DISEASE
TREATMENT

OF

ILLNESS.

PREVENTION OR
NOw

LET'S

MODEL.

10

HEALTH

TAKE

A

MAINTENANCE,
MOMENT

TO

AS WELL AS

CONSIDER

THIS

�FIRST, THE CORE OF THE GROUP WOULD BE A PRIMARY CARE TEAM CONCERNED
WITH THE INDIVIDUAL AND WITH THE FAMILY.

WHEN ONE MEMBER OF THE

PRIMARY CARE TEAM WAS AWAY, THE PATIENT WOULD BE COVERED BY OTHER
MEMBERS

OF

THE

TEAM.

WHEN

WARRANTED,

THESE

PRACTIONERS

WOULD

INVOLVE APPROPRIATE SPECIALISTS FOR CONSULTATION AND/OR TREATMENT.

PHYSICIANS WOULD WORK IN HARMONY WITH NURSE PRACTIONERS.

VERY OFTEN

MY

TIME OF

MINOR

COMPLAINTS DO NOT

BOARD-CERTIFIED SPECIALIST.

REQUIRE

THE

ATTENTION

OR

A

I AM QUITE CONTENT TO BE TREATED BY A

COMPETENT NURSE PRACTITIONER, WITH CONFIDENCE THAT IF SHE IDENTIFIES
A PROBLEM

THAT

REQUIRES

PHYSICIAN

COLLEAGUE.

INEXCUSABLE,

THAT

PROVIDED

FEW

HEALTH

SO
CARE.

MOD I FICAT ION.

THE

IT

FURTHER -EXPERTISE,
SEEMS

TO

ME

COMPETENCE

OF

THE

OPPORTUNITIES

THE

PUBLIC,

I

SHE

WILL

INVOLVE

DEPLORABLE,
NURSING

IN

FACT

PROFESSION

TO

CONTRIBUTE

MAXIMALLY

AM

CONVINCED,

WOULD

TO

WELCOME

A

IS

HUMAN
SUCH

THE PROBLEM LIES NOT WI TH THE CONSUMERS, BUT I N THE

PROFESSIONS AND THEIR WORKING RELATIONSHIPS, OR LACK THEREOF.

11

�WITHIN THE TEAM, PRIMARY CARE PRACTITIONERS WOULD CONTRIBUTE THEIR
APPROPRIATE SPECIALTIES TO THE GROUP ENTERPRISE, AS WOULD THE OTHER
HEALTH

PROFESSIONALS.

UNDERSTAND

WHY

AND THE

DENTISTRY

IS

DENTISTS?

PRACTICED

AS
IN

A LAYMAN,

ISOLATION

--

I DON'T
PERHAPS

SPLENDID ISOLATION -- BUT NONETHELESS ISOLATION FROM THE MAINSTREAM
OF THE HEALTH CARE SYSTEM.

THE PROBLEMS OF MY TEETH AND MY MOUTH

ARE NOT ISOLATED FROM THE REST OF ME, AND I BELIEVE, CAN HAVE AN
IMPACT THROUGHOUT THE BODY.
ADDRESS THE

IDIOSYNCRASY

THUS, THE FAILURE OF THE PROFESSION TO
IN

THE

PRESENT

PATTERN OF

PRACTICE

IS

DIFFICULT TO FATHOM.

AND THE EMPHASIS ON HEALTH PROMOTION AND DISEASE PREVENTION?

YOu IN

THE HEALTH PROFESSIONS HAVE DESIGNED A SYSTEM WHICH COMPENSATES YOU
ONLY

FOR THE TREATMENT OF

MY

ILLNESS OR

INJURY.

I

CAN

ENGAGE

SPECIALISTS TO DESIGN AND IMPLEMENT A PREVENTIVE MAINTENANCE PROGRAM
FOR

MY AIR

CONDITIONER AT HOME,

MACHINE AT MY OFFICE.

OR THE

ELEVATOR OR DUPLICATING

OR -- CLOSER TO OUR TOPIC TODAY -- I CAN

12

�CONTRACT WITH

MY VETERINARIAN

HORSES.

SUCH

IN

A

FOR A HERD HEALTH

CONTRACTUAL

ARRANGEMENT,

PROGRAM
I

FOR MY

ALWAYS

HAVE

RESPONSIBILITIES WHICH I MUST FULFILL IF THAT CONTRACT IS TO REMAIN
VALID.
GROUP

IN SIMILAR FASHION, I WOULD LIKE TO COMPENSATE A HEALTH CARE
FOR

THE

PARTICIPATION
RESPONSIBILITIES,

DESIGN
AND

AND

CONTINUED

FULFILLMENT

MONITORING,

OF

MY

WITH

MY

OBLIGATIONS

FULL
AND

OF A MAINTENANCE CONTRACT FOR MY MOST PRECIOUS

POSSESSION -- MY HEALTH AND THAT OF MY FAMILY.

III

AT THE FOUNDATION, WE BEGAN TO ASK OURSELVES AND OUTSIDE EXPERTS:
"WHY

HAVE

THE

HEALTH

PROFESSIONS

BEEN

SO

UNIMAGINATIVE,

SO

UNCREATIVE, SO UNRESPONSIVE IN THIS AREA?"

GROWING OUT OF THESE DELIBERATIONS,
COMMUNITY-BASED HEALTH

SERVICES,

13

OUR PROGRAMMING FOCUS BECAME

PROJECTS

LINKING PEOPLE

IN NEED

�W
ITH PROFESS
IONAL EXPERT
ISE
, AND FROM WH
ICH GRASSROOTS LESSONS M
IGHT
HELP

SHAPE

D
IRECT
IONS

FOR

THE

SYSTEM
.

CLEARLY
,

LONG
-TERM

IMPROVEMENT DEPENDS
, IN PART
, ON RED
IRECT
ION OF THE WAY WE EDUCATE
HEALTH PROFESS
IONALS
.

so WE ESTABLISHED -IN BROAD GU
IDEL
INES -

OUR COMMUN
ITY PARTNERSH
IPS W
ITH HPE IN
IT
IAT
IVE
.

A LETTER OF INV
ITAT
ION WENT OUT AND AN INFORMAT
IONAL SESS
ION WAS
HELD IN CH
ICAGO IN 1989
. WE SHARED W
ITH THE AUD
IENCE OUR CONCERNS
ABOUT HEALTH CARE IN AMER
ICA AND THE ROLE OF HEALTH EDUCATORS
.
NEARLY 7
0
0 PEOPLE ATTENDED THAT MEET
ING
; MOST HEALTH PROFESS
IONS
SCHOOLS IN THE NAT
ION WERE

S N~

WE RECE
IVED 1
10 PROPOSALS
.

FROM THAT POOL OF IDEAS
,1
5F
INAL
ISTS WERE SELECTED
. FOR 1
8 MONTHS
,
EDUCATORS AND COMMUN
ITY LEADERS INVOLVED IN THESE 1
5 LOCAT
IONS
WORKED TOGETHER TO EXPLORE AND FASH
ION COMMUN
ITY PARTNERSH
IP PLANS
.
MANY OF YOU IN TH
IS ROOM
, GAVE UP NEARLY 5 WEEKS OF YOUR T
IME TO
ATTEND MEET
INGS AWAY FROM HOME
.
RECE
IVED

AND

S
ITE V
IS
ITS

LAST JUNE
, AFTER PROPOSALS WERE

CONDUCTED
,

14

SEVEN OF

THE

COMMUN
ITY

�PARTNERSHIPS WERE AWARDED 6 MILLION DOLLARS EACH.
TON IGHT REPRESENT THOSE 7 PARTNERSH I PS.

MOST OF YOU HERE

YOU HAD PROVED THAT YOU

WERE READY TO WORK TOGETHER IN A UNIQUE AND POTENTIALLY FAR REACHING
MANNER -- PEOPLE AND INSTITUTIONS COMING TOGETHER TO CREATE PRIMARY
HEALTH CARE TEACHING CENTER S AND TO DELIVER QUALITY, COMPREHENSIVE,
INTERDISCIPLINARY HEALTH CARE.

WE ARE ASKED SO OFTEN WHAT WE MEAN BY PRIMARY HEALTH CARE, PROBABLY
BECAUSE IT MEANS SO MANY THINGS THAT IT MEANS SO LITTLE.

I AM NOT

GOING TO HELP WITH THE DEFINITIONAL PROBLEM, BUT I WOULD LIKE TO
REFLECT

ON

A FEW

THINGS

THAT

ARE

IMPORTANT

FROM

MY

LAYMAN'S

PERSPECTIVE -- AND I SUSPECT TO MOST PEOPLE AS WELL.

2400

YEARS

DISCONTINUITY

AGO,

THE

GREEK

IN MEDICAL CARE

HI STOR IAN

HERODOTUS

IN HIS NATIVE

"EACH PHYSICIAN TREATETH ONE PART AND NOT MORE.

15

LAND.

PERCE I VED
HE

A

LAMENTED,

AND EVERYWHERE IS

�FULL OF PHYS
IC
IANS
; FOR SOME PROFESS

T

~ S L

S

PHYS
IC
IANS OF THE

EYES
, AND OTHER THE HEAD
, OTHERS THE TEETH
, AND OTHERS OF THE PARTS
OF THE BELLY
, AND OTHERS OF OBSCURE S
ICKNESSES
.
"

HERODOTUS WAS CORRECT IN H
IS V
IEW THAT A D
ISCONT
INU
ITY OF CARE CAN
RESULT FROM THE TREND TOWARD OVERSPEC
IAL
IZAT
ION
.

HEALTH CARE
,

OFFERED OR PROVI
DED IN AFRAGMENTED F
ASHION
, IS D
I
FFI
CULT TO DEAL
W
ITH

IN ITSELF BUT THE PROBLEM GOES DEEPER
.

OFTEN ACCOMPANY
ING

SPEC
IAL
IZED CARE ISTHE PROBLEM OF TRANSFERR
ING INFORMAT
ION BETWEEN
CARE PROV
IDERS WHO UNW
ITT
INGLY
, OR WORSE
,

KNOW
INGLY
, INH
IB
IT THE

PAT
IENT
'S ACCESS TO COMPREHENS
IVE CARE
.

I
'LL USE A PERSONAL EXAMPLE TO ILLUSTRATE WHAT I MEAN
.

By THE T
IME

MY MOTHER REACHED HER M
ID
7
0S
, SHE HAD SEVERAL D
IFFERENT HEALTH
PROBLEMS
, INCLUD
ING CANCER AND COMPL
ICAT
IONS FROM A SER
IES OF
STROKES
.

IN THE COURSE OF HER CANCER TREATMENT/ SHE WAS SHUNTED

16

�FROM ONE SPEC
IAL
IST TO ANOTHER
,

FROM INTERN
IST TO SURGEON TO

RAD
IOLOG
IST TO ONCOLOG
IST
, NONE OF WHOM REALLY TOOK A COMPREHENS
IVE
LOOK AT HER PROBLEMS IN ORDER TO ASSESS HER OVERALL COND
IT
ION
.

THE

INTERN
IST WHO IN
IT
IALLY D
IAGNOSED THE PROBLEMS REFUSED TO CONT
INUE
AS HER PR
IMARY CARE PHYS
IC
IAN
, SO BY DEFAULT THE RESPONS
IB
IL
ITY FOR
F
IND
ING A NEW DOCTOR CAME BACK TO MY MOTHER AND OUR FAM
ILY
.
ENCOUNTERED ANOTHER STUMBLI
NG BLOCK

WE

A GREAT RELUCTANCE
, AND AT

T
IMES
, REFUSAL OF SEVERAL DOCTORS TO TRANSFER MED
ICAL RECORDS OF THE
CARE THEY GAVE MY MOTHER TO OTHER PHYS
IC
IANS WHO ALSO WERE TREAT
ING
HER
.

CONSEQUENTLY
,

EXAM
INAT
IONS
,

TESTS
,

AND

PROCEDURES

~

DUPL
ICATED UNNECESSAR
ILY
, AT INCONVEN
IENCE
,D
ISCOMFORT
, AND COST
.

I

UNDERSTAND THE REASONS G
IVEN
, BUT I DO NOT ACCEPT THE F
INAL RESULT
AS ADEQUATE OR DEFENS
IBLE
.
ISNOT AN ISOLATED ONE
.

THERE MUST BE BETTER WAYS
.

TH
IS EXAMPLE

FR
IENDS AND ASSOC
IATES HAVE TOLD ME S
IM
ILAR

STOR
IES
, AND YOU CAN SURELY ADD ANECDOTES OF YOUR OWN
.

17

�OVERSPEC
IAL
IZAT
ION AND A LACK OF CONT
INU
ITY IN CARE ARE NOT PROBLEMS
CONFI
NED

TO

OBSERVERS

THE

CONTEND
,

PRACTI
CE
HAS

OF

MEDI
C
INE
.

RESULTED

FROM

SPEC
IAL
IZAT
ION
,
THE

SOME

IMPLEMENTAT
ION OF

TECHNOLOGY IN ALMOST EVERY F
IELD
, FORC
ING THE IND
IV
IDUAL TO DEAL
W
ITH

AN

EVER
INCREAS
ING NUMBER OF

PROV
IDERS OF SERV
ICE
.

THE

SPEC
IAL
IZAT
ION OF HEALTH PROFESS
IONS EDUCAT
ION AND HEALTH SERV
ICES
IS
, IN MANY WAYS
, AN AMER
ICAN ACH
IEVEMENT WE

A~

BE PROUD OF
.

BUT

AT THE SAME T
IME
, WE MUST MANAGE ITSO THAT ITDOESN
'T BECOME AN END
IN ITSELF
.
FRAGMENTED
,

IF SUCH SPEC
IAL
IZAT
ION RESULTS IN FRUSTRAT
ION AND
INCOMPLETE PAT
IENT CARE
,

IT NEEDS

RETH
INK
ING AND

REARRANG
ING
.

TH
IS PROBLEM SHOULD BE ADDRESSED BY ALL HEALTH PROFESS
IONAL SCHOOLS
,
AND PART
ICULARLY BY THE MED
ICAL SCHOOL
. THE MED
ICAL SCHOOL HAS THE
RESPONS
IB
IL
ITY OF EDUCAT
ING THE KEY MEMBER OF THE HEALTH CARE
DELI
VERY TEAM
.

THE DOCTOR HAS BEEN THE QUARTERBACK
, THE CEO
, THE

GUARD
IAN
, THE GATEKEEPER -LARGELY DETERM
IN
ING IN WHAT MANNER AND

18

�WITH

WHAT

EMPHASES

PATIENT

CARE

IS

PROVIDED.

SHE

PROBABLY REMAIN IN THIS POSITION FOR YEARS TO COME.
SHOULD

BE

TRIED.

WHAT

ABOUT

A NURSE

OR

HE

WILL

BUT NEW MODELS

QUARTERBACK,

A DENTIST

QUARTERBACK?

I HAVE A TRUE

STORY THAT

ILLUSTRATES THE

ISSUE OF

HEALTH

CARE

AVAILABILITY AND ACCESS.

NOT

LONG

MICH IGAN,

AGO

ON

A VISIT TO A COUNTY

SEAT

IN

SOUTHERN

I MET WITH A GROUP OF YOUNG DOCTORS.

I ASKED

THEM, "IF THE MAWBY FAMILY ·MOVED TO THIS AREA, COULD ANY OF
YOU TAKE US ON AS NEW PATIENTS?"

THERE WAS A QUICK CONSENSUS, "OH YES, RuSs MAWBY, CHAIRMAN
OF THE KELLOGG FOUNDATION, OF COURSE WE WILL GET YOU IN."
"NO,

NO," I SAID.

"RUSS MAWBY, OR LET'S SAY RuSS JONES,

WITH A WIFE AI\JD THREE KIDS,
TOWN."

19

LIVING ON 40 ACRES SOUTH OF

�AGAIN THERE WAS QUICK AGREEMENT,
NEW

PATIENTS.

FOR

NOW,

"NONE OF US

YOU'LL

JUST

HAVE

IS TAKING ANY
TO

GO

TO

THE

EMERGENCY ROOM AT THE HOSPITAL."

I DON'T BELIEVE THAT IS A SATISFACTORY ANSWER TO PRIMARY CARE FOR
FAMILIES;

EMERGENCY ROOM CARE

SHOULD BE FOR

EMERGENCIES,

NOT SERVE

AS A USUAL POINT OF ENTRY FOR PRIMARY CARE.

EXPERTS

KEEP

TELLING

PROBLEM

ONLY

FOR

COMMUN I TIES.

THE

ME

THAT ACCESS

URBAN

POOR

TO

AND

THAT SI MPL Y I S NOT TRUE,

HEALTH

FOR

CARE

PEOPLE

I F OUR

MEASURE

GOES BEYOND THE MOST PRIMITIVE OR BASIC STANDARD .
ALL

TYPES,

CIRCUMSTANCES,

URBAN

AND

MANY FAMILTES

RURAL,

WITHOUT

TO SATISFACTORY PRIMARY CARE ON A CONTINUING BASIS.

A SERIOUS

REMOTE
OF

RURAL

ADEQUACY

IN COMMUNITIES OF

REGARD

HAVE REAL DIFFICULTY

20

IN

IS

TO

ECONOMIC

IN GAINING ACCESS

�BUT

AS

A LAYMAN,

I

HAVE

OBSERVED THAT

HEALTH

PROFESSIONALS

PARTICULARLY PHYSICIANS, BUT TO A DEGREE ALL HEALTH PROFESSIONALS
HAVE NO PROBLEMS GAINING ACCESS TO THE HEALTH CARE SYSTEM.
CHILD OR

MOTHER

OR GOOD

FRIEND NEEDS TO SEE

IF THEIR

A DOCTOR,

EVEN A

SPECIALIST WHO IS BOOKED SIX MONTHS IN ADVANCE, THERE IS NO PROBLEM
OF

ACCESS.

I SUSPECT THIS

MAY BE A FRINGE BENEFIT WHICH

EXTENDS TO HEALTH PROFESSIONS EDUCATORS.
YOU

INTO

BELIEVING

THIS

ISN'T

ALSO

BUT DON'T LET THIS LULL

A PROBLEM

FOR

THE

REST

OF

US,

REGARDLESS OF GEOGRAPHIC, CULTURAL, OR ECONOMIC CIRCUMSTANCE.

I

CAN'T

HELP

BUT

THINK

THAT

THE

VERY

PRESSING

PROBLEM

OF

MALDISTRIBUTION, AND SOME SAY SHORTAGE, OF NURSES IS ALSO DIRECTLY
RELATED TO HEALTH PROFESSIONS EDUCATION ISSUES -- ESPECIALLY MEDICAL
EDUCATION.

AS A LAYMAN,

I CAN'T UNDERSTAND OR SYMPATHIZE OR HAVE

PATIENCE WITH THE KINDS OF "PROFESSIONAL SNOBBERY" WHICH SEPARATE
THE HEALTH PROFESSIONS IN EDUCATIONAL AND CLINICAL SETTINGS.

21

I DO

�NOT UNDERSTAND THE RELUCTANCE OF THE MED
ICAL PROFESS
ION AND MED
ICAL
SCHOOLS TO TAKE A MORE
UNREAL
IZED

POTENT
IAL OF

ENL
IGHTENED V
IEW OF
NURSES AND OTHER

RECOGN
IZ
ING TH
E

NON
-PHYS
IC
IAN HEALTH

PROFESS
IONALS TO MEET HEALTH CARE NEEDS IN TH
IS COUNTRY
.

I SUSPECT

THE EL
IT
ISM AND SEPARAT
ION WH
ICH ST
ILL CHARACTER
IZE TOO MUCH OF
PHYS
IC
IAN EDUCAT
ION AND CARE W
ILL NOT BE TOLERATED MUCH LONGER
.
TH
IS

~~OUL

SEEM PART
ICULARLY TRUE AS THE PUBL
IC BETTER UNDERSTANDS

HOW SUCH PAROCH
IAL
ISM IMPEDES THE QUAL
ITY
, CHARACTER
, AVA
ILAB
IL
ITY
,
AND COST CONTROL OF CARE IN THE
IR COMMUN
IT
IES
.

H
INOVATI
VE APPROACHES MUST ENCOURAGE POCTORS
, NURSES
, DENT
ISTS
, AND
OTHER HEALTH PROFESS
IONALS TO PRACT
ICE TOGETHER MORE EFF
IC
IENTLY AND
EFFECTI
VELY
. THISINCLUDES PROVI
D
ING CARE IN UNDERSERVED AREAS AND
TO UNREACHED CL
IENTELE
, SO THAT ALL PEOPLE
, AFFLUENT
, POOR
, L
IV
ING
IN THE C
ITY AND IN THE COUNTRY
, HAVE ACCESS TO QUAL
ITY HEALTH CARE
.

22

�NOTICE I SAID QUALITY HEALTH CARE; CERTAINLY A PERSISTENT AND BASIC
CONCERN OF

ALL.

IN

RECENT YEARS,

NOT JUST

IN THE

PRACTICE OF

MEDICINE, QUALITY INCREAS INGLY HAS COME TO BE DEFINED IN TERMS OF
USING

HIGH

EQUIPMENT,

TECHNOLOGY.
PROCEDURES,

WE

PRIDE

AND SYSTEMS WHETHER

INDUSTRY, OR COMMUNICATIONS.
ON

TECHNOLOGY

CAN

OURSELVES ON

CONTRIBUTE

USING

THE

IN MEDICINE,

LATEST

THE AUTO

IN THE HEALTH PROFESSIONS OVEREMPHASIS
TO

A FAILURE

TO

NOTICE

THAT

THE

PRACTICE OF QUALITY CARE FOR COMMON AILMENTS MAY BE JUST AS GOOD OR
BETTER I N A SMALL , MODESTLY EQU I PPED CL I NIC AS I N A MAJOR MED ICAL
CENTER.

MEDICAL SCHOOLS HAVE TAKEN THE LEAD IN APPLYING HIGH TECH TO THE
PRACTICE OF MEDICINE (AS WELL THEY SHOULD) BUT THEY MUST NOT RUSH SO
FAR AHEAD THAT THEY FORGET THE HUMAN DIMENSION

THE PATIENT'S

PERCEPTION OF QUALITY WHICH OFTEN HINGES ON HOW THE DOCTOR TREATS
THE PERSON,
INDIVIDUAL

NOT JUST THE MEDICAL PROBLEM.
FACULTY

MEMBERS

THAT

23

THEY

DESPITE STATEMENTS BY
RECOGNIZE

THIS

PATIENT

�PERCEPTION OF THE QUALITY OF CARE VERSUS THE PHYSICIAN'S PERCEPTION
OF

CARE,

MOST OBSERVERS

ARE

UNABLE

TO NOTE

MUCH

EVIDENCE

OF

THAT

RECOGNITION.

IF YOU OR
NOT WALK
STAY?"

WERE TO HAVE A HEART ATTACK TODAY, OUR LOVED ONE WOULD

I NTO THE

HOSP I TAL AND ASK,

"WHAT I S THE · AVERAGE

LENGTH OF

BUT THAT YARDSTICK HAS TOO OFTEN BEEN A PRIMARY MEASURE OF

"QUALITY"
ASK,

I

IN

"IS SHE

WITH HER?

HOSPITAL
IN

MAY

PAIN?
I

SEE

REVIEI-JS.

INSTEAD,

A LOVED ONE

IS LIKELY

Is SHE BEING KEPT COMFORTABLE?
HER?"

PHYSICIANS AND

TO

IS SOMEONE

HOSPITAL ADMINISTRATORS

TEND NOT TO WORRY ENOUGH ABOUT THESE HUMAN MEASUREMENTS WHICH ARE SO
SIGNIFICANT

TO

THE

PATIENT

AND

THE

FAMILY,

AND

TO

THE

PATIENT'S

RECOVERY.

THERE IS A DEFINITE NEED FOR EDUCATORS TO GIVE AS MUCH CONSIDERATION
TO THE PATIENT'S PERSPECTIVE ON QUALITY
HEALTH

SC IENCE Ar--ID

RESEARCH.

MANY

24

IN

PRACTICE AS IT GIVES TO

RESPECTED

AUTHORITIES

HAVE

LONG

�CALLED FOR

INCLUDING

THE

HUMANITIES

AND

SOCIAL SCIENCES

IN

THE

HEALTH PROFESSIONS CURRIC ULA AS A MEANS OF INSTILLING A CONCERN FOR
HUMANE

CARE

IN

THE

BUDDING

PHYSICIAN,

DENTIST,

NURSE,

PHARMACIST.

IN THE COMMUNITY PARTNERSHIPS INITIATIVE,

MODELS WILL

EMERGE THAT

NATURALLY

INCLUDE

THIS

OR

I HOPE NEW

INTERDISCIPLINARY

DIMENSION AS CENTRAL TO ALL HEALTH PROFESSIONS EDUCATION.

I

CAN'T

LEAVE

OUT

A COMMENT

ABOUT

COST.

MUCH

ATTENTION IS NOW FOCUSED ON COST AND WHO PAYS.

OF

THE

POLICY

WE SPEND 12% OF THE

GNP AND IT IS GROWI NG AT A RATE GREATER THAN ' I NFLATION -- BILLIONS
AND BI LLI ONS OF DOLLARS.

WI TH COS J. AS A FOCUS,

THE "SOLUT IONS"

ABOUND -- REDUCE THE UNNECESSARY PAPERWORK; ASSESS THE EFFECTIVENESS
OF

VARIOUS

TECHNOLOGICAL

INTERVENTIONS;

SHIFT

CONSUMERS; LET EMPLOYERS FOOT MOST OF THE BILL.
FEES; RESTRICT HOSPITAL STAYS.

DECISIONS

TO

CONTROL PHYS ICIAN

BE MORE LIKE CANADA; BE LESS LIKE

CANADA!

OUR SYSTEM DOES INDEED COST TOO MUCH FOR WHAT WE GET AND IT

LEAVES

TOO

MANY

PEOPLE

OUT.

25

BUT

THE

FOCUS

MUST

BE

ON

�MULTIDISCIPLfNARY

MODELS--MORE

PRIMARY

CARE

PRACTITIONERS

WORKING

TOGETHER IN BETTER WAYS TO HELP KEEP PEOPLE HEALTHY, RESTORE HEALTH,
AND TO DIE WITH DIGNITY.

THE SYSTEM,

ITSELF,

MUST BE CHANGED!

THAT'S WHAT YOU ARE UP TO.

IV

THE COMMUNITY PARTNERSHIPS INITIATIVE
INFLUENCE

THE

HEALTH

PROFESSIONS

IS A BOLD STEP TO DIRECTLY

EDUCATION

GRADUATES FOR COMMUNITY-BASED, PRIMARY CARE.

SYSTEM

TO

PREPARE

IT IS OUR HOPE THAT

YOUR DEVELOPMENT OF THESE SEVEN NEW. MODELS -- EACH IN ITS OWN WAY -WILL ALSO CONTRIBUTE TO A BETTER, MORE AFFORDABLE HEALTH CARE SYSTEM
THAT EVERYONE WILL BE ABLE TO ACCESS.

OF COURSE,

GUARANTEES THAT ALL OF YOUR COMMUNITY-BASED,

THERE ARE NO

PRIMARY CARE MODELS

WILL SUCCEED IN REDIRECTING THE HEALTH PROFESSION EDUCATION; AND THE
COMMUNITY PARTNERSHIPS INITIATIVE ISN'T INTENDED TO BE A SOLUTION
FOR ALL THE PROBLEMS OF OUR NATIONAL HEALTH CARE SYSTEM.

26

BUT YOU

�AND I BOTH KNm
-J OUR SOC
IETY W
ILL
AFFA
IRS

IN HEALTH

CARE

NOT PERM
IT THE PRESENT STATE OF

TO LAST FOREVER
,

AND THE PRESSURES ARE

GROW
ING UPON POL
ICYMAKERS TO F
IND SOLUT
IONS
. PERHAPS T
INKER
ING W
ITH
THE STATUS QUO AND CONDUCT
ING MODEST IN
IT
IAT
IVES AROUND THE MARG
IN
IS THE GREATEST R
ISK OF ALL -THE R
ISK THAT NOTH
ING W
ILL

CHANGE

WHEN SO MUCH ISNEEDED
.

ELECTED OFF IC
IALS AND POLICYMAKERS
, RURAL FOLK AND C
ITY FOLK
, THE
YOUNG AND THE ELDERLY
, THE UNDERSERVED POOR AND THE UPPER M
IDDLE
CLASS
,

WE

ARE

ALL

COUNT
ING

M
ICH
IGAN
, WEST V
IRG
IN
IA
,

ON

A~ AII

YOU
.

TENNESSEE
,

MASSACHUSETTS
,

TEXAS
, GEORG
IA -I KNOW YOU W
ILL

DO IT
. I FULLY EXPECT H
ISTOR
IANS TO LOOK BACK FROM THE YEAR
AND MARK SEPTEMBER

1991 AS THE

2020

BEG
INN
ING OF B
IG CHANGE IN THE HEALTH

CARE F
IELD
!

1
0
8
0C

27

�</text>
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                    <text>Remarks by
Dr. Russell G. Mawby
Last Seminar for the
W.K. Kellogg Foundation's
Community-Based Public Health Initiative
Detroit Ponchetrain Hotel
March 24, 1992

I

I welcome the opportunity to be with you tonight to share a few
observations about this community and public health initiative from a
personal and layman's perspective.

I have certainly enjoyed learning

about your activities and discussions in this series of seminars from
our health staff at the Foundation and have found the issues you are
addressing to be most provocative.

I want to thank each of you and your

institutions for your interest in the new community-based public health
initiative.

It is apparent from your involvement that the agenda that

the Foundation has put before you is a challenging one indeed -- calling
for each of you health professions educators, public health
practitioners, and community organizational representatives, to examine
deeply your long-standing patterns of behavior and interrelationships.
Thus far, the response to this initiative has been quite strong, though
varied, as we would expect.

Yet there is a pattern.

You recognize the

difficulty in what is being asked and the need that it be done.

The

time is right for some groups to reach out -- to set up new linkages
with people and communities to create new partnerships that will
influence health professions education and community health in the
decades to come.

�2

All of you in this room know only too well that the processes of
institutional change, carefully designed to protect us all from hasty
decision or impulsive action, can as easily serve to smother a flame of
innovation.

May you have the courage, the energy, and the genius to

carry through some of the ideas you have been exploring and avoid that
being the case -- again.

I am impressed with this initiative.
are here.

Those who can make a difference

Usually, educators talk with other educators, practitioners

with practitioners, and community people only with themselves.

But all

component parts of the health field are represented in this meeting
local and state health officials; university administrators, teachers
and researchers; doctors; nurses; governmental executives; leaders of
various community organizations.

Remarkable!

Wonderful I

Some of you

will be the vanguard in moving forward, in tangible and gratifying ways,
the concept and genius of the helping professions -- at the moment
accomplished in disciplinary scientific contributions, but with their
potential unfulfilled in preparing practitioners specially suited for
advocating and delivering comprehensive public health services in
partnership with the communities they serve, benefits which therefore
are not yet realized.

As already indicated, my background and my graduate education are in
agriculture.

I come to you as a layman, hopefully an "informed layman"

whose role as chief executive officer of a foundation

-- which each

year provides millions of dollars for programs in health education,
services, and delivery
field.

obligates me to be aware of issues in the

I still recall vividly a series of "rude awakenings" as I first

became involved in the Foundation's programming in health.

I was

�3

dismayed, shocked, disappointed by much of what I learned of the inner
workings, both in education and practice.

While there is much to be

admired and praised, the stark realities which became clear, tarnished
and eroded the pinnacle upon which the health professions had resided in
my mind.

I have tried to learn wisely and to carefully place the

various components in proper perspective and balance.

In so doing, I

have had to learn the lexicon of the back hallways and the differences
between epidemics and epidemiology; to recognize a "utilization
reviewer" or "quality assessor" when I see one; to understand that
"environmental health" doesn't refer to a senior citizen breaking the
ice to skinny dip in a frozen lake; and to appreciate a career ladder in
nursing. (But, I must confess I still cannot distinguish easily a
community health nurse from one who is not.)

Actually I bring more baggage than that to this meeting.

I grew up on a

farm in west central Michigan, not really "rural rural" because the
homeplace is now part of a suburb of Grand Rapids, but a farm
nonetheless and in a family which enjoyed for years the splendid
services of a country doctor, Dr. Jay D. Vyn.

His wife was his office

nurse/receptionist; later his daughter served in that role also.

They

worked together in harmony to treat the sick and the injured, vaccinate
the children, improve sanitation, and protect the health of the whole
community.

They mobilized the townspeople and were supportive of each

other, the patient, the family, the neighborhood.

I am not a nostalgia

buff, yearning for the good old days -- a return to the outhouse,
tuberculosis, and blood-letting -- but there were some things in that
pattern which should still serve us well.

�4

But perhaps my best qualification for being here today is not that of a
foundation executive, but simply a concerned citizen.

I have been

blessed with good health and so my personal involvement with either the
health care system or the public health system has been minimal.

But I

have had more than enough opportunity to be deeply involved -emotionally and in every other way -- in my responsibilities and
relationships with parents, friends, and neighbors.

I have seen at

first hand the petty squabbles between health departments and medical
doctors, between health and social service agencies, and I have seen
over and over again the apathy and red tape and needless bureaucratic
entanglements that defy human logic and need.

I have sought information

and assistance in every conceivable way -- asking, begging, cajoling,
threatening -- to get a glimmer of understanding, an approach to a
problem.

And I have experienced an extraordinary array of responses

empathy, helpfulness, compassion, arrogance, disdain, rebuke, both the
engaging resourcefulness and the pettiness of the helping professions
you represent.

So the perspective I bring is that of a layman -- a

concerned individual, a grateful beneficiary, a constructive critic, an
eager participant in the unending process of making the superb health
system and situation we have today even more responsive, effective, and
satisfying.

II

Many of you are educators, charged with key responsibilities in the
preparation of the professionals who design, manage, and conduct the
affairs of our health care system -- its various components,
institutions, and programs.

You shape tomorrow.

W.K. Kellogg said it

well, "Education offers the greatest opportunity for really improving

�5

on e generation over another."

You are vital participants in the

s election a nd molding of the publi c health professionals who guide our
future .

You help to determine the criteria by which decisions are made

as to who is in and who is out; you shape the pattern of experiences to
which they are exposed; and you establish the criteria by which their
suc cess or failure is determined .

Thus, ultimately, you influence the

shap e, the character, the personality, the morality of our health
system.

We are grateful for the degree to which you succeed; we worry

about the whys, the hows, and the so whats of the job you do; and we are
the beneficiaries -- or the victims -- of the consequences of your
efforts.

Others of you in this room are public health practitioners.

You manage

and give direction to local health agencies, and you c a r r y out and
supervise the array of preventive and protective servi ces which
government provides for the entire community.

Still others of you

analyze and plan and develop policy options for the organization and
delivery of lo cal and regional health services.

And finally, there are

individuals in this room who, like me, are laymen, but committed to
lending a hand as volunteers and dedicated public servants in the
grassroots, civic, and human service organizations that make our nation
unique in all the world.

Quite frankly, I have struggled with how I might most productively
approach my assignment today.

My first inclination was to approach the

task as I always approach the learned professions -- hat in hand, in awe
and in admiration of those who are privileged to serve and influence so
intimat ely the human condition.

Despite the experiences which abuse

�6

that idyllic image, to me there is no higher calling than the health
professions you represent.

But I have chosen a different course in pursuing my task today.

Quite

simply, I leaned back in my chair and said, "Suppose I were a health
professions educator or practitioner.

What would I do?"

As a logical

first step, I then pursued the question, "If I could design it, what
kind of health system would I like for my own community and for the
Mawby family?"

This is not an idle or an impulsive question; it is one

I have been asking myself, members of our Foundation program staff,
l eaders in the health professions for a number of years.

I have finally

concluded that ideally I would have the Mawby family affiliated with a
small team of professionals

perhaps some combination of primary care

physicians, dentists, nurse practitioners, with a
receptionist/bookkeeper, other support personnel in nursing and the
allied health fields.

This group would have appropriate privileges with

community hospitals and nursing homes; referral arrangements with
specialists (mental, physical, social, behavioral), and it would
function within a system that continuously monitored health conditions,
assessed the need for services now and in the future, and made certain
that all citizens had adequate responses to their health needs.
Philosophically the entire system, public and private, would be
committed to a program of health promotion/dis ease prevention or health
maintenan c e, as well as treatment of illness.

Why the emphasis on health promotion/disease prevention?

You in the

public health profession have allowed a system to be designed which
compensates caregivers only for the treatment of my illness or injury.
I can engage specialists to design and implement a preventive

�7

maintenance program for my air conditioner at home, or the elevator or
duplicating machine at my office.

In such a contractual arrangement, I

always have responsibilities which I must fulfill if that contract is to
be valid.

In similar fashion, I would like to compensate a health group

for the design and the continuing monitoring, with my full participation
and fulfillment of my obligations and responsibilities, of a maintenance
contract for my most precious possession -- my health.

Why have the

health professions been so unimaginative, so uncreative, so unresponsive
in this area?

So, that's a brief insight from a layman's perspective of one model of
an "ideal health services system."

There can -- and should -- be many

others, to provide primary care to diverse client groups in varied
settings and to provide public health services to focused populations at
risk.

At the Foundation, we are not in the business of prescribing

models; and we hope many creative ideas will arise out of the new
initiative.

So, that's as far as I will go today as a layman.

As

experts, you will give further consideration relating to various levels
of public health services and to the support strategies of sophisticated
communication technology and the rich resources of research institutions
and academic health centers.

With the range and sophistication of

information technology that is available, public health practitioners in
even the most remote locations can be in touch with colleagues for
consultation and counsel on a continuing basis.

You will think of

people and the range of their needs, and loosen your grip on the
technology that strengthens the confidence of professionals only, but
with little benefit for members of the public.
As a layman surveying the health scene today -- both in education and in
practice -- I see the "bits and pieces" as superb.

By "bits and pieces"

�8

I refer to our professional schools, in public health, medicine,
nursing, dentistry, pharmacy, administration, allied health, all the
rest; the professions, with dedicated and competent individuals and
effective associations; the various practice settings, including solo
and group offices, clinics, hospitals, research and teaching centers.
All superb; without question, the finest in the world.
But I have the uneasy feeling that too little thought and effort have
been given to rationalizing the whole, with an objective of serving
maximally the interests of the total community.
major failing of our public health system.

And this perhaps is the

In the one profession that

is charged with setting our national directions for health policy, we
have only mixed signals and half-considered mewlings.

The "total

system" (this phrase sounds tidier, more prescribed and restrictive than
intended or possible)

with multiple alternatives and pluralism in

every sense -- should be particularly sensitive to the public it serves
and by which it is sustained, subjugating the more selfish interests of
professions and institutions to the higher purpose.

We lack a "grand

design" or a series of grand designs which bring together in most
effective ways the expertise of the various health professions, and
networking more efficiently the resources of the health care
institutions of our society.

Wisely done, building on the terrific

strengths of the day but responding objectively and sensitively to the
demand and unmet needs of the public, the result surely will be far
greater than the simple sum of the parts of which it is comprised.

It

goes without saying, surely, that this core public health function
should occur not only at the macro level -- global and national
in cities and counties and communities throughout the country.

but
As

public health educators and practitioners it is your challenge to
fulfill such a vision and goal.

It is not enough to be simply an

educator in health administration or specialist in environmental health
services.

You must see the larger picture, with its strengths and

shortcomings, and move relentlessly toward the realization of the better
situation.

Universities, of which the schools of the health professions

are a part, have a special responsibility.

They are the knowledge

reservoirs of our society, established and sustained to preserve,
create, and transmit knowledge.

An unending challenge is that of

�9

mobilizing these knowledge resources in ever more effective ways to deal
with the concerns of society.
While there is much in the health scene in this country of which you can
be justifiably proud, there is still much "unfinished business."
Hopefully the health professions -- with you in public health in the
vanguard -- will provide aggressive and imaginative leadership in
addressing issues of concern, lest the responsibility fall by default to
those less able.
III

Recent health programming of the W. K. Kellogg Foundation focuses on
community-based health services, as you have heard from our health
program team over the past few months.

Since 1987 more than 75 projects

have been funded by the Foundation as models for community-based,
problem-focused

hea~th

services.

Let me tell you about three of them.

First, there is the project that you know already -- conducted for and
by the residents of an Atlanta public housing project.

You have heard

Avery and her team talk of trying to piece together the fragmented lives
of adolescents, putting the focus on their self-esteem by tying the
threads of desperate interventions together -- drug education, sex
education, AIDS education, pregnancy counseling, job training literacy
tutoring, and more.

Shouldn't public health education be rolling up its

sleeves and going to work on preparing health professionals to shoulder
their part of the burden?
In another instance, one group from a health professions school is being
funded to address the basic health and human service needs of masses of
isolated urban immigrants.

There they deal with language barriers,

illiteracy, and tropical diseases, to name a few.

The group's tether to

their school and to the other health professions' schools of its
institution is thin indeed.

Hopefully, public health students will

attain valued educational experiences in this program.

Yet, the support

so far from the parent institution is "long distance encouragement."
Like big ships, academic health centers change their course ever so
slowly.

�10
And a third example, although I could go on and on, is that of a
comprehensive program for young black males to teach high school
graduates to read, to improve the nutritional status of young blacks, to
provide basic health services, to help them find jobs, and in the words
of the project's director, "to turn them away from their syndrome of
self-hate."
These are but a few examples, and as I mentioned earlier, there are many
more from our projects comprising our primary health strategy.
are four supporting strategies in our health program as well.

There
They are:

informing poli cymakers, information technology, leadership development,
and the one that is the focus of this initiative, health professions
education.

Health professions education is critical of course.

If our

support of these specific community-based, problem-focused projects is
to lead to wider and system-wide impact, we must involve professions
education, and public health is one of the critical elements in such a
venture.
We emphasize community-based health services.

As public health

professionals, you understand the issues of primary health care and of
population medicine, so there is no need to comprehensively address this
topic.

We are asked so often what we mean by community-based services,

probably because it means so many things that it means so little.

I am

not going to help with the definitional problem, but I would like to
reflect on a few things that are important from my layman's perspective
-- and I suspect to most people as well.
It may be appropriate to begin with a problem identified in the writing
of Herodotus some 2400 years ago.

The Greek historian perceived a

discontinuity of care in his native land, and he lamented, "Each
physician treateth one part and not more.

And everywhere is full of

physicians; for some profess themselves physicians of the eyes, and
others the head, others the teeth, and others of the parts of the belly,
and others of obscure sicknesses."
Herodotus was correct in his view that a discontinuity of care can
result from the trend toward overspecialization.

Public health

services, offered or provided in a fragmented fashion, likewise are

�11

difficult to deal with.

But the problem goes deeper:

often

accompanying such specialization is the problem of transfer of
information between divisions or branches of the same agency, thereby
crippling it as the community's comprehensive resource center in health.

Let me use a personal example to illustrate what I mean.

My mother, by

the time she reached her mid-70s had several different health problems,
including cancer and complications from a series of strokes.
In the course of her cancer treatment, she was shunted from one
specialist to another, from internist to surgeon to radiologist to
oncologist, none of whom really took a comprehensive look at her
problems in order to assess her overall condition.

The internist who

diagnosed the problems initially refused to continue as her primary care
physician, so the responsibility for continuity rested with the patient
and her family, certainly an unsatisfactory assignment by default.

We

encountered another stumbling block -- a great reluctance, and at times,
refusal on the part of several physicians to transfer medical records of
the care they gave my mother to other physicians who also were treating
her.

Consequently, examinations, tests, and procedures were duplicated

unnecessarily, at inconvenience, discomfort, and cost.

I understand the

reasons given, but I do not accept the final result as adequate or
defensible.
one.

There must be better ways.

This example is not an isolated

Friends and associates have told me similar stories, and you can

surely add anecdotes of your own.
While my example centers on physicians' behavior, overspecialization and
a lack of coordination in care are not problems confined to anyone of
the health professions.

Specialization, some observers contend, has

resulted from the implementation of technology in almost every field,
forcing each citizen to deal with an ever-increasing number of providers
of service.

The specialization of health education and health services

is, in many ways, an achievement in which America can be proud.

But at

the same time, we must manage it so that it does not become an end in
and of itself.

If such specialization results in frustration and

fragmented, incomplete community health services, it needs rethinking
and rearranging.

This problem should be addressed by all health

professional schools, not excluding schools of public health.

�12

IV
Experts keep telling me that access to health care is a serious problem
only for the urban poor and for people in remote rural communities.
That simply is not true, if the measure we apply for adequacy goes
beyond the most primitive or basic standard.

In communities of all

types, urban and rural, without regard to economic circumstances, many
families have real difficulty in gaining access to satisfactory primary
care on a continuing basis.

Let me use a true story to illustrate the issue of availability of and
access to health care.
Not long ago on a visit to a county seat town in southern Michigan,
I met with a group of young physicians.

I asked them, "If the

Mawby family moved to this area, could any of you take us on as new
patients?"
There was a quick consensus, DOh yes, Russ Mawby, chairman of the
Kellogg Foundation, of course we will get you in."
"No, no," I said.

"Russ Mawby, 'wi t h a wife and three kids, living

on 40 acres south of town."
Again there was a quick agreement, "None of us is taking any new
patients.

You'll just have to go to the emergency room at the

hospi tal. "
I don't believe that is a satisfactory answer to primary care for
families; emergency room care should be for emergencies, not serve as a
usual point of entry for primary care.
As a layman, I have observed that health professionals -- in
particularly physicians, but to a degree all health professionals
have no problems gaining access to the health care system.

If their

child or mother or good friend needs to see a doctor, even a specialist
who is booked six months in advance, there is no problem of access.

I

�13

suspect this may be a fringe benefit which also extends to you as public
health educators and practitioners.

But don't let this lull you into a

belief that this is therefore no problem for the rest of us, regardless
of geographic, cultural, or economic circumstance.
Innovative approaches to encouraging physicians, nurses, dentists, and
other health professionals to practice together more efficiently and
effectively, including the provision of care in underserved areas and to
unreached clientele, must continue to be developed and supported by
public health officials so that all people, whether they be affluent or
poor, and whether they live in the city or the country, have access to
quality health services. Public health all too often functions as an
island -- distant from the practice arrangements and practice anomalies
of the licensed caregivers, never acknowledging that its own
disassociation is but another part of the problem.

v
Notice -- I said quality health services
basic concern of all.

certainly a persistent and

In recent years, not just in the practice of

medicine, quality increasingly has come to be defined in terms of the
application of high technology.

We pride ourselves on making use of the

latest equipment, procedures , and systems whether in medicine, public
health, the auto industry, or communications.

In the health field this

emphasis on technology can contribute to a failure to recognize that
actual public health services may be just as good or better in the
small, modestly equipped facilities.
Universities have taken the lead in applying high technology to health
professions practice (as well they should) but they must not rush so far
ahead that they forget the human dimension

the public's perception of

quality, which often hinges on how people are treated, individuals and
families, not just the health problem.

Despite statements by individual

faculty members that they recognize this citizen-receiver perception of
quality, as contrasted with the professional's perception, most
observers are unable to note much evidence of that recognition.

�14

If you or I were to have a coronary today, our spouse would not walk
into the hospital and ask, "What's the average length of stay?"

But

that yardstick has been too much a primary measure of "quality" in
facili ty reviews.
in pain?
him?"

Instead, a loved one is likely to ask, "Is he or she

Is he being kept comfortable?

Is someone with him?

May I see

Administrators tend not to worry enough about those humanly

critical gauges which are so significant both to the patient and the
family, and to the patient's ultimate recovery.
There is a definite need for educators to give as much consideration to
the public's perspective on quality as it gives to health science and
research.

Many respected authorities have long called for increased

attention to the humanities and social sciences as a means for
instilling humane concerns for the human condition in the education and
training of public health professionals.

In the new initiative, I hope

steps are included to make this dimension central to all health
professions education.

VI
My closing thought would be a return to my first observations:

1) While

there is much in our health care system in this country about which we
can be proud and while in fact, it is unequaled in the world,
improvement is possible; there are shortcomings which need to be
imaginatively addressed; and 2) as public health educators and
practitioners, you will visibly shape tomorrow.
What will the new public models be like?

I don't know the details and

it's not the Kellogg Foundation's style to shape those details.

Someone

said that the trouble with predictions is that they deal with the
future, but undaunted I will turn on my future scope to 20 years hence.
I can see the outlines of a vision.
The vision is of a community that is mobilized and empowered by its
citizens to engage in an effort to improve the health and well-being of
all those who live within that community.

Ordinary people are engaged

in collective action through schools, worksites, churches, civic
organizations, or political action groups, to address the problems which

�15

surround them.

For health concerns they are linked in partnership with

administrators from the local hospital, leaders of the professions
(medicine, nursing, dentistry) and in particular with staff from the
local health department.

These public health professionals are

knowledgeable not only about traditional public health issues (things
like contagion control, health promotion/disease prevention,
occupational safety, human nutrition, and the like) but also in the
process of community organization and human development.

Both groups

citizen leaders and health professionals -- work together,
collaboratively, to address the issues that threaten community health
always with an ear to the priorities and special cultural approaches
that make most sense to the people who encounter the problems on a
continuing basis.
In my vision I see something more ... a health department that is so good
at its business of building the community and promoting its health
interests, that it also is the site where future public health
professionals are educated and trained.

Students learn in depth about

rabies and animal control by walking the streets with health department
staff.

Students make home visits with public health nurses, and they

plan and design a public relations campaign against smoking and drugs
with real experts in the communications field.

Most particularly, they

become knowledgeable about community "affairs and citizen action by
working side-by-side with neighborhood leaders, men and women who are
committed to improving the lives of people outside their own family or
personal acquaintances.

In this cauldron of work and learning, the

issues of equity and social justice are not just phrases in a course in
philosophy, but they are basic tools that are inherent in a profession
that is committed to improving the lives of people.
I know -- and you know -- that our society will not permit the present
state of affairs in health care to last forever, and the pressures are
growing upon you as policymakers to find solutions; more people have
needs to be served, and the costs are increasing at a rate well above
inflation.

What elected officials seek are solutions that they can

support and implement.

They need public health and community leaders to

shift from being part of the problem to being part of the solution.

We

hope that the Kellogg initiative will give some of you the opportunity

�16

to create and implement such solutions.

We -- elected officials and

policymakers, city folk, rural folk, the underserved poor, the upper
middle class, the young and the elderly, me and my family -- are all
counting on you.
In most areas of human concern "we know better than we do."

Certainly

this is true in your chosen field of concentration, the education and
practice of professionals in public health.

For in fact, a great deal

more is known about what good health could be and should be than is
generally put to use.

The unending challenge to you is to move reality

closer to the vision of that which ought to be.

I wish you gods peed and

look forward to that day in the future when we celebrate together your
achievements.

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                  <elementText elementTextId="451973">
                    <text>/1 II

4

"

"COMPARED TO WHAT?"
Remarks by Dr. Russell G. Mawby,
Vice President, W. K. Kellogg Foundation,
at the 22nd Annual Meeting of the
National Association of Extension 4-H Agents
Michigan State University
November 11, 1968
I.

Thank you for the privi lege of participating in this annual meeting of

your professional association.

As you know, 4-H means a great deal to me,

both personally and professionally.

4-H became a part of my life thirty

years ago as a member of the Peach Grove Rustlers 4-H Club in Kent County
and was a stimulating and rewarding chapter of my professional career during

8 1/2 years as Assistant Director of the Michigan Cooperative Extension
Service, responsible for 4-H and youth development programs; now I am a local
4-H Club leader in Barry County.

One of the most pleasant and gratifying

aspects of my days as a 4-H professional was the continuing association with
you and your 4-H Agent colleagues.

I have missed this since leaving the

University, and I welcome this opportunity to meet with you today.
When Jerry Malosh called early this year to extend this invitation on
behalf of your Association, it seemed a wonderful idea to

say~.

But as

the day drew near and I began to organize my thoughts for this occasion, I
became less and less certain that I could make a useful contri"oution to your
professional deliberations.

These are fast-changing times; dramatic and

exciting things have been happening in 4-H circles; it's been four years
since I traded my academic robes for a Foundation garment, and I began to
suspect that I was very much out of touch with the issues which concern your
profession.

Therefore, thanks to the helpfulness of our Chairman this

morning, Ed Poole, I met about two months ago with a group of Michigan 4-H
Agents for an informal disc us s i on of curr ent topics of concern.

I must

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ly con
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e
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IV
.
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e
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a
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.
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r
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.
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a
s ou
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s
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us
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ha
tP
re
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d
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a
s Ab
rah
am L
inco
ln sp
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ak
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n

18
6
2
.

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·
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My o
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a
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o
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it
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~

hop
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so
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�2
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e
r
ei
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l
l
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n
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c
e
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rt
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l
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ti
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i
ch w
e1
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nh
i
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ew'cook

~~

So R
i
ch A
s.
'
f
c
:m

G
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rg
e

~

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t
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r
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e fu
tUY
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r
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e
r
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edw
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rb
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o
u
n
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r
y
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e
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t
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W
e
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r
e

a
s
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ti
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t
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conom
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n
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nd th
in
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in
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t
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p
l
a
nandp
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n
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o
rb
e
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t
y
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ch t
a
n
g
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8
t
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e
s
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e a pa
r
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r
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ta b
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c pu
r
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se mu
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t b
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e
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t
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t
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s
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o
n
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c
t
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o
n
s
, andp
h
i
l
o
s
o
phy
.

3
. I
n
c
r
e
a
s
i
n
g
l
y
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rs
o
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e
t
yi
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c
e
rn
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o
rt
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o
l
i
t
i
c
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li
n
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t
i
t
u
t
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o
n
s
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f

~a y.

A
s ou
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o
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t
yh
a
sb
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u
f
f
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t
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h
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sh o
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econom
ic ch
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ng
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sh
av
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com
e
d
i
s
f
u
n
c
t
i
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n
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land

~

te
. A
t m
an
yl
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l
s
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em
o
c
r
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t
i
cp
r
o
c
e
s
sh
a
sb
e
en

.....
, ..
.
:

~

ch
a
r
a
ct
.
e
r
-L
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i
t
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na
p
a
t
h
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rt
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t
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c
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p
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ld e
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e exp
and
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re
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tt
h
a
.
tt
h
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e
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e
r
a
l

~

h
a
s exp
and
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nd
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r
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t
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o
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r
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ch l
o
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l
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and s
t
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t
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s
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em
and
ed by s
o
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i
e
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.

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. We a
sa p
e
o
p
l
ea
r
e

. ~

as

y

con
c
e
rn
edf
o
r

~

i
n
s
t
i
t
u
t
i
o
no
f

t
h
ef
am
i
l
y
. I
n
c
r
e
a
s
i
n
g
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y
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er
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.
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et
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a
tt
h
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rob
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emp
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l
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u
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e
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s
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o
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i
a
l
l
yon w
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l
f
a
r
e
, c
r
im
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n
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l
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l
ld o
t
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r
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e
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rmt
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c
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ys
o
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r
e
do no
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r
o
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c
to
fLn
ad
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a
te hom
eand f
am
i
l
ys
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t
u
a
t
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o
n
s
. Wh
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l
e s
o
c
i
e
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y
h
a
sd
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e
lop
edm
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l
t
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p
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a
s
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iv
e c
o
r
r
e
c
t
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o
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land r
e
h
a
b
i
l
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t
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rog
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am
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t
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eu
n
c
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r
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l
u
e
n
c
e
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fhom
e and f
am
i
l
yi
nt
h
ee
a
r
l
y
y
e
a
r
s
. I
ns
t
r
e
s
s
i
n
gt
h
eimpo
r
t
an
c
eo
ft
h
ef
am
i
l
y
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e
, o
fc
o
u
r
s
e
,
mu
s
t b
e aw
a
r
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ft
h
ech
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o
l
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i
lyi
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rs
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c
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t
h
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ew
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rp
r
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t
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v
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l
a
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et
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h
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am
i
l
yw
i
th e
a
chp
a
s
s
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n
gy
e
a
r
. A
t
t
h
es
am
et
im
e
,a
l
lev
id
en
c
et
e
l
l
su
st
h
a
tt
h
ehom
e and f
am
i
l
yi
s
i
n
f
l
u
e
n
t
i
a
li
nt
h
ef
o
rm
a
t
i
v
ee
a
r
l
yy
e
a
r
so
fl
i
f
e
. Wh
e
r
e a
r
eou
r
young p
e
o
p
l
et
r
a
i
n
e
d
.t
ob
ee
f
f
e
c
t
i
v
ehu
sb
and
s andw
i
v
e
s
, mo
th
e
r
s and
f
a
t
h
e
r
s
?

5
. We a
r
ep
e
r
p
l
e
x
e
dbyt
h
ep
rob
l
em
so
fr
e
l
a
t
i
n
ged
uc
a
t
i
o
no
ft
h
e
s
c
h
o
o
l
st
ot
h
er
e
a
l
i
t
i
e
so
fl
i
f
e
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nt
o
om
any s
c
h
o
o
l
s
,y
o
u
n
g
s
t
e
r
s
s
t
u
d
ym
a
th
em
a
t
i
c
s
, p
h
y
s
i
c
s
,e
a
r
l
yc
i
v
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l
i
z
a
t
i
o
n
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e
rnm
en
t
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i
s
t
o
r
y
,
s
o
c
i
a
ls
t
u
d
i
e
si
nt
i
l
es
te
r
-LLe a
tmo
sph
e
r
eo
ft
h
ec
l
a
s
s
r
o
om
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i
t
hl
i
t
t
l
e
a
r
.
t
emp
to
ro
p
p
o
r
t
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n
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t
yt
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e
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a
t
.
et
h
e
s
esub
je
c
t
sandd
i
s
c
i
p
l
i
n
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st
o
l
i
f
ea
si
ti
sl
i
v
e
d
. I
nr
e
f
l
e
c
t
i
v
emom
en
t
s
, w
e mu
s
ta
c
c
e
p
tt
h
eh
a
r
d
f
a
c
tt
h
a
tou
re
d
u
c
a
t
i
o
n
a
lsy
s
t
emc1
.
ev
e
lop
sp
e
o
p
l
ewho a
r
e"p
r
e
t
tygood
t
e
c
h
n
i
c
i
a
n
sb
u
t who a
r
en
o
tv
e
r
y good a
tf
am
i
l
yandcommun
i
ty l
i
f
e
;
y
e
tt
h
i
sl
a
t
t
e
ri
st
h
ea
r
e
n
ai
nwh
i
ch t
h
en
ex
tg
e
n
e
r
a
t
i
o
nw
i
l
lb
e
r
e
a
l
l
yt
e
s
t
e
d
!

�Iwou
ld emph
a
s
i
z
et
h
a
tt
h
e
r
ei
smu
ch o
fwh
i
ch w
e ~a

o
ep
r
oud i
i
I

ou
re
l
em
e
n
t
a
r
yand s
e
cond
a
rys
c
h
o
o
lsy
s
t
emi
nt
h
i
s0
o
u
n
t
r
y
, bu
ta
tt
h
e
sam
eb
.
l
i
.
eI wOu
l
Ci emph
a
s
i
z
et
h
a
t w
emu
s
tb
r
e
a
kt
h
e"
l
o
c
ks
t
e
p
"o
ft
h
e
fo
rm
a
lsy
s
t
ema
sw
eh
av
ed
ev
e
lop
ed i
t
o
rpe
rm
itted i
t
t
oe
v
o
l
v
e
.
~

.

C
lub B
u
l
l
e
t
i
nN
o
.
1
,p
u
b
l
i
s
h
e
di
n1
9
1
)
,i
n
c
l
u
d
e
da
s on
e

ob
j
e
cti
v
e
: "
t
os
t
r
e
n
g
th
ent
h
es
c
h
o
o
l
sa
tt
h
e
i
rw
e
ak
e
s
tp
o
i
n
t
.
"
P
e
rh
ap
st
h
a
tn
e
ed i
sa
g
a
i
n
o
rs
t
i
l
l
p
e
r
t
i
n
e
n
t
.

6
. I
n
c
r
e
a
s
i
n
g
J
y
,w
er
e
c
o
gl
l
i
z
eth
en
e
ed t
od
ev
e
Jop a p
a
t
t
e
r
no
f li
f
e
l
o
n
gl
e
a
r
n
i
n
g
,anda
c
c
e
p
t
a
n
c
eb
o
t
hi
np
h
i
l
o
s
o
p
h
yand i
n

a

~

t
h
a
t

e
d
u
c
a
t
i
o
ni
sanun
end
ingp
r
o
c
e
s
st
h
r
o
u
ghou
tl
i
f
e
. Ah
i
gh s
ch
o
o
lo
r
c
o
l
l
e
g
edip
.Lom
as
imp
lyLnd
lc
a
t
es t
h
a
tan L
IQ
lv
i
d
u
a
lh
a
sp
a
s
s
e
da
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e
r
t
a
In app
r
enc
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c
e
s
h
i
ps
t
a
g
e and i
sC
lu
a
l
i
f
i
ed t
oemb
a
r
kupon a voy
ag
e
o
fd
i
f
f
e
r
e
n
te
d
u
c
a
t
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o
n
a
lopp
o
r
t
u
n
i
t
i
e
s anda
l
t
e
r
n
a
t
i
v
e
s
. I
ti
s
unn
e
ce
s
s
a
r
yt
orem
indo
u
r
s
e
l
v
e
sa
sp
r
o
f
e
s
s
i
o
n
a
l
st
h
a
toi
l
l
'p
e
r
fo
rm
an
c
e
onth
is podn
.
.mu
s
t b
e ex
emp
l
a
ry
. Wh
a
t i
syou
r pez-sona
.L p
l
a
nf
o
r
comp
l
e
t
e
lyr
e
f
u
r
b
i
s
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i
n
gyou
r"
i
n
t
e
l
l
e
c
t
u
a
leQu
ipm
en
t
" ev
e
rys
ev
en
y
e
a
r
s
?

7
. Young ppop
l
emu
s
t b
ea
f
f
o
r
d
e
do
p
p
o
r
t
u
n
i
t
i
e
st
op
ar
t
i
c
i
p
a
t
ei
nt
h
e
m
a
in
s
t
r
e
am o
fl
i
fe
. A
d
o
l
e
s
c
e
n
t
si
nou
rs
o
c
i
e
t
ya
r
ei
s
o
l
a
t
e
df
romt
h
e
k
ey i
s
s
u
e
so
ft
h
eday
. Wh
i
l
e w
ed
e
p
l
o
r
et
h
e
i
rl
a
c
ko
fe
v
i
d
e
n
t con
c
e
rn
and s
en
s
eo
fr
e
s
p
o
n
s
i
b
i
l
i
t
y
,w
es
im
u
l
t
a
n
e
o
u
s
l
ys
e
tth
ema
p
a
r
tf
romt
h
e
s
o
c
i
a
lt
i
d
e
. Iw
i
l
lu
s
et
h
r
e
eq
u
o
t
a
t
i
o
n
st
oi
l
l
u
s
t
r
a
t
et
h
i
sp
o
i
n
t
.
F
i
r
s
t
,D
r. B
. R
. S
en
,t
h
e
nD
i
r
e
c
t
o
rG
en
e
r
a
lo
fFAO
, sp
e
ak
inga
tt
h
e
YO
l
l
i
l
g Wo
r
ld Food andD
ev
e
lopm
en
t Wo
r
ld Con
f
e
r
en
c
ei
nTo
ron
to i
n
S
ep
t
emb
e
r 1967
:

�"
I
np
r
e
s
e
n
t
i
n
gt
oyoumy t
h
o
u
g
h
t
son t
h
einvo
lv
em
en
to
fy
o
u
t
h
in d
ev
e
lopm
en
t wo
rk
, mo
r
e paz
t
.Lcu
.La
r
-Ly i
nr
u
r
a
ld
ev
e
lopm
en
t

wh
i
ch i
sOUi.
' s
p
e
c
i
a
lc
o
n
c
e
r
n
, Is
h
o
u
l
dl
i
k
et
os
t
r
e
s
st
h
a
tw
e
mu
s
t p
l
a
c
ea
tt
h
ef
o
u
n
d
a
t
i
o
n
so
fany l
o
n
g
r
a
n
g
ep
rog
r
ama
d
e
ep
e
r und
ers
t
.
and
i
.ngo
ft
h
em
o
r
a
l
, a
e
s
t
h
e
t
i
candhum
anis
cL
c
u
r
g
e
so
ft
h
eyoung
e
rg
e
n
e
r
a
t
i
o
no
ft
o
d
a
y
. Th
e ch
ang
e
si
n
s
o
c
i
a
lc
l
im
a
t
eb
rough
t abou
t by a
f
f
l
u
e
n
c
e
,t
e
c
h
n
o
l
o
g
yand
nu
cL
e
s
.
rw
e
apon
s on t
h
eon
eh
and andhu
r
ig
e
r,i
n
s
e
c
u
r
i
t
yadd
d
e
s
p
a
i
r on t
h
eo
t
h
e
r
,a
:
c
eh
av
ing tn
eir p
ro
found Lmp
a
c
t on
t
h
eyou
th o
ft
h
em
i
d
tw
e
n
t
i
e
t
hc
e
n
t
u
r
y
. Th
ef
e
cm
en
tm
a
n
i
f
e
s
t
s
i
t
s
e
l
fi
nv
a
r
i
o
u
sg
e
s
t
u
r
e
so
fd
e
f
i
a
n
c
e andr
e
b
e
l
l
i
o
n
. We c
an
no l
o
n
g
e
ri
g
n
o
r
et
h
e
s
esymp
tom
so
fwh
a
t app
e
a
r
st
ob
eat
r
a
g
i
c
·
a
l
i
e
n
a
t
i
o
no
fy
o
u
t
h
. We mu
s
t r
e
a
l
i
z
et
h
a
ty
o
u
t
ha
r
eno
l
o
n
g
e
rc
o
n
t
e
n
tt
ocon
fo
rmand f
o
l
l
ow
, andt
h
a
tt
h
e
ya
r
ee
a
g
e
r
t
oexp
e
r
im
en
t andl
e
a
d
. We mu
s
t m
ak
e s
u
r
e
,t
h
e
r
e
f
o
r
e
,t
h
a
t
a
n
y
t
h
i
n
gw
ew
i
sh t
odo t
oi
n
t
e
r
e
s
ty
o
u
t
hi
nt
h
i
sp
r
o
j
e
c
ti
s
i
nl
i
n
ew
i
ti
lt
.h
e
L
r
't
h
in
k
inganddo
e
sn
o
t app
e
a
ra
sl
a
y
i
n
g
downt
h
elawf
o
rtH
em
.
"
~ .

f
roman OEO r
e
p
o
r
te
n
t
i
t
l
e
d
, "You
thP
a
r
t
i
c
i
p
a
t
i
o
ni
nCommun
i
ty

A
c
t
ion
:

C
a
l
i
f
o
r
n
i
a
" (1967
)
:

l
iTh
et
e
e
n
a
g
e
rn
e
ed
st
oe
a
r
nmon
ey andl
e
a
r
ni
nt
h
ep
r
o
c
e
s
st
h
e
r
e
s
p
o
n
s
i
b
i
l
i
t
i
e
so
f a mon
ey
-p
ay
ing j
o
b
. H
en
e
ed
st
ob
em
o
t
i
v
a
t
e
dt
os
t
a
yi
ns
c
h
o
o
l
. H
en
e
ed
st
og
a
i
ne
x
p
e
r
i
e
n
c
ei
n
wo
rk
ing p
r
o
d
u
c
t
i
v
e
l
yw
i
t
hp
e
o
p
l
e
b
o
t
hi
n
d
i
v
i
d
u
a
l
sandg
r
o
u
p
s
,
t
ocommun
i
c
a
t
ee
f
f
e
c
t
i
v
e
l
y
. H
en
e
ed
st
of
e
e
lr
e
s
p
o
n
s
i
b
l
ef
o
r
s
e
l
f
,n
e
ighbo
rhood
, commun
i
ty
,s
t
a
t
e
,n
a
t
i
o
n
. wo
r
ld imp
rov
em
en
t
.

�He needs to understand how his community is organized and
how t o get acti on for its bettermen t.

He ne eds to gain

experience in identifying and i n helping s olve ( ommunity
problems.

He needs to feel a sense of accomplishment in

duing so mething of value and being recognjzp.d for it by
both his peers and his elders.
"If these needs are not met, as we have ample evidence not
only in Watts a nd Har lem but a cr os s t h e lana., we will have
unh eal thy, disturbed ycut h and. sick, fri ghtened communi ties."
linally Dr. Roy W. lVienni nger of the iVlenni nger Foundation speaking in
Kan s a s City in August, 1967:

"There are surely ways i n which a mar riage of these sociopsycho logical ne eds of our adoles cents and the human needs of
our co mmunities can "be made, with inestimable profit f or both .
Pe r haps t his process can be begun by the many voluntary service
organiz ations devoted to youth.

I would hope so, but I am

aware that this cannot occur without a simultaneous look--a hard
look-- at the artificiality an a. irrelevance, the busy work aDd
tr iviality that all too many of our youth organizations put
forth under the rubric of 'charact er building.'

To be sure,

s ome learning does t ake place, even from the fun-type avoca tional
pursuits that most middle class oriented youth organizations
put before their constituents.

But too often, this learni ng is

limited to promoting such selfish concerns as one's own advaucement, indulgence or gratification.

�"C
o
n
f
r
o
n
t
a
t
i
o
nw
i
t
ht
h
ev
a
s
t
l
yg
r
e
a
t
e
rn
e
ed
so
ft
h
es
e
g
r
e
g
a
t
e
d
,
i
g
n
o
r
e
d
,d
e
p
r
i
v
ed k
i
d
si
sr
a
r
e
. Eng
ag
em
en
to
fou
rm
idd
l
e
c
l
a
s
syou
th i
na
c
t
u
a
l
l
yw
o
rk
f
.
n
gw
i
t
ht
.h
e
s
el
e
s
sf
o
r
t
u
n
a
t
e
k
i
d
s
t
h
eon
e
s ou
r you
th o
r
g
a
n
i
z
a
t
i
o
n
sp
r
a
c
t
i
c
a
l
l
yn
ev
e
r
r
e
a
c
h
i
s ev
enr
a
r
e
r
,f
o
ri
ts
e
em
st
h
a
ti
ti
st
h
ep
a
t
t
e
r
no
f
a
l
lt
o
om
a
n
y you
th g
roup
st
or
e
s
ti
nroh
ec
om
f
o
r
t
a
b
l
ec
om
p
l
a
c
e
n
c
eo
fp
romo
t
ing good s
o
l
i
d
,m
idd
l
ec
l
a
s
sv
a
l
u
e
so
f
a
ch
i
ev
em
en
t
,p
r
o
g
r
e
s
s
, edu
c
a
tio
n
,c
om
p
e
t
i
t
i
o
n
, andt
h
el
i
k
e
andtoi
g
n
o
r
eo
r si
l
e
n
t
l
yavo
id
.c
o
n
f
r
o
n
t
a
t
i
o
nw
i
t
h
,l
e
t
a
l
o
n
e engagem
en
tw
it
h
,s
om
eo
ft
h
ec
r
i
t
i
c
a
lcm
l
c
e
rn
so
fou
r
c
u
r
r
e
n
ts
o
c
i
e
t
y
r
a
c
i
a
land s
o
c
i
a
lj
u
s
t
i
c
e
,p
o
v
e
r
t
y
,d
e
p
r
i
v
a
t
i
o
n
,d
e
l
i
n
q
u
e
n
c
y
, andt
h
eab
s
en
c
eo
fi
n
d
i
v
i
d
u
a
ld
i
g
n
i
t
y
f
o
rsom
any
.
"
A
sa s
o
c
i
e
t
yw
ed
eny young p
eop
l
et
h
eo
p
p
o
r
t
u
n
i
t
yt
op
a
r
t
i
c
i
p
a
t
e
,t
o
eng
ag
e
,t
or
e
a
l
l
yi
n
v
o
l
v
eth
em
s
e
lv
e
si
nt
h
ef
a
b
r
i
co
fr
e
a
ll
i
v
i
n
g
. We
mu
s
t s
om
e
h
owen
ab
l
eYOW
lg p
eop
l
et
op
a
r
t
i
c
i
p
a
t
el
e
g
im
a
t
e
l
yi
nt
h
e
s
o
c
i
a
li
s
s
u
e
so
fou
rt
im
e
,
t
os
t
.
r
'
u
g
g
.
l
.
ew
i
t
h su
chp
rob
l
em
so
f so
c
.
i
.
a
l
p
r
e
j
u
d
i
c
e
,s
o
c
i
a
land e
conom
i
cd
e
p
r
i
v
a
t
i
o
n
,s
e
l
fgov
e
rnm
en
t
,t
h
e
~

o
fc
o
n
c
e
p
t
i
o
n
so
fs
e
r
v
i
c
et
oo
t
h
e
r
s
.

8
. F
i
n
a
l
l
y
,w
ea
r
econ
c
e
rn
edf
o
rh
um
a
nreL
a
tLon
ship
s
c
-Ln t
h
ef
am
i
l
y
,t
h
e
com
mun
i
ty
, n
a
t
i
o
n
a
l
l
y
,i
n
t
e
r
n
a
t
i
o
n
a
l
l
y
. L
nd
i
s
c
u
s
s
i
n
gf
o
r
e
i
g
na
i
d
,
S
e
n
a
t
o
rW
a
l
t
e
r F
.M
ond
a
le o
fM
inn
e
so
t
a o
b
s
e
r
v
e
d
, "W
es
e
ema
sa c
o
u
n
t
r
y
t
ob
eo
u
to
fph
a
s
ew
i
t
h ou
ri
d
e
a
l
s
.
" Th
i
s wou
ld app
e
a
rt
ob
et
r
u
e
d
om
e
s
t
i
c
a
l
l
ya
sw
e
l
la
si
n
t
e
r
i
l
a
t
i
o
n
a
l
l
y
.
I
nt
h
e
i
rwo
r
ld andt
im
e
,t
h
eyoung p
eop
l
eo
ft
h
i
sg
e
n
e
r
a
t
i
o
nw
i
l
lb
e
c
o
r
r
e
c
t
i
n
gou
rm
i
s
t
a
k
e
s
.

T
h
er
e
a
ld
e
t
e
rm
i
n
a
n
to
ft
h
equa
l
i
t
yo
fl
i
f
ei
n

�th
ey
e
ar 1 8 o th
ey
e
a
r2

w
il
l
b
ed
e
ter
m
in
ed by t
h
ep
r
og
r
e
s
s and

su
c
c
e
s
st
h
e
ya
c
h
i
e
v
ei
nl
e
a
r
n
i
n
gsom
ehowt
ol
i
v
eon
ew
i
t
ha
n
o
t
h
e
r
,
l
o
c
a
l
l
y
,n
a
t
i
o
n
a
l
l
y
, an
di
nt
h
ewo
r
ld commun
i
ty o
fwh
i
ch ou
r coun
t
.
cy
i
sa pa
r
t
.

We coul
dgo on i
d
e
n
t
i
f
y
i
ng o
t
h
e
r issu
e
so
ft
o
dayandt
o
mo
r
row
, b
u
t th
e
se
e
i
gh
tw
i
l
ls
u
f
f
i
c
et
oi
l
l
u
s
t
r
a
t
et
h
ek
i
n
d
so
fs
o
c
i
a
lcon
c
e
rn
st
owh
i
ch i
t
s
e
em
sL
mp
e
ra
t
.Lv
ee
x
t
e
n
s
i
o
nandu
n
i
v
er
s
i
t
i
e
smu
s
td
i
r
e
c
t
.t
h
e
i
ra
t
t
e
n
t
i
o
n
.

V
. A
s you mov
e from Commi
tm
e
n
tt
oA
ct
i
o
n
,wi
t
ht
h
eb
r
oad
en
ed concep
to
f
pur
p
o
s
eand p
rog
r
am wh
i
ch se
em
st
oc
h
a
r
a
c
t
e
r
i
z
e you
rp
r
o
f
e
s
s
i
o
n
a
ld
e
l
i
b
e
r
a
tions, c
e
r
t
ai
nt
h
l
ng
ss
e
e
me
v
i
d
e
n
t
.
F
irs
t
,i
t
w
il
l
be n
ece
s
s
a
r
yt
oinvo
lv
et
h
er
e
s
o
u
r
c
e
so
ft
h
eto
ta
l
u
n
i
v
e
r
s
it
yre
a
l
l
y
. I
'
v
eh
e
ar
dmu
ch andr
e
a
dmu
ch t
ot
h
ee
f
f
e
c
tth
a
t
,t
h
r
o
u
g
h
Ex
ten
s
i
o
n
,t
h
er
e
s
o
u
r
c
e
so
fthe u
n
i
v
e
rs
i
t
ya
r
eava
il
a
b
le t
oa
l
lp
e
o
p
l
eo
f
t
h
es
t
a
t
e
. Bu
t I hav
es
e
enl
i
t
t
l
e
ev
id
en
c
et
oi
n
d
i
c
a
t
et
h
a
tt
h
i
si
si
na
tru
e. I
fyou a
s Ex
t
en
s
ion ou
th p
r
o
f
e
s
s
i
o
n
a
l
sa
r
er
e
a
l
l
yt
os
e
r
v
et
h
e
c
r
i
t
i
c
a
ln
e
ed
s andb
e
s
ti
n
t
e
r
e
s
t
so
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                    <text>/

Remarks by
Dr. Russell G. Mawby, President, W. K. Kellogg Foundation
at the
Conference on Rural Community Development Education
Raleigh, North Carolina
March 27, 1974
I

It is a pleasure indeed fo::r me to be with yot'. for t.hLs evening session
ot your ConferencE on Rural Community Development Education.

Before joining

t.he Foundat.I cn staff in 1965, I served as a member of the faculty of the
College of AgiLcu.Ltur e of Michigan State University. ,-lith particular responsibilities in the Cooperat.Lve Ext.ens i on Service.

Rural community develop-

ment was then, as now, a major topic of discussion and I participated in
many similar seminars.

AQditionally, in my earller responsibilities with

the Foundation, I had the pleasure of visiting many of your institutions and
meeting with gr oups like this, concerned with s imilar problems.

Thus, I wel-

come this opportunity of seminaring on current issues and plans relative to
rural development.
Dr. Horne, in extending the invitation for me to be with you this evening,
suggested that my remarks should be concerned with the role of private foundations in community rural development .

Certainly, for this group, there is no

need for me to define rural community development.
been defined, re-defined, disected, debated .

It is a term that has

Any of the several definitions

which were used during the afternoon session are quite acceptable to me.
of them emphasized that the concept is broad and complex, encompassing
virtually the total concerns of man.

All

�2

Bu
ti
t m
ayb
eu
s
e
f
u
las a p
o
i
n
to
fdepa~tur e t
oc
omm
en
tb
r
i
e
f
l
y on t
h
e
n
a
tu
r
eo
fp
r
i
v
a
tefound
a
t
ion
sa
sa b
a
s
i
s fo
r ou
r exp
lo
ra
ti
o
no
ft
h
e
i
rr
o
l
e
.
Ap
r
i
va
te f
o
u
n
d
a
t
i
o
nh
a
sb
e
end
e
f
i
n
e
dby on
e ob
s
e
r
v
e
ra
s"
ani
s
l
a
nd o
fmon
ey
,
e
n
t
i
r
e
l
ys
u
r
rounded byp
eop
l
ew
ho w
an
t som
eo
fi
t
." Mo
r
e s
e
r
i
o
u
s
l
y
,a p
r
i
v
a
te
foun
d
a
tioni
sb
e
t
t
e
r ch
a
ra
c
t
e
r
i
z
e
da
s"a p
r
i
va
t
e
,n
o
n
p
r
o
f
i
to
rg
a
n
i
z
a
t
i
o
n
e
s
t
a
b
l
i
s
h
ed t
op
rov
ide a s
y
s
t
em
a
t
i
c andre
s
u
l
t
y
i
e
l
d
i
n
gp
a
t
t
e
r
no
fg
i
v
i
n
gto
a
i
dsoci
a
l,e
d
u
c
a
t
i
o
n
a
l
,c
h
a
r
i
t
a
b
l
e,c
u
l
t
u
r
a
l
,o
ro
t
h
e
ra
c
t
i
v
i
t
i
e
ss
e
r
v
ing
t
h
ec
ommon w
e
lfa
re.
"
Br
o
a
d
l
y
,t
h
e
rea
r
efivec
l
a
s
s
i
f
i
c
a
t
i
o
n
so
fp
r
i
v
a
te fou
n
d
a
tio
n
s. I am
u
r
eyou c
ani
d
e
n
t
i
f
yex
amp
l
e
so
fe
a
chinyou
r ownex
p
e
r
i
e
n
ce o
rl
o
c
a
l
i
t
y
:
s
A.
	 T
h
ef
am
i
l
yf
o
u
n
d
a
t
i
o
n
,t
h
ep
h
i
l
a
n
t
h
r
o
p
i
cm
e
ch
an
i
sm fo
rc
h
a
r
i
t
a
b
l
e

g
i
v
i
n
gby a s
i
n
g
l
ef
am
i
lyo
rf
am
i
l
yg
roup
. Mo
s
t f
am
i
lyfound
a
t
i
o
n
s
a
r
er
e
l
a
t
i
v
e
l
ysm
a
l
l
,hav
eno p
r
o
f
ess
i
o
n
a
ls
ta
ff
,m
aylimi
t
t
h
e
i
r
g
r
a
n
t
st
oc
e
r
t
a
i
na
r
e
a
so
fin
t
e
res
to
r pu
rp
o
se
, and gener
a
ll
ya
r
e
l
i
m
i
t
ed i
nt
h
e
i
rg
eog
r
aph
ic s
cop
eo
fa
c
t
i
v
i
t
y
.
B.
	 Th
e commu
n
i
t
yf
o
u
n
d
a
t
i
o
n
,a m
e
ch
an
ismbyw
hi
c
hv
a
r
i
o
u
s dono
r
sc
an
g
i
v
et
oco
mmun
i
ty pu
rpos
e
s
. T
hecommuni
t
yf
o
u
n
d
a
t
i
o
nha
s its own
boa
r
do
ftr
u
s
t
e
e
s, whoh
averespon
s
ib
ilityfo
r adm
i
n
i
s
t
r
a
t
i
o
no
f
t
h
efund
sp
rov
id
edt
oi
t
by gi
f
t
o
rb
e
q
u
e
s
t
. Inadd
i
tiont
oa
d
m
ini
s
t
e
r
i
n
gfund
sg
i
v
e
nf
o
rspec
ifiedpu
rp
o
s
e
s,t
h
ebo
a
rd d
e
t
e
rm
in
e
s
t
h
euse o
ft
h
e in
com
efrom i
t
s gene
r
a
la
s
s
e
t
sinr
e
l
a
t
iont
ocom
mun
i
ty prob
l
em
sand n
e
ed
s
. I
ni
t
sc
h
a
r
t
e
rt
h
eg
eog
r
aph
i
cs
cop
eo
f
a co
mmun
ity foun
d
a
t
i
o
n
'
si
n
t
e
r
es
ti
sp
resc
ribed
.
any
spon
s
or
e
dfo
und
a
t
i
o
n
,the c
h
a
r
i
t
a
bl
ea
rm o
fabus
in
e
s
s
C
.
	 Th
e comp
co
rpo
r
a
t
i
o
n
. Su
ch fou
n
d
a
t
i
o
n
su
s
u
a
l
l
yh
av
e a boa
r
dm
ad
e up o
f
o
f
f
i
c
i
a
l
so
ft
h
espon
so
r
ingc
o
r
p
o
r
a
t
i
o
n
. Th
e prog
r
am a
reaso
f

�3
in
t
e
res
t m
ayb
ep
r
e
s
cr
i
b
e
dan
dv
e
r
yo
f
t
e
nt
h
eg
r
a
n
t
s ar
em
a
d
et
o
co
mmu
n
i
t
i
e
sin w
h
i
ch t
h
eco
r
p
o
r
a
t
i
on c
a
r
r
i
e
so
ni
t
sc
o
r
p
o
r
a
t
e
bus
in
essa
c
t
i
v
i
t
i
e
s
.
p
e
c
i
a
l-pu
rpo
s
ef
o
u
n
d
a
t
i
o
n
s, es
tab
lished by e
i
t
h
e
ri
n
d
i
v
i
d
u
8
l
s01
'
D
.
	 S
g
roups
,w
i
th v
e
r
ys
p
e
c
i
f
i
cpu
rpose
si
nm
ind
.

T
he
s
em
a
yr
e
l
a
t
et
o

r
e
s
e
a
r
c
hi
n
t
e
r
e
s
t
s
,p
rog
r
am ac
tiv
itie
s
,r
e
l
i
g
i
o
u
spurp

e ~

0
1

a
n
y

s
p
e
c
i
a
lcon
ce
r
no
ft
h
e dono
r
s.
E
.
	 G
en
e
r
a
l
-pu
rpo
s
e foun
d
a
t
i
o
n
s
. Th
e
se a
r
et
h
el
a
r
g
ep
riv
at
efound
a
t
i
o
n
s
, m
a
ny o
f w
h
ich y
ou w
i
ll re
cogn
i
z
e
--Fo
rd
,R
ocke
fe
l
l
e
r, C
a
r
n
eg
ie
,
DUke
,K
e
l
l
o
gg
,K
r
es
ge
,D
an
for
t
h
. Th
e
se fo
u
nd
a
t
i
on
s hav
eb
ro
a
d pu
r
po
s
e
s,w
i
t
hp
r
i
o
r
i
t
i
e
se
s
ta
b
l
i
s
h
e
dby bo
a
rd
so
ft
r
u
s
t
ees o
n a con
t
i
n
uingb
as
isinres
pon
s
et
os
o
c
i
a
lch
ang
e andn
e
ed
. T
hey t
e
n
dt
o
b
ea
tl
e
a
s
tn
a
t
i
o
n
a
li
nte
rm
so
fgeog
raphi
cscopeo
fin
te
re
s
t.
fp
r
i
v
a
t
ep
h
i
l
a
n
t
h
r
o
p
y th
rougha f
o
u
n
d
a
t
i
o
ni
sanAm
er
i
c
an
T
he con
ce
p
t o
innov
a
t
i
on
. I
ti
sa p
a
r
to
fth
eAm
er
i
c
a
np
l
u
ra
l
i
s
t
i
cap
p
ro
a
cht
op
r
ob
l
em
s,
o
rt
h
ep
ri
v
a
t
es
e
c
t
o
rt
ocon
tribu
tein a sy
s
t
em
a
t
ic and d
i
s
t
in
c
t
i
v
e
aw
ay f
w
ayto h
um
a
nw
e
ll-b
eing
.
I
d
e
a
l
l
y
,t
h
ef
o
l
l
o
w
ing ch
ar
a
c
te
r
i
s
t
i
c
sdesc
ribe f
o
u
n
d
a
t
i
o
na
c
tiv
iti
e
s:
A.
	 Found
a
ti
o
n
sa
r
e apo
li
tica
l an
da
dv
oca
t
eno p
a
r
t
i
c
u
l
a
rapp
r
c
a
cbto
s
o
l
v
i
n
g hum
an
iti
e
sp
roblem
s(op
en
-m
in
d
ed
).
B.
	F
o
un
d
a
ti
o
n
sh
ave t
h
ep
o
t
en
ti
a
lfo
r'
l
u
i
c
kan
d im
ag
i
n
a
t
i
v
ere
s
p
on
s
e
t
oi
d
e
n
t
i
fyem
e
rging n
ee
d
s. V
e
ry o
f
t
e
nthe
irr
e
s
p
o
n
s
ec
anb
em
e
re
imm
e
d
i
at
ethan e
ith
e
rthe m
o
re c
um
b
e
r
s
o
m
epr
o
c
e
s
so
fg
o
v
e
r
nm
en
to
r
t
h
ed
i
f
f
i
c
u
l
t
i
e
so
fd
ec
i
s
i
o
n by i
n
d
u
s
t
r
y(
respon
s
ib
l
e,f
le
x
ib
le
)
.
C.
	B
yn
a
t
u
r
ethero
leo
ffound
a
t
i
o
n
sist
osuppo
r
ti
n
n
o
v
a
t
i
v
ev
e
n
t
u
r
e
s
.
T
h
e
yrep
r
e
s
e
n
t soc
i
a
l"
r
isk
"c
a
p
i
t
a
l
. Inte
rm
so
fac
c
ou
nt
a
b
ility
,

�4
fo
und
a
ti
o
n
sa
r
ere
s
pons
i
b
l
etos
o
c
i
e
t
ya
t

ar

e~

no
thav
in
gt
o

con
f
ron
ts
to
ckh
o
l
d
e
r
sa
tt
h
enex
t an
nu
a
l m
ee
t
in
go
rvo
te
r
sa
tt
h
e
e
c
tion
.
n
ex
t el
at
i
o
n
sc
ancon
ce
n
t
r
a
t
ede
l
i
b
e
r
a
t
e
l
yandcon
si
s
ten
t
l
y and i
n
D.
	 Found
v
a
r
i
ed w
aysto m
ak
ea s
i
g
n
i
f
i
c
a
n
t im
p
ac
t.
I
I

Incon
s
i
de
ring t
h
er
o
l
eo
fp
r
i
v
a
t
efound
a
t
i
o
n
s inr
u
ra
lc
o
mmun
i
ty d
eve
l
o
p
i
ts
e
em
sfa
ir t
os
t
ar
tw
it
htwo g
en
e
r
a
lo
bse
r
va
ti
o
n
s
.

e t~

r t~

fou
nd
a
-

tionsu
ppo
r
t w
i
ll b
ef
o
rinno
v
a
ti
v
eu
nde
r
ta
k
i
n
gs i
nc
o
mmu
n
i
ty d
ev
el
o
pmen
t.
I
ngene
ra
lt
h
issuppo
r
tw
ill b
ef
o
re
xp
e
rim
e
n
t
a
le
t

~

rt ~

mod
e
l demon
s
tr
a
-

e
f
f
or
t
s wh
ichhop
ef
u
l
l
yh
ave a "m
u
ltip
lie
r" po
te
nt
i
a
l
. Found
at
i
o
n
s

s
imp
l
ydo no
th
av
e th
em
a
g
n
i
t
u
de o
f fund
sne
c
essa
r
yf
o
rope
r
a
ti
o
n
a
l

upp rt ~

f
o
rw
e
lf
a
r
epro
g
r
am
s
,f
o
ra
s
s
i
s
t
a
n
c
eto ev
e
rycomm
u
n
i
t
y
. S
e
cond
, fo
u
nd
at
i
o
n
suppo
r
ti
nru
r
a
l commun
i
ty deve
l
o
pm
en
t w
i
ll belim
i
t
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ur e ~

a
c
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yt
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e fun
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s av
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nr
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la
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lneed
s
. T
h
eb
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s
t in
fo
rm
a
tio
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v
a
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ab
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ei
n
d
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reabou
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,000foun
d
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tat
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th agg
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te cap
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so
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rce
so
fabou
t $27b
i
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. T
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ings
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e~

t
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m
ade by fo
unda
t
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s. T
hos
efi
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s
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ti
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pe t

e~

fo
r ex
am
p
leinr
e
l
a
tio
ntof
e
d
e
r
a
le
xpen
d
i
t
u
r
e
s
. T
oi
l
-

l
u
s
t
r
at
et
h
i
sp
o
in
t
,t
h
et
o
t
a
lca
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lasset
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f fo
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s ($27b
i
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)
i
ss
l
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gh
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yle
s
sth
ant
h
eamoun
t sp
en
tby t
h
eU
.S
.D
ep
a
r
tm
en
to
f H
e
a
l
t
h
,
du at

~

andWe
l
f
a
re i
na s
ix
m
on
t
h
sp
e
riod
.

Bu
t wh
i
lep
r
i
v
a
t
efo
und
a
tionr
e
s
o
u
r
ce
sa
r
er
e
l
a
t
i
v
e
l
ysm
a
l
l
,as a
ll o
f
o
me
x
p
e
r
i
e
n
ce
,p
r
i
v
a
te g
ran
td
o
l
l
a
r
sv
er
yof
t
e
na
r
ec
ritic
a
l and
u
s knowfr
c
a
t
a
ly
t
icin p
r
ovid
ingfo
re

p er

e tat

~

e
xp
lo
ra
t
i
on
,r
e
-d
i
r
e
c
t
i
o
n
,ch
ang
e
.

�I hav e no survey information whi ch indicates what foundations are now
doi ng in the area of r ural community de velopment.

My subjective a ss essment

would be, howev er , that coll ectiv el y less is b eing done than should be in
r elation t o the significance of rural probl ems in our society . . If my sub j ective observation i s cor r ect , bo th of u s must a s sume some responsibility :

the

foundation de c is ion makers who may not have given a dequat e emphas i s to r ural
pr oblems, and those of you who are directly engaged i n r ural dev el opment but
who have not communicated the nat ure , urgency , a nd needs of your effort s.
You wou l d know b et t er than I the involv ement or support provided by
pri vat e f oundations which have local a nd regional scopes of i nt er e st .

At

the nat ional level , I wi ll use only one f oun dat i on , t he one with wh ich I am
a s soc i ated , t o illustr at e t he long-t erm involvement of a privat e foundation
i n r ural community devel opment.
The Kellogg Foundation wa s established in 19 30 a nd , duri ng i ts f i r st
deca de of oper a t i on , concent r at ed i t s ef f ort s in seven count i es o f s outhc entral Mi chi gan .

The maj or thrust of the Mi chi gan Commun i t y Health Program

wa s t o a s s i st the count i e s in improving health car e available to rural peopl e ,
through the e s tabl i shment of pUbli c healt h s ervices , county de part ments of
heal t h, out l y i ng ho s pi t al s and he alt h c ent er s, and pUblic health educat i on.
As a r el a t ed ef f ort , the Foundat ion assisted in the improvement of rural
educat i on t hrough the establishment of co nsolidated agr icul t ural high schools .
The conc er n with the qualit y of l ife in the country s i de has continued to be a
major, though not ex cl u s i v e , pr eoc cupation of t he Foundation .
To illustrat e var ious Foun dat ion act i v i t i e s ov er the pa st decade a nd a
half , I will s i mply l ist a number of projects to which we have pr ov i ded substa nt i al support.

Det ailed informat i on can b e provided upon reque st.

��7
As a gr ant - maki ng f ounda tion, our role is t o r e spond to r e ques t s f r om
commun i ties a nd ins t i t ut i ons.
"peddl e . "

We do not de sign progr ams whi ch we t ry t o

While our r ol e is r eal l y not completely pa s s ive in progr amming ,

I woul d empha s iz e t o you t hat i n a sens e , t he role of grant-maki ng foundations in r ural communi t y devel opment cannot b e mor e than you want- -or permi t-i t to be .

III

I think i t will be u s ef ul f or me to shar e wi t h you some ob ser vat i ons
r egardi ng t he proposal s we r eceive whi ch are rel at ed to r ural communit y
de v elopment.
1.	 We r ec ei v e many proposals f or support of studi es a nd re sear ch , but
whic h have no provi sion for implementat ion or foll ow-through.

I

c er tai nl y ag r ee that we need to know mor e but we also feel that
"we know b et t er t han we do . "

Some f oun dations a nd other f un ding

sourc es concentrat e exclusively upon res earch and woul d be
rea sonable s ources of su ch support .

Howev er , i f you are s eeki ng

pr ivate suppor t , you should do some a nalys i s of t he area s of int er est and general ph i l o s ophy of t he f oundat ions whi ch you appr oach.
If you do your homework r egar di ng the Kell ogg Foundat i on , you ' ll
kno w t hat our commi t ment i s t o the "appl i cat i on of kno wl edge t o
t he problems of pe ople. "

Our pr eoccupation is with knowl edge

ut ili zat i on i n new and innova t i ve ways t o addr es s significa nt
soc iet al conc er ns .

I t i s our feeling t hat "what could a nd should

b e i n r ural Amer i ca is something better t ha n what is. "
2 .	 Many pr opo s als s eek support f or "mor e of t he same."

As I empha s i zed

earlier , the pr i vat e f oundat i on r ole is support of i nnovat ive and

�8
expe
rim
en
t
a
le
f
f
o
r
t
s
. T
h
ec
o
n
stra
in
t
simpo
s
edb
yw
i
s
es
t
e
wa
r
ds
h
i
p
o
flim
i
tedr
e
s
ou
r
c
e
sp
r
ev
en
tc
o
n
tr
i
b
u
t
i
on
s to o
p
e
r
a
ti
o
n
a
l suppo£
t
o
r
	f
o
rt
h
er
e
p
l
i
c
a
t
i
o
no
fapp
ro
a
ch
e
sw
h
ich h
av
ea
l
r
e
ady been demon
s
t
r
a
t
e
ds
u
c
c
e
s
s
f
u
l
l
y. Wh
i
l
e th
ep
ro
p
osa
lm
a
yb
en
ewfo
r yo
u
rc
om
m
un
i
ty o
r i
n
s
t
i
t
u
t
i
on andm
a
yb
ewo
r
thw
h
i
l
e
, gen
e
r
a
l
l
yp
r
i
v
a
t
e
suppo
r
tf
roma n
a
t
i
o
na
lfound
a
t
ionwou
ld no
t be a
v
a
i
l
a
b
l
e
. Ins
um
ma
r
y, m
an
yp
ropo
s
a
l
sw
es
e
ere
la
tingt
or
u
r
a
lc
omm
u
ni
t
yd
ev
e
lopm
en
t
a
r
e
	no
t inno
va
t
i
v
eo
rn
ew
.
3.
	I
nm
any i
n
s
tan
ce
s
,t
h
ep
rog
r
amwh
i
ch i
sprop
o
sed i
sin
ad
eQ
ua
tet
o
thep
rob
l
emb
e
i
n
gd
e
a
l
tw
i
th
.

M
o
s
t s
i
g
n
i
f
i
c
a
n
tpr
o
b
l
ems i
nr
u
r
a
l

co
mmun
i
tie
sa
r
ecomp
l
ex
,d
i
f
f
u
s
e
,i
n
t
e
rr
e
l
a
t
e
d
,m
u
lti-d
isc
ip
lin
ar
y
,
gene
r
a
l
i
z
ed,p
e
rm
e
a
t
in
g
. In c
o
n
t
r
a
s
t,t
h
es
o
l
u
ti
o
n
sp
ropo
s
ed a
re
o
f
t
e
ns
im
p
l
i
s
t
i
c
,d
is
c
ip
li
n
e
-o
rien
te
d
, sp
e
c
i
f
i
c
,c
i
r
cum
sc
ri
b
e
d
. T
o
o
o
f
t
e
nt
h
ep
ropos
edp
rog
r
am isd
e
a
l
i
n
ga
tt

~

f
r
i
n
g
e
s
,r
a
t
h
e
rt
h
a
n

w
i
th co
r
ei
s
s
u
e
s
.T
h
ep
rop
o
s
a
lsa
r
eth
u
si
n
a
d
eQu
a
t
et
ot
h
eta
sk
t
h
e
yp
ropos
et
opu
r
su
e.

4
.
	M
any p
r
o
p
o
s
a
l
sa
r
eba
sed o
n
-o
ro
r
i
e
n
t
e
dt
o
--i
n
s
t
i
t
u
t
i
o
n
a
lo
r
d
isc
ip
lina
r
yn
e
ed
so
rg
oa
l
s, no
to
r
i
e
n
t
e
dt
ot
h
ep
rob
l
em
so
fp
eop
l
e
andcommun
i
tie
s. S
u
ch p
ropo
sa
l
so
f
t
e
ng
r
owou
to
ft
h
ei
n
t
e
r
e
s
to
f
ad
ep
a
r
tm
en
t, ana
dmi
n
i
s
t
r
a
t
i
v
eu
n
i
t
,o
r ac
l
u
s
t
e
ro
ff
a
c
u
l
t
yand
re
la
tet
ot
h
e
i
rn
e
ed
so
rg
o
a
l
s.
a
t
ion
sa
r
ep
r
obl
em
-andp
eop
l
e
o
r
i
e
n
te
dinth
e
i
r
Mo
s
t found
p
rogr
amm
inganda
r
ei
n
t
e
r
e
s
t
e
di
np
ropo
s
alswh
i
ch a
re s
im
i
l
a
r
l
y
concer
n
ed
.
D
r

F
i
n
a
l
l
y
,I w
ou
lds
h
a
r
ew
i
th you afewc
a
n
di
dc
omm
en
t
sreg
a
rd
ing c
o
l
l
e
ge
s
o
fag
ric
u
l
tu
reandru
r
a
l co
mmunity d
eve
lopm
en
t
. V
e
ry o
f
t
e
nt
h
et
e
rma
g
ricu
ltu
re

�9

i s r egarded a s synonymous wi t h rural .

Wher ea s thi s to a substantial ext ent

may have b een t r ue at the t ime colleges of agr icult ure were originally establi shed, wi th the passage of time t he conc ep t of a gr i culture has narr owed.
This evolut ionary change is important to r ec ognize as we consider the rol e
of agricultural colleges in r ural development.
For per s pect ive i t is u seful t o t urn back t o the per i od i n hi stor y more
t han a c ent ury ago when what i s per haps our country 's onl y or i gi nal idea i n
higher ed uc a t i on- - the l and-gr a nt sy st em- - was con c eived .

As Dr . Bishop i ndi -

cat ed i n hi s remar ks , the land- grant i ns t i tut i on s wer e r eall y conc ei ved a s
r ural de velopment i nstitutions.

As t he original coll eges of agr i cult ure

matured , the prof i le of interest broadened t o encompa s s mor e fully t he r a ng e
of huma n co nc er ns :
1 850 (1862 ) - a concer n f or f arming and f arm people , t o make the advantag es of higher education available to t he sons a nd
daught er s of farmer s and the working clas s e s , t o direc t
t he at t ent ion of such i nst i t ut i ons t o the probl ems of
earning a l i v i ng a s wel l as l iVing a life.
1887

_.. t hen , t he reali zat i on we didn't kno w enough , so r e s earch

1898

- a concern f or the quality of family life, s o home economi c s

1 90 0

- a conc er n t hat t r a di t i onal schooling wa sn ' t pr epar ing
youngsters f or the ki nds of l i ve s t hey would lead, so
Boys an d Gi r ls Cl ub work , now 4- H
t he establi shment by colleges of agr i cultur e of department s
of r ural education a nd of r ural soc iology , conc erned with
t he well - b ei ng of r ural folks

1914

- to make the r esourc es of the campu s avail able t o all ,
Extens ion .

�10

I n	 t h e year s sinc e , a lot of changes hav e occurr ed :
1.	

We hav e moved f r om an a gr ar i an to an ur ban i zed soci ety .

2.	 The land- gr ant universiti e s, i n wh i ch agriculture wa s originally
domi nant, hav e b ecome complex institution s .

Today agr i cultur e is

a smaller pa r t of the total ac a demic scene .

3.	 Societal goals have gr adually ch anged, i ncluding a shift f rom a
preoc cupation wi t h the mat eriali stic " s t a ndard of living" to a
concept of the " qual i t y o f life . "

4.	

As a gr iculture ha s pr ogre s s ed , t h ere ha s been a specia l i zat i on and
fr agment a t ion-- i n the struc t ur e of colleges and depa r t ment s , in
the f abr ic of r e s earch , i n the industr y of farming , in the ma ze
of f arm organi zat i ons and institutions whi ch serve a gricul t ure .
The col leg es of a gricult ur e have pr ogressively nar rowed thei r s cope
of concerns to an almost ex clus i v e preoccupation now wi th a gricul t ura l production and clo s ely rel a t ed a ctivitie s , with le s s er
concer n f or problems of the f ami l y , of h ealth car e del iver y , of
s oc i a l ins t i t ut i ons and s er v i ces , of education .

And unf or t unat el y,

wh i l e college s of agr i cultur e have dropped t he s e i ssues f rom the i r
agenda , the uni vers i t i e s of whi ch a gri cult ure i s a part have not
assumed t h e s e respons i bili t i e s in t he mor e complica t ed or ga ni za t i onal
s truct ure.

To ill u str ate , mo st co l l eges of educat i on do not giv e

major attent i on t o rural school i ng a nd educat i ona l oppor t uni t i es,
most col l eges of medic i ne do not co ncern themselves i n any comprehensive way wi t h r ural health car e deliver y .
Fr om all of t hi s , I would sha r e wi t h you three " danger ous gener a l i zat i ons . "
I know you will r es pect t hem as SUCh.

They are bas ed on a ho st of impr ess i ons ,

�11
contac ts, and exper i enc es fr om throughout the count r y .

I do not know t he

ext ent t o whi ch they may b e de s cr i pt i v e of your own i nstitut i on s or of t hi s
r eg i on.
Gener ali zation No. 1.

Most col leg es of agr i culture are not real l y

con c erned wi t h rural communi ty development .
Speaking at a North Central Regional Conf erenc e on Rural Development
i n May, 1962 , Dean R. L. Kohls of Purdue Univer sity, i n discus sing the organization of un i v ersity per so nnel to deal wi th r ural devel opment, ob s er ved
that "the mo st important ac t i on is f or deans, di r ectors of experiment st at i ons
and ext en sion services , a nd other faculty leader s to make the vis ible decis i on t hat rural communi t y de velopment is an ar ea of high concern an d
import anc e t o rural people and that evolving national policy wi l l make it
a vali d mi s sion for teaching, res earch, and Ext ens i on a t t ent i on."

It i s my

impr e ssion t hat ver y few, i f any , colleges of agri cultur e hav e made t his
commi t ment .
Speaki ng at t he same conferenc e, Dr . Earl Heady of Iova State University
commented , " No land-grant university has put r ura l deve.Lopmerrt as the rna,jor
it em on i ts agenda of affairs pres errt ed to the st.at e . t,
Ther e is little ev i dence tb_at e i ther colleges of agricultur e

01'

the

univer sit i es of whi ch t hey are a part have given a sense of -priority and
urgency to rural problems .
Generalizat ion No . 2 .

Most colleges of agricuture are not equi pped to

deal ad equately with the br oad r a ng e of issues encompas s ed i n r ural community
development , issue s i ncluding health car e deli ver y, education , bu s ine s s and
indu stry , political i nstitut i ons , s oc ial s ervic es.

While fac ulty members wi th

br oad respon s i bi l it i e s a nd titles in commun ity development can prov i de leade rship , the knowledg e r e sourc es of the l ar ger university must be br ought to bear .

�12
Generali zatio n No. 3 .

The inadequacy of resourc es within colleges

of agriculture is compounded by the organizational rigidities of most
univer sities.

The typical Extension Service, which may have a community

development component, simply does not have available to it the intellectual
and technical resources of the university at large .

This circumstance is

f urther compounded by an "insular mentality" of many colleges of agriculture
which seem t o set them as ide from the main st ream of academic life.
If, in fact, there now really is a revival of interest in rural affairs
on the part of colleges of agrIculture, it ie unfortunate that this revival
has come so late.

How much easier· f.t wou.ld have been for these colleges to

mount significant programs in the gr owt h decades of the 50 's and 60's, when
new funds were available on an additive basis.

Now , while I am confi dent

that additional funding can still be secured if proper approaches are made to
funding sources, i nc luding legislatures andthe Congress, these additive Eesources are c er t a i nly limited and in many cases, rural community development
will be addressed only through the reallocation of existing resources.

ThUS,

admini st r at i v el y , it may be much more dif f icult for colleges of agriculture
to embark on major rural community development programs than would have been
true in an earlier day.

v
I n reflect i ng on the concern of this conference, I see a parallel in
the colleges of medicine .

These colleges have become increasingly fo cused

upon issues of medical s c i ence and technology, not upon problems of the
health of people and health care delivery.

Encouragingly, there is now

ev idenc e i n a number of colleges t hat this fo cus is changing, recognizing
more fully and realistically that the ultimate mission of medicine is to
s erve human health needs.

�13
S
im
i
l
arl
y
,c
o
l
l
e
g
e
so
fa
g
r
i
c
u
l
t
u
r
eh
av
ei
n
c
r
e
a
s
i
n
g
l
yc
o
n
c
e
n
t
r
a
t
e
don
t
h
esci
e
n
c
eandt
e
c
h
n
o
l
o
g
yo
fag
r
i
c
u
l
t
u
r
a
lp
r
o
d
u
c
t
i
o
n. Now i
t
issu
gge
s
t
e
d
t
h
a
tt
h
e
ym
ay b
e
com
ei
n
c
r
e
a
s
i
n
g
l
ycon
c
e
r
n
e
dw
i
t
ht
h
ep
rob
l
em o
fr
u
r
a
l
p
eop
l
e andcommun
i
t
ie
sa
sw
e
l
l
,r
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                    <text>CONTINUING EDUCATION:

A LOOK TO THE FUTURE

Remarks by Dr. Russell G. Mawby
President, W. K. Kellogg Foundation
California State Polytechnic College - Kellogg West Dedication
December

6, 1971

I

Thank you for privilege of participating in this dedication of Kel l ogg
t h e Center of Cont inu i ng Education for the Ca l i f or ni a State Col l eg e Sy s t em .
is always a pleasure to visit Cal Poly.

~Test,

It

In my seven years with the Foundati on I

have had the opportunity of b e i n g here a number (If times; s pec i al pleasure..--not only
California but throughout the count ry .

One such visit in 1966 with Dr. Emory ¥

Morris (special greetings) when idea of this Center fir st discussed; Ar-abian
Committee soon after Kramer came as Vice President.
Much has t r ans pi r ed :
Many groups --

Many people
Trustees
Public officials in government - Legislative &amp; Executive
Staf f in Chanc el l or 's office

Cal Poly Family

Faculty and administrative personnel of this institution
and others of the System
Community organization ... business and Lnds utry _. 'Tho
helped finance

But a few individuals stand out Juli an Mc Phe e , a great leader, a solid educ at or, a real do-ce.r
Poly Vue 1965 Voorhis Caro~us (K. Kitch)
Glen Dumke
Bob Kr-amerJ ohn O'Hara
to all, individually and collectively - express compliments of Foundation
on this occasion

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Farmer-s Study Program
Health Care Ad.ministration .- UCLA
Continuing Education for Physicians - USC
Community College AdministratoL's - UCLA, Berkeley 8 Stanford
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Ford of caution 1. (observation)

center
\'!11ile residential! can add significant dimensions to

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here ar-e only one element in total concept of continuing education.

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system J most of what happens in continuing education \·rill not happen here- - but
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- Trustees, administrators, faculty, leadership representatives of (in-pilot and
expel imental activities) in :celation to program priorities and problems ~ clientle
(student) groups-v-wi Ll. make a useful contribution to the total.
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far-reaching--T·rill not of itself represent fulfillment of the envisioned contribution of this center.

Only as the knowledge resource of the

19

institutions

become more fully available to people throughout the State through programs of con-t.inuing education T-rill the dream be r-ea.l i.z ed.
2. (caution)

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constrained by fact of a Center
-- that everything that is continuing education must happen here (patently not true)
·..·A part of this relates to fiscal (you are hardened veterans at dealing with
budgets not as large as you think they should be)
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b
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~

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Mos t of the r equ e s t s our Foundation receives in continuing educat i on have goals
of findi ng out morF:' a"bout a problem, of comp:'eting another study as a basis for
possible a ction , rather than really doing something about it , based upon the
wealth of knowledge and experienc e cur r ent l y availab l e to us.
With r e f er enc e , t he r e f or e , to a systematic implementat ion of the concept
of lifelong learning--the needs are apparent, we have the kn ow-how for substantial
progress , we need only get on with it!
On thF:' oc casion of this dedi c at ion of your Kel l ogg West, we wish yo u of
the State College System well in your efforts .

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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                    <text>/

G'~

Re~~r ks by Dr. Russell G. Mawby
Preside Lt, W. K. Kellogg Foundation
at the Dedication o~ the Center for Contiuuing Education
Columbia University
New York, New York

.,/

.,-

Ma r ch 29, 1972
I

I welcome this opportunity to participate in the dedication of this
Center for Continuiug Educat i on .

There i s no need for me to comment in

detail on t his handsol1.e fac ility, for all who are here must be impressed
a s I am with the new home of t he School of International Affairs, of which
this Center is a part.

I would only add my

co~pliments

and congratulations

to all who have had a part in this accomplishment--members of the Board of
Trustees, officers of the u ni v e:cs ity , and memb er s of the Faculty.

And I

would pay special tribute to Dean Cordier whose visionary, persistent, and
effective leadership have been princ ipally responsible for transforming
dr eam to reality.

L,

~

II

I

The W. K. Kellogg Foundation, more than any other private foundation,
is identified with the concept of Continuing Education :

/

c

This term, like

s o many ot h er s, i s s ubject t o various de f ini t i ons and i nt erpr etations whi ch
I do not choose to belabor.

I would simply indicate that in our thinking,

continuing education relates par t i cul ar l y to university-based, non-credit,
non - deg r e e programs of education.

Very often the identification of this

-

?ot&lt;.l1da-c.ion with Continuing Education is particularly with residential
centers, like this and the nine others we have assisted over two dec ades:

�2
ig
anS
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a
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eUn
iver
s
ity
M
i ch

1951

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1957

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                    <text>Remarks by
Dr . Russel l G. Mawby , President , W. K. Kellogg Foundat io n
at the
De di cat ion of the W. K. Kellog g Arabian Hor s e Center
Califor ni a State Polyte chni c Univers i t y , Pomona
April 6 , 1974
I

It is a pleasure to participate in the dedication of the W. K. Kello gg
Arab ian Horse Cent er , r ep r e senting the Board of Trus t ee s of our Foun da t ion
on this happy occasion.

I co nv ey to you the gr ee t i ngs of our Boar d and the

special greetings of Dr . Emory W. Mor r i s .

Fr om the Foundat ion 's standpoint,

Dr. Morris played a n especial ly s ignificant role i n t he dec is io ns and activi ties which have led to this day .

During the 40 ye ars in which he has been

associat e d with the Foundat i on , for 27 years a s our chi e f execut i v e offic e r
until his r et ireme nt in 1970 and now as the chai rma n of ou r Board , h e was
vitally involved i n t he decis ions through which the ranch be came Cal Po ly
and in our providing funds for the development of t hi s new fac ility .

He

ve ry much regr et s that he c an not be here today and asks t hat he be rememb e r ed
to his many fri ends and to all who are i n attenda nce .
II
A dedication program i s fut urist ic by defin it ion, a forward l ook i ng
occasion .

But as we dedicate thi s handsome new fa c ility and l ook to the

future , it is i mpo r t a nt to look bac k to t he he r i t a ge of this pla ce an d
these horses .
W. K. Kellogg established the Kellogg Company in 1906 and began coming
to California for the winter months in 1920 .

He developed an interest i n

�2

Arabian horses and i n the mid 1920 's aCQui red 800 plus acres of l a nd and
beean bu i lding h i s l ov e l y ranc h estate- - the big hous e on th e hill, the
smaller hous e fo r f amily members , the gardens and ponds, the stables and
pastures , the or ch a rds - -and the developme nt of the Ar abian h e r d , as s emb l i ng
select anima l s from the Uni t ed States and import s from ab ro a d , e special l y
f rom La dy Went wor t h ' s Crabbet Park Stud in Engl an d.

Th e Sun day s hows, which

became a t radition i n Southern California . were started soon the reafter ,
with t he s how a rena c on s truc t e d i n 1930.
Mr . Kelloeg loved the r a n ch, not on ly becaus e of its beauty and because

i t was the perfec t home for h is Arabian s , but also because i t was " home"
for a number of years fo r his son Kar l and fam ily , a nd daug ht e r Beth a nd
h e r fam i ly .

A numb e r of his grandchildr en spent the ir early y e a rs here

on the ranch .
As a part of t he colo rful h eri t a ge, ma ny famo us guests v is ited the
ranch :

Colonel Lindberg , Madam Schumann- Heink , Clara Bow , Gary Cooper,

Laur a LaP lant , Ol i v i a DeHav ila n d, Dougl a s Fairb a nk s, Mary Pi ckfor d , Wallace
Berry, Mar lene Di et r i ch , the Ou r Gang kids, Will Rogers .

Rudolph Val ent ino

used the great hors e , J a da an, in several movies and Tom Mix rode Kellogg
Arab ians i n several Tour n ament of Roses parades .
Thus , t he ranc h from its earliest days - -in several ways - - helped to
popular iz e and imp rove the Arabian breed .
II I

In 1932, the ranch and the horses were g iven to the Uni v e rsity of
California , Davis , for their r e sea r c h and demonstration programs in a gr i c ulture.

Mr. Kel logg reserved on ly 50 acres and t he r e s i de nc e s for his

personal use , including certain relationsh ips with the horses .

�3

When World War II came along, he a sked the University of California
that the ranch be returned t o him s o that it could b e used by the United
Stat e s in the war effort.

Thus, during the war the Army used th e ranch

and horses as a ca va l r y remount s tat i on an d as a t raining cent er f or dof,s
o f the K-9 Corps.

IV
After the war, the Army had no further use f or the ranch and tran sferred
it t o th e U.S. Department o f Agriculture.

The USDA, deciding that it had

no use for the ran ch and inadequate budget s t o maintain the program here,
declared the ranch surplus in 1948 and turned it ove r to the Gene r al Service s
Administration f or di sposal.
With the help of ma ny people, including l ocal leaders in Pomona, in
this Coun t y and in the State of California, and l overs of Arabian horses.
and helped by the interventi on of members of Cong r e ss , including Senat or
Knowland and Cong r e ssman Richard M. Nixon, and Se cretaries of Agriculture
Cl i nto n Anders on and Cha r l e s Brannon, Mr. Kellog g and Dr. Morris suc ceede d
in having the ran ch returned t o the Foundati on with the understanding that
it would be used f or t h e benefit o f the people of California.
Many al t e r na t i ve us es f or the property were con sidered.

In 1949, the

ranch was de eded t o the St a te of Cal i fo r n ia "to be u sed f or oc cup at io nal
training con sist ent with the phil osophy and ob j ect i ve s o f Cal i f orn i a State
Polytechnic Col lege . "

Thus began thi s campus.

Si nc e Cal Poly had pro gr ams in agriculture, including animal scienc es,
t he de e d included the provis o t hat the Arabian herd would be maint ained
a nd t he Sun day shows would be continued, f or a p eriod of 2 5 year s (throu gh

�4

1975), with the College then free to make a dec ision regarding the future
of th e Arabian prog r am.
As th e campus gr ew, f ar exceedi ng earlier expectat ions, i t soon bec ame
apparent that the horses would have to be relocated .

Thus , under the l eader-

ship of Chancellor Dumke and the trustees of the Cal ifornia State University
a nd College

System , and President Kramer and other offic ials at Cal Poly ,

pl ans for t he s e new fa ci liti e s we r e dev e lope d as a par t of the Unive rs ity 's
master plan .

The officials of this University and the trustees and officers

o f the System regard the Arabians as an important and unique feature o f
Cal Poly and, thus, to insure that the Arabian program might continue t o be
a par t of t hi s i n st ituti on, th ey app roac hed th e Foundatio n f or support i n
t h e development of t he new stables .

This abbreviat ed chronology leads u s

t o today .
I t seems s ignificant to remembe r that the ranc h a nd th i s he rd of Arabi ans
are approaching the golden anniversary- -5 0 years since Mr . Kel logg f i r s t began
a ct ivit i es here .

One hal f of th at hal f cent ury represent s the Cal Poly y e ar s.

And it is excit ing to realize that today marks the beginning of another era,
a commitment that the Arabians wi ll be a part of Cal Poly into t he future .

v
A great many people have been a pa rt of this effort.

On behalf of the

FOllildation , I would mention a few :
Fi r st, W. K. Kel logg , a man of vi si on and f oresi ght an d wit h t he rar e
capacity for turning dreams into tangible real ity ; Dr . Emory W. Morr is ,
Mr. Kel logg 's val ue d colleague and the long-time l ea de r o f the W. K. Kellogg
Foundat i on; and th e f ormer p res ident of Cal Pol y, Dr . Jul ian McPhee , an

�5

unusual educator and administrator.

These three visionary leaders made the

initial commitments.
Se co nd , key o f f i c i a l s of the California Univ ersity and College System;
The Board of Trustees, Chancellor Dumke, President Kramer, Dean Beckett,
and others.

This Arabi an horse program i s different, truly uniQue, and

many educational leader s would have f ailed to see it s usefulness an d appropriat en ess in the life o f an academic institution.

Without their suppor t ,

nothing could have happen ed; b e ca use of their vi sion and enthusiastic support, this uniQue dimen sion of educ ation has fl ourished.
Third, the Arabian Advisory Committee.

This group, with those present

and those who have s e r ve d in e a r l i er y ear s, has played a key r ole in improving the Cal Poly herd, st r eng t he ni ng t he program in many ways, and fulfil ling Mr. Kellogg's ob j e ct i v e that the Kellogg Arabians would help popularize
and contribute to the improveme nt of t he bree d .

We a re gr at eful indeed f or

their coun sel, service, a nd vari ed contribution s.
Finally, Norman K. Dunn, the coordinat or of the Ar abian program, his
staff, and the students of Cal Poly f or whom the whole progr am exists.

To

Norm, Chuck, Allison, Sa ndy , Nancy, I expre ss my congratulations f or th e
tremendous j ob you do as staff members of this Center.

We are fortunate

indeed to have your leadership, Nor m, and t he teamwork and dedi cat e d contributions of all of the s t a f f .

And I would espe cially commend the s t udent s ,

who do such a great job in working with, training, showing, cleaning up
a f t e r , loving the se horse s.

I predic t that as your lives unfold, s ome o f

your f onde st memori es will be o f these days at Cal Poly with t he Kellogg
Arabians.

�6

VI
Mr. Kellogg loved t h i s ran ch an d the se horse s, but hi s gr eatest conc e rn
was f or people.

He often said, "Education offers the g r eat e s t oppo r t unity

f or real l y improving one generation ove r another."

Nothing would pl e ase

him mor e than t hat his b el oved r anch is now th e campus o f a fine Univer sity-a nd t hat th e Kellogg Ar abians are s uc h an int egral part o f the life of t he
Uni versity and its academic program.
Therefore, in the s p i r i t which led t o the establi shment of the ran ch
and this herd, and in t h e spirit in whi ch the r anch became Cal Poly, I am
plea se d on behalf o f the W. K. Kellogg Founda tion t o present this new Arabi an
Horse Center to Cal Poly and t o the California State University a nd Colleg e
Syst em- - a nd , through th em, t o t he people o f this gr e at St ate of Cal i fo r n i a .

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                    <text>RGM's Remarks (Welcome/Introduction, Panel, and Closing)
for September 28, 1989, Michigan Educators,~~Qnfeye ce,
"Education in Philanthropy and Volunteerism" ' ./
at Kellogg Center, MSU

111N

•

STATEWIDE EDUCATORS' CONFERENCE

•

~ \.

~-&amp;- .~

THANK YOU JOHN, AND WELCOME TO ALL OF YOU. liT IS APPROPRIATE THAT WE
SHOULD BE MEETING TODAY IN THE NATION'S FIRST UNIVERSITY BUILDING
CONSTRUCTED SPECIFICALLY FOR THE PURPOSE OF CONTINUING EDUCATION, FOR
THAT IS ONE OF THE QUESTIONS WE WILL CONSIDER TODAY AS WE PLACE THE
SPOTLIGHT ON PHILANTHROPY, VOLUNTEERISM, AND NONPROFIT INITIATI ~ I
WANT TO THANK THE IMPROVING PHILANTHROPY COMMITTEE OF THE COUNCIL OF
MICHIGAN FOUNDATIONS FOR THEIR HARD WORK IN PLANNING AND IMPLEMENTING
THIS CONFERENCE.
THE REPORT THAT YOU HAVE RECEIVED:

"PHILANTHROPY AND VOLUNTEERISM:

STATE AND NATIONAL TRENDS AND OPPORTUNITIES FOR MICHIGAN" DEFINES THE
SCOPE OF THE NONPROFIT SECTOR AND ITS IMPORTANCE IN ALL OUR LIVES.

I

WON'T COMMENT FURTHER ON THE REPORT, BUT I WOULD LIKE TO REINFORCE ITS
STRESS ON THE IMPORTANCE OF THE SECTOR BY SHARING WITH YOU A COUPLE OF
STATISTICS UNCOVERED BY PETER DRUCKER, THE NOTED MANAGEMENT
CONSULTANT, DURING HIS STUDY OF NONPROFIT ORGANIZATIONS.

FIRST, ALL

--.-.

CITY PUBLIC SCHOOL SYSTEM HAD A BUDGET OF $5.9 BILLION IN 1988.

THIS

IS LARGER THAN THE BUDGET OF GENERAL MILLS, AND NEARLY TWICE THAT OF
APPLE COMPUTER. ;r~ TIME PERMITTED, THERE ARE A NUMBER OF OTHER
EXCELLENT EXAMPLE S IN THI S SEC TOR THAT DESERVE MENTION ... NOR IS THERE

/

~

TIME TO FU LLY DI SCUSS THE SEC TOR'S IMPACT UPON THE CHARAC TER AND THE '
/

.

QUALITY jOF LIFE AT THE COMMUNITY LEV~ I TH 2.-~.~!0~ ..l".l.~~ _~~

~

/;

HAT

THE SECTOR IS LARGER AND MORE SIGNIFICANT THAN MOST REALIZE. / IT WAS
I

}.

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W
ITH TH
IS CONV
ICT
ION THAT THE CMF BOARD
,)N1986
, REATED THE
IMPROV
ING PH
ILANTHROPY COMM
ITTEE
. OUR

~ HAR E

/

WAS TO EXAM
INE THE
~o .

CURRENT STATUS OF PH
ILANTHROPY IN THE/STATEOF M
ICH
IGAN
,v
IDENT
IFY
/

AREAS IN WH
ICH WE COULD DO ETTER ~ AN

TO RECOMMEND STEPS FOR

IMPROVEMENT
. WE QU
ICKLY FOCUSED/ONTHE SUB
JECT OF EDUCAT
ION IN
PH
ILANTHROPY AND VOLU
t
\
ITEER
ISM
.j
;
;ANUMBER OF PEOPLE HAD OP
IN
IONS ABOUT
THE STATUS OF EDUCAT
ION IN THESE AREAS IN M
ICH
IGAN -BUT NO ONE HAD
ANY HARD DATA
.

THEREFORE
, THE COMM
ITTEE CONDUCTED THREE SURVEYS IN

ORDER TO SECURE THE INFORMAT
ION THAT WAS LACK
ING
.

-

- -_
.
-"
.

THE F
IRST SURVEY WAS SENT TO EVERY-T~( j.l
UN
IVERS
ITY IN M
ICH
IGAN
.

~-

~

E

r
t
-

C;~ --~-~ fl2.~

;~'E s R

D
ISCOVERED THAT THER ~
'
J__ • -

.-------_.-'
f·.

COLLEGE AND

ER~

NO FORMAL

~

~

~

.

DEGREE PROGRAMS IN PH
ILANTHROPY AND VOLUNTEERISM IN THE STATE
, BUT
THAT SEVERAL INST
ITUT
IONSOFFERED COURSES OR EXPER
IENT
IAL EDUCAT
ION IN
THESE AREAS
.

SEVERAL OF YOU IND
ICATED TO US THAT YOU HAVE FACULTY AND

STAFF THAT WERE INTERESTED IN THESE TOP
ICS
, AND IN MANY CASES YOUR
STAFF HAVE ORGAN
IZED VOLUNTEER ACT
IV
IT
IES OUTS
IDE OF THE SCHOOL
'S
FORMAL CURR
ICULUM
.
THE SECOND SURVEY WENT TO THE CMF MEMBERSH
IP
, WH
ICH THEN STOOD AT 2
20
(WE NOW HAVE

2S
]
~

MEMBERS
)
.

ITSRESULTS CONF
IRMED OUR BEL
IEF THAT

THERE WAS W
IDESPREAD INTEREST IN PH
ILANTHROPY AND VOLUNTEER
ISM AMONG
M
ICH
IGAN
'S FOUNDAT
IONS AND CORPORATE G
IV
ING PROGRAMS
. A SUBSTANT
IAL
NUMBER WERE ALREADY MAK
ING GRANTS IN THESE AREAS,AND ASO
L
IDMA
JOR
ITY
IND
ICATED INTEREST IN LEARN
ING MORE ON THESE SUB
JECTS
.

�~

~
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A

I
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.
.
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"'-

~ . (""~

. - ,Y
/
j

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v

THE TH
IRD SURVEY TARGE1ED A SELECTED GROUP OF NONPROF
ITS ACROSS THE
I
STATE
. THEY TOLD US THAT EDUCAT
ION IN PH
ILANTHROPY AND VOLUNTEER
ISM
WAS A DEF
IN
ITE NEED/ANDTHEY WERE W
ILL
ING TO CONTR
IBUTE SOME OF THE

COSTS FOR THE
IR EMPLOYEES
. FURTHER
, THE
IR NEEDS RANGED OVER A W
IDE
VAR
IETY OF TOP
ICS
, FROM BOARDSMANSH
IP TO PERSONNEL TO VOLUNTEER
MANAGEMENT TO STRATEG
IC PLANN
ING
.
G
IVEN THE FACT THAT THE PROV
IDERS NEED THE EDUCAT
ION
, AND THE COLLEGES
AND UN
IVERS
IT
IES ARE INDEED CAPABLE OF PROV
ID
ING IT
, OUR MOST
EFFECT
IVE ROLE AS FUNDERS APPEARS TO BE THAT OF FAC
IL
ITATORS
. IN THAT
SP
IR
IT WE HAVE ORGAN
IZED TH
IS CONFERENCE
. WE HAVE NO PRECONCE
IVED
AGENDA
,

~

\j ~"PLAN

~

OF ACT

" ~---.

ON
.I
'
-

.A-~ ~ l

•

- ~ \f-" ' ..""

WE HAVE BROUGHT TOGETHER SOME OF THE

LEAD
ING NAT
IONAL EXPERTS ON PH
ILANTHROPY
, VOLUNTEER
ISM
, AND NONPROF
IT
IN
IT
IAT
IVETO LEAD OUR D
ISCUSS
IONS
. WHETHER TH
IS LEADS TO ANYTH
ING
ELSE ISENT
IRELY UP TO

v
;__ u

y.~~ .

_

~

~l. oc..-~""'~

~ .
.~~_
_
.
4
.

OUR KEYNOTE SPEAKER IS AD
IST
INGU
ISHED PROFESS
IONAL WHO HAS SPENT H
IS
\ ,,~

ENT
IRE L
IFE WORK
ING IN
, A® F
IGHT
ING FOR
, THE NONPROF
IT SECTOR
. HE
BEGAN H
IS CAREER AS ACOMMUN
ITY ORGAN
IZER FOR ASCHOOL AND
REHAB
IL
ITAT
ION CENTER FOR HAND
ICAPPED CH
ILDREN
. FROM 1
954 TO 1966
, HE
WORKED FOR THE AMER
ICAN HEART ASSOC
IAT
ION
, THEN SPENT THE NEXT 1
2

�4

YEARS AS THE NAT
IONAL D
IRECTOR OF THE MENTAL HEALTH ASSOC
IAT
ION
.
BR
IAN THEN SPENT TWO YEARS AS THE CEO OF TWO ORGAN
IZAT
IONS
: THE
NAT
IONAL COUNC
IL ON PH
ILANTHROPY AND THE COAL
IT
ION OF NAT
IONAL
IN 1
980 HE OVERSAW AMERGER OF THE TWO AS

VOLUNTARY ORGAN
IZAT
IONS
.

INDEPENDENT SECTOR
, AND HAS G
IVEN ADECADE OF SERV
ICE AS

.r~

FOUND
ING

~

PRES
IDENT
.
UNDER BR
IAN
'S

HAS BECOME THE COUNTRY
'S LEAD
ING ADVOCATE

LEA ER HIP ~

FOR THE NAT
IONAL TRAD
IT
IONS OF G
IV
ING AND VOLUNTEER
ING
. ,1
5
)
ISMADE UP
OF 650 FOUNDAT
IONS
, CORPORAT
IONS
, AND NAT
IONAL VOLUNTARY ORGAN
IZAT
IONS
THAT WORK TOGETHER TO GENERATE NEW RESEARCH ON THE SECTOR
, ENCOURAGE
THE IMPROVEMENT OF NONPROF
IT LEADERSH
IP AND MANAGEMENT
, CREATE
MUTUALLY SUPPORT
IVE RELAT
IONSH
IPS BETWEEN GOVERNMENT AND VOLUNTARY
ORGAN
IZAT
IONS
, AND EDUCATE PEOPLE ABOUT THE SECTOR
.
BR
IAN ISTHE AUTHOR OF SEVERAL BOOKS
, INCLUD
INGAMER
ICA
'S VOLUNTARY
~

SP
IR
IT
, PH
ILANTHROPY IN ACT
ION
,

~

VOLUNTEERS IN ACT
ION
. HE ISALSO

A VOLUNTEER H
IMSELF
, SERV
ING ON NUMEROUS BOARDS AND COMM
ISS
IONS
.
/

LAD
IES AND GENTLEMEN
, IG
IVE YOU BR
IAN O
'CONNELL
.

/

J
JO
/RG

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�SUB
JECT
: BR
IEF INTRODUCT
IONS FOR SEPTEMBER 28 PANEL
ISTS
DELWYN DYER ISPROFESSOR AND D
IRECTOR
, CENTER FOR VOLUNTEER
DEVELOPMENT
, EXTENS
ION D
IV
IS
ION
, V
IRG
IN
IA POLYTECHN
IC INST
ITUTEAND
STATE UN
IVERS
ITY
, IN BLACKSBURG
, V
IRG
IN
IA
.

tA- ~e- ~
EL ~EARNE
A PH
.D
.

IN

SOC
IOLOGY AND ANTHROPOLOGY FROM M
ICH
IGAN STATE UN
IVERS
ITY
, AND WAS
FORMERLY A PROGRAM LEADER
, 4
-H PROGRAMS
, HERE AT MSU ..DEL ISALSO
THE PAST PRES
IDENT OF THE ASSOC
IAT
ION OF VOLUNTARY ACT
ION SCHOLARS
.
V
IRG
IN
IA HODGK
INSON ISV
ICE PRES
IDENT
, RESEARCH
, INDEPENDENT SECTOR
,
~
. AND EXECUT
IVE D
IRECTOR OF THE NAT
IONAL CENTER FOR CHAR
ITABLE

~ STAT
IST
ICS
. SHE EARNED APH
.D
. IN H
IGHER EDUCAT
ION FROM SOUTHERN
ILL
INO
ISUN
IVERS
ITY
. SHE HAS AUTHORED MORE THAN 2
0BOOKS AND
ART
ICLES ON PH
ILANTHROPY
, VOLUNTEER
ISM
, AND THE NONPROF
IT SECTOR
,
INCLUD
ING G
IV
ING AND VOLUNTEER
ING IN THE UN
ITED STATES
: A NAT
IONAL
SURVEY AND D
IMENS
IONS OF THE INDEPENDENTSECTOR
: ASTAT
IST
ICAL
~	

V- ~

PROF
ILE
. HER LEADERSH
IP IN THE STUDY OF NONPROF
ITS HAS CAUSED MER

~

~

~ E

4.
.-J

AS THE "NONPROF
IT P
IED P
IPER
.
"

KATHLEEN MCCARTHY ISPROFESSOR AND D
IRECTOR OF THE CENTER FOR THE
STUDY OF PH
ILANTHROPY AT THE C
ITY UN
IVERS
ITY OF NEW YORK
.

SHE

EARNED APH
.D
. IN H
ISTORY FROM THE UN
IVERS
ITY OF CH
ICAGO
. SHE IS
THE AUTHOR OF NUMEROUS BOOKS AND ART
ICLES ON THE SUB
JECT OF NAT
IONAL
AND INTERNAT
IONAL PH
ILANTHROPY
. A FORMER EMPLOYEE OF THE
ROCKEFELLER FOUNDAT
ION
, SHE ISTHE FOUNDER OF THE INTERNAT
IONAL
FELLOWS PROGRAM
, WH
ICH BR
INGS YOUNG LEADERS FROM FORE
IGN NAT
IONS TO
AMER
ICA TO LEARN ABOUT AMER
ICAN PH
ILANTHROPY
.

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DUANE BEAUCHAMP ISTHE D
IRECTOR OF H
ILLSDALE COLLEGE
'S GREAT
OPPORTUN
IT
IES FOR ASS
ISTANCE AND LEADERSH
IP (GOAL
) PRO
JECT
. TH
IS IS
A STUDENT VOLUNTEER
ISM AND LEADERSH
IP PROGRAM FUNDED BY THE
W
. K
. KELLOGG FOUNDAT
ION
.

~N E

AMASTERS IN D
IV
IN
ITY FROM

NASHOTAH HOUSE SEM
INARY IN W
ISCONS
IN
.

~

BEAUC
I
IA
t
i
lP

~

SERVED

THE EP
ISCOPAL CHURCH OF THE U
.S
.A
. IN ADM
IN
ISTRAT
IVE CAPAC
IT
IES
. HE
THEN SERVED AS THE RES
IDENT CONSULTANT FOR THE COMMUN
ITY SERV
ICE
BUREAU OF DALLAS
, TEXAS
, SPEC
IAL
IZ
ING IN FUND
-RA
IS
ING FOR PROGRAMS
FOR THE DEVELOPMENTALLY D
ISABLED
.
~ILL s ~

J
JO
/RG
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IN

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�2

GEORGE ROCHE HAS BEEN PRES
IDENT OF H
ILLSDALE COLLEGE S
INCE 1
9
7
1
.

MA~ APRINCIPLE OF REFUSING TO
ORM~HU MAINTAINING COMPLETE
/

UNDER
	H
IS LEADERSH
IP
,H
ILLSDALE HAS
ACCEPT GOVERNMENf"MONEY IN ANY
,

INDEPENDENCE FROM GOVERNMENTA)
/CONTROL
. DR
. ROCHE EARNED A PH
.D
. IN
H
ISTORY FROM THE UNIVER I ~

COLORADO
.

HE ISTHE AUTHOR OF TEN

BOOKS
, RANG
ING FROM EDUeAT
ION"
INAMER
ICA TO A NOVEL
, COM
ING HOME_.

/

HE IS
	ALSO THE FOUNDER OF TWO FORUMS FOR D
IALOGUE ON THE SUB
JECTS OF
IND
IV
IDUAL LI

/

ER ~ ,

/

L
IM
ITED GOVERNMENT
, AND FREE ENTERPR
ISE
, THE

CENTER FOR CONSTRUCT
IVE ALTERNAT
IVES
, AND THE SHAVANO INST
ITUTE FOR
NAT
IONAL LEADERSH
IP
.

~

IRECTOR OF THE COMMUN
ITY SERV
HENRY
	 RUB
IN ISTHE D
ICE MANAGEMENT
CERT
IF
ICATE PROGRAM AT ROOSEVELT UN
IVERS
ITY
.

HE EARNED A PH
.D
. IN

~	EDUCATIONAL ADMINISTRATION FROM NORTHWESTERN UNIVERSITY.

DR
. RUB
IN

ISTHE AUTHOR OF NUMEROUS BOOKS AND ART
ICLES ON NONPROF
IT

ADM
IN
ISTRAT
ION AND ETH
ICS
. HE CO
-CHA
IRS THE CLAR
ION CONFERENCE FOR
THE D
ISC
IPL
INE OF NONPROF
IT ADM
IN
ISTRAT
ION
.
J
JO
/RG

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.c:

QUESTIONS FOR PANEL
The first question is the "so what" question. Why is it
important to study volunteerism and philanthropy?
How do such studies fit into the traditional mission of the
university -- teaching, research and public service?
Does it make sense to teach philanthropy and volunteerism as a
discrete course, or should its concepts be broadly integrated
across the curriculum?
How can we interest the faculty in these subjects, and get
them involved in teaching these areas?
Is it possible to gain the faculty's commitment without
changing the university's reward system?
What are the best examples of programs for the study of
philanthropy and volunteerism?
Should we attempt to build a standardized curriculum, or
should we "let a thousand flowers bloom?"
Is there a logical departmental home for the study of
philanthropy and volunteerism?

9.

.-

Should training in philanthropy and volunteerism be vocational?
To what extent should education in philanthropy and
volunteerism employ experiential techniques?
Is "required volunteerism" a contradiction in terms?
What is the biggest impediment in the way of developing
programs?
What are the l;adin g professional organizati9ns in this field?
Where are the gaps in the knowledge base?
What are the opportunities for publication in these fields?
Have you encountered any internal institutional resistance?

(~

\V

G

Is there real demand for such a program among the students?
If so, is it strongest among undergraduates, graduate§1/
students, or continuing education students?
What are the future opportunities in these fields?

JJO!rgl086N:45

�CLOS
ING REMARKS STATEW
IDE EDUCATORS
' CONFERENCE
THE "EDUCAT
ION IN PH
ILANTHROPY AND VOLUNTEER
ISM
" CONFERENCE ISNOW
DRAW
ING TO A CLOSE
, AND ITH
INK ITHAS BEEN A VERY PRODUCT
IVE DAY
. WE
OWE AGREAT DEBT OF THANKS TO BR
IAN O
'CONNELL
, WHO PROV
IDED ACLEAR
OVERV
IEW OF THE IMPORTANCE AND THE STATE OF THE SECTOR
, AND ABLY
LAUNCHED US IN THE R
IGHT D
IRECT
ION
. OUR F
IVE PANEL
ISTS
, DELWYN DYER
,
V
IRG
IN
IA HODGK
INSON
, KATHLEEN MCCARTHY
,

'
"1
)"
'
-. -

E-eR~HE,

AND HENRY RUB
IN
,

GENEROUSLY SHARED THE
IR STORE OF EXPER
IENCE REGARD
ING THEORY AND
PRACT
ICE IN THE F
IELD
. MOREOVER
, THE
IR PART
IC
IPAT
ION IN THE
D
ISCUSS
IONS TH
IS AFTERNOON LED TO MANY PRODUCT
IVE INTERCHANGES AND A
H
IGH LEVEL OF D
IALOGUE
. AND THANKS TO YOU FOR TAK
ING THE T
IME TO
ATTEND
, AND PUTT
ING SO MUCH THOUGHT INTO YOUR QUEST
IONS AND
PART
IC
IPAT
ION
.
NOW
, THE NATURAL QUEST
ION IS"WHAT ABOUT NEXT STEPS
?
" AS ISA
ID AT
THE BEG
INN
ING OF THE CONFERENCE
, THE MEMBERSH
IP OF THE COUNC
IL OF
M
ICH
IGAN FOUNDAT
IONS HAS NO PRECONCE
IVED AGENDA OR A PLAN OF ACT
ION
.
WE DO NOT INTEND
T
OI
S
S
UEA REQUEST FOR PROPOSALS
. TH
IS DOES NOT MEAN
_
.
.
_
...~ .
.
_.~_. ---------,-- .

THAT WE..-HAVE SU_
D
E
N
Y_
_
LOSL
INTEREST IN PH
ILANTHROPY AND VOLUNTEER
ISM.
.D
,_
.
.
.
.L
ITDOES MEAN
, HOWEVER
, THAT THE BALL ISIN YOUR COURT
.

IFYOU TH
INK

THAT TH
IS SUB
JECT ISIMPORTANT
, THAT ITMER
ITS FURTHER REFLECT
ION AND
POSS
IBLY ACT
ION
, THEN WE ARE W
ILL
ING TO L
ISTEN TO YOUR IDEAS
.~

UPO ~ -l R R.EELE- -"" -I-e

YOU PLACE PH L THRO.
f
A
lN
D VOLUNTEERI~~ ON

O f~-r-T ~ -IHEN

WE

CERTAINL ..R ~~ON.

�2

AS FUNDERS, WE SEE OUR ROLE BEING THAT OF A FACILITATOR.

IF YOU HAVE

GOOD IDEAS ABOUT BETTER WAYS TO PROVIDE EDUCATION IN PHILANTHROPY AND
VOLUNTEERISM, THEN WE WANT TO HEAR THEM.

NATURALLY, YOU UNDERSTAND

THAT FUNDERS CANNOT GIVE A nBLANK CHECK,n BUT WE CAN GUARANTEE A FAIR
HEARING.

AND, IF OUR PRIORITIES MATCH, WE CAN HELP YOU TO ACHIEVE

YOUR GOALS FASTER -- AND PERHAPS BETTER
IN ANY EVENT, NEXT STEPS ARE UP TO YOU.

THAN YOU COULD ON YOUR OWN.
THANK YOU AGAIN FOR MAKING

THE TIME TO JOIN US, AND ADD TO OUR DELIBERATIONS.
JOURNEY HOME.
JJO/RG

HAVE A SAFE

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                    <text>EDUCATIONAL PRO RAMS

R TOMORRaT' S A · I CULTURE

Russell r. . Me. by
Vice Pre i dent - Pro ama
W. K. K ~llo ~o undat i o n
J we

5, 1966

To b
you f or t hi s openi
i nar ses s i on i s or
person 1
ple ure
d
rofe ssion pr ivileg . Cert i nly i n
r i cultur 1 c i r cl s
no topic is ore timely th n th t t o lhich this Semin
is dir ected . In
as s as in r he
r icultural s een , both do estically nd i nt rnationally,
the st r ngth nin of educ tion 1 ro ams for
i cul t ur to ay nd
pr i or i ty challen e .
tomor.o.l i s
In r ec ent months I have had
quent contact with Dr . Fr eh , di cuss ing
mut ual i nt r es t s relatin to
chnical ed ucati on in agri cul t ure . I had r .ad
the SUIIIr.l y Paper and Proeee in 'S a 1 st ye ar 's Seminar in rhi ch
ny of
you
rt ci p te . An you
lOW, our Foundat i on ha prior ity ro
inter at~ i n
i cult ure and i n educ at ion . Mos t r cent ly
have been
particul rly i nter nt ed i n '~e clmic 1 ducati on &amp;1d in t he c
unity colle e
d commitm nt
mov ment e Ther e or , both 'bec u e of my er s onal background
and bec us e of our Foundati on inter t , i t wa s i nevitabl that lhen Vern
cont ct ed m I could not resi t t he 0 portuni ty to be with you on t hi s
occ i on . My only re et is th t hi l e I had originally intend d t o b
here t hro h t h
ull S minar schedule , recent de Y 10 ents make it
nec e sary f or m to mis all but t he e ly portion of t he Seminar pr o l'
B a s ur d , how v 1', that I ill wa i t ith inter e t t he Pr ceedi ngs of
your full d liber ations .
At t he out s t I ould shar with you t he word of co endat i on I h v
al ready expresse to your Plann i n~ C i ttee.
'irst, I
r e seJ wi v1
de available
t he 1 alth 0 opportuniti e no... or in the pr ocess of b e Inz
to youn
ople in Minne sota i t r e t ed in a ricultur. Representation i n
t his S i nar is t he most obviou evidence of i nter st an concern f or
r icult 301 educat i on with t h secondary educational 3YD~ , ax a
vocat 'onal-technical s chool s , j uni or colleges, t he Univers ity of
Minn s ot 3.,bus in ss and indu try , and arm i nterests 11
t i cipa ting .
In few tat s could such a rang of entities i nter sted in
icul t ural
educ ation be i dent i fi ed . Second nd most s igni icant, and t he t uly
unique characteri stic of thi meeting , is t hat r epre s entatives of all
t he se int re sted ntities are meet in her e together to lork to I'd the
mos t e ffecti v
d ef f i cient pattern for use of
source t o t h common
go 10 1m roved technical educat i on pro r ams for a i cult ure . To my
knowl dge nowhere els e ha s such ee ting tOGet her been a cc
li sh d to t he
de ee you have been ucc e s sful i n s o doing i n your S i nar I n t year and
i n t his ~ sion just convenin . My compl_ ents to you u on thi s s i gni ficant
stc .
Fro your r i nted pr ogr am , t he urpose of t hi Seminar as s ecifi ed by
yo
Planni ng Commi t t ee i s t o provide bett er understandin of t he phi l os ophy,
or "an i zat i on and cont nt of area vocat ional- technica sc hool and junior

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a
r
l
y pp
r c1a
t
i
v o
ftr i
n
i
n
pr
o S0 t
h
isso
r
t. Op t
i
o
nllymany b1
ending
s0
't
h
e
s t 0a
l
te
rn
a
t
i
v
e
s
ro
bb1
y c
o
,b
i
n
a
t
l
o
no
fv
a
r
iou
sp
at
t
e
rn
s
,o
fd
i
f
f
e
ring
p
pren
t. F
1 ng
th
sa
n
dfo
rd
i
f
f
e
rn
tlev
e
l
so
fr spon
s
ib
i
li
t
y
,w
i
ll b
en
ec
essa
ry.

�..- -

i
n
a
l
l
y
, 1t ec
omm
e
n
t uo
nc
e
r
t
a
i
n sp c
t
so
risu
e
si
n
t
e
c i
c
a
l du
c
at
i
o
n l
i
chse
t ly
, bo
t
hi
nr 1t
i
o
nto
"
r
i
c
u
l
t
u
r
a
l
l
yr
e
l
a
t o
c
cu ti
o
n1 ro s
.
1
.
	

irt c
oc
e
r
ni
s1
iht
cu
lu
r
a
l
t
e
c
h
n
i
c
a
ledu
c
a
t
io
n
. A
sI su
rv
eyt
h
en
a
ti
o
n
a
ls
c
en
e,t
h
i
s
i
c
r
i
ti
c
a
lc
on
e n
. ou
inth
eb
e
s
tpo i
t
' toc
tv tot
h
e nn
e
sow s
i
tu
a
t
ion
.
Lt e e
lbo
rte t
h
i
sco~c e

n

n
t

o
n
ly h
r r. re
n
c
e o
i
n
ts

n
t0 . t e
d
-r t ni
v
e
ri
t
y
. I
n
i.
la
t
rt
o
r
s dc
o
l
l o
f
i
c
u
l
t
u
r
o
ffi
c
i
a
l don
o
t ev
id
en
c
e r
i
o
u
scoc
e
r
no
ra n
sco
f
r sp
on
s
i
b
i
li
t
y 0 t chn
i
c
a
l edu
c
a
tioni
n i
c
u
l
tu
r. I
n
~om
in
s
t
an
c
e
sthy ss
ume r
e
so
n
s
i
b
i
l
i
t
yr
e
ltiv
etot
e
a
chr
t
r
a
i
n
i
n
d vnt ep
r a
rt
i
o
n0 s ec
u
r
r
i
c
u
lr a
tri
a
l
s
.
o
s
t
	c on
ly
,h
ow
ev
e
r
,t
h
i
sr
e
spos
i
b
i
l
i
t
yt
ei
n
a
t
e
swenth
e
r
sonw
h
o my b
eatcc
h
e
ri
nt c
h
n
i
c
a
l ri
c
u
l
te cop
l
e
t
e
s
h
i
s
i
c
u
l
t
u
r d e r
o
g
r
n
iv r
s
i
t
yfc
u
l
t
yu
su
a
l
ly
f
in
dr
e
s
e
a
r
cho
r adut
et
cc
h
in
g mo
r
ech
a
l
l
eng
ingth
an
t
t
e
n
t
i
o
nt
ot
e
c
h
n
i
c
a
ledu
ct
i
o
n
. h
il
eI
no
t su
g
g
e
s
t
i
n
t tth
eu
n
i
v
e
r
s
i
t
ys
hou
l
dn
e
c
e
s
s
a
r
i
l
ycondu
c
tt c
h
n
i
c
a
l
t
r
in
in
gp
r r s n i
c
u
l
t
u
r
,i
t
doss tht t
t
e
r
s0
th u
a
n
t
i
t
ya
n
d a
l
i
tyo
ft
e
c
h
n
i
c
a
lcdu
ct
i
o
nin
i
c
u
l
t
u
r
ea
pr
e
p
r
i
a
tl
yau
n
i
v
e
r
s
i
t
ycon
c
e
rn
.
T
h
ec i
t
en
tb
yc u
n
i
t
yc
o
l
lg
eat
ot
e
c
hni
c
a
l du
ca
t
i
o
n
i
sl
s
oa con
cr
n
.I
ne
n
e
r
a
l
, jun
io
rc
o
l
l
ee in
i
s
t
rt
o
r
n
o
tu
su
a
l
lyt
rin
e fo
rt
e
c
h
n
i
c
a
ledu
ca
t
i
o
n
. Of
tnth
e
r
e
s
s
u
r
e
so
fth
elo
c
a
lc u
n
i
t
ya
r
es
t
r
oe
s
tf
o
rc
o
l
lg
l
l
e
lp
ro am
s
, in
c
ea
r
t
i
c
u
lt
el
e
a
d
e
r
so
fth
e co un
ity
p a
o
f
t
e
nh
av
e e
a
t
e
s
tcon
c
e
rn o
rc
o
l
l
e
g
ep
rp tion
. T
echn
i
c
a
l
ro am
sa
ru
su
a
l
l
y en
siv
ei
nt
e
rm
s0
u
ip e
n
tand
f
a
c
i
l
i
t
i
e
s
.S
t
afi
ni d
iff
ic
u
l
t en
ro
llmn
t
s
b
elow
.
e
a
son su
c sth
e
s
e
,t
h co i
tm
en
tbyco un
i
tyc
o
l
lg
e
s
F
o r
e
chn
i
c ed
u
ctioni
n r
i
c
u
l
t
u
r
e ybelim
i'
e
d
.
tot
F
ina
l
l
y
, 1t
m
e
n
t
i
onthe c i
t
e
n
tt
o i
c
u
l
t
u
r
a
lt
rn
in
i
nvo
c
a
ti
o edu
c
a
ti
oc
i
r
c
l
e
s
. T
h
e0 o
r
t
u
n
i
t
lsr
e
p
rs
e
n
t
ed
byth
e o
ct
i
o
n
a
lEdu
c
at
i
o
nA
c
t a
r t
r endou
s, 'Th
e
r i
st
h
c
u
l
t
u
r
a
l1ad
e
r
s
h
i i
nth
i
I
nm
u
ch n
ew ed
e
r1 l
e
g
il
a
ti
o
n
,
t
h
e
r
ei at
end
e
n
cyto
h
as
i
z n
ewp
ro
dt
oavo
idth
e
s
tb
lish
e
d tru
c
t
u
reo
ro
r izt
i
o. I
nth
ec p
l
e
xe
l n
t
h
iss
i
t
u
a
t
iont
h
e
r i
sa u
eti
o
n0 co it en
t invo
c
a
ti
o
n
o t
o
nc
i
r
c
l.t
o rc
u
l
tu
r
a
ledu
c
at
i
on
, d
obv
iou
du
cti
c l
e
ng
eto ic
u
l
t
u
r edu
c
at
o
r
s
.
2.
	 Te
L
a
nd
-r
an
t o
l
l
eg
e
so
fA"
r
i
c
u
l
t
u
r
eint
e
c
h
n
i
c
a
l
cdu
ct
i
on d t
ob
ec
l
a
r
i
f
i
e
d
. e
r
t
a
in
ly t
h
er
e
sou
r
c
e
so
f
t
h
e
s
ei
n
s
t
i
t
u
t
i
o
n
si
nt
e
a
c
h
in
g
,r
e
sa
r
chand x
t
e
n
s
ionr
e
p
rs
e
n
t

�-8th
e
a
t
e
s
tc
o
l
l
e
c
ti
o
no
f
icu
l
tu
r
a
lta
l
e
n
t and ex
p
e
r
tisei
n
ho
ft
h
es
tte
s
. Th
eri
c
hn
esso
fsu
chre
s
ou
r
ce sho
u
ldb
e
vi
l
a
b
l
ea
pr
or
it
e
l
ytop
ro
o
ft
e
c
h
n
i
c
a
l duc
a
t
i
o
ni
n
ic
u
l
t
u
r
. T
h
e ro
l
e y beint tr
a
in1 o
fte
acer
s
,
in
s
e
rv
i
cetr
an
i
n fo
rte
chn
i
ca
lf cu
l
ty
, se
c
i r ou
r
ce
si
n
cu
r
r
ic
u
l
um d
ev
e
l
o
pm
en
tand i
n
s
t
r
u
c
t
i
o
n
, co
n
t
i
n
u
i
n d
i
s
s
emi
nt
i
on
l
.
ed , n
d p
l
a
c
:
t: t
e
c
lm
i
c tu
dm
t igh
t
o n
e know
a
s
s b
l e
r
i
o
d
i
c l
yo
rby i
n
t
e
r
e
s
t cup o
rtr ning
vi
l
h
I
eo
nl
ya
t un
iv
er
s
i
t
yrese
a
r
chc
e
n
t
e
r s
a
t
o
f
r
e comp
rh
e
ns
iv t
e
chnca
l
,t
r
i
n
i
n
g
. Inany v
en
t
,t
o
th
e
ir o
s
su
r
eq
u
a
l
i
t
yi
ne
chn
i
c edu
c
a
t
i
onovrt , r
e
s
o
u
r
c
e
so
f
c
o
l
l 80
i
c
u
l
t.I: o
tb
e
i
nf
u
l
l
yu
t
i
l
i ed
.

3.
	At i
r
dcon
ernre
la
te
stoq
u
a
l
i
t
y0

tec nic~

s
t
i
o
n
sh
e
r rl
a
t
et
ot
h
ede~ ee o
fsp c i
ztioni
nth
e
t
r
a
l
.n
in p
ro am
,i
d
e
n
t
iictiono
fp
o
s
s
i
b
l
eco
r e
l
em
en
t
s
w
h
ic
h ~ b
ec
c
t
e
r
i
s
t
i
co
f numbe
ro
fd
i
f
f
e
rn
tt chn
i
c
a
l
i
e
l
d
a
,len h0 t
im
erequ
ired o
r p
a
r
ti
c
u
l
a
r ro
g
r ,th
e
invo
lv
eet 0 indu ~ y rp
r
e
sn
t
a
t
iv
e
si
nl
ann
in, dt
h
e
o
v
i
sionf
o
r rc
t
i
c
a
l ~o exp
e
r
i
e
n
c
e
.
pr

nt
h e o
f
'c
u
r
r
i
cu
lumt tt
h
e
r
e ou
ld se
emtob
e
I
tL
ai
pr
t
i
c
u
l
a
ro
p
p
o u
n
i
t
yf
o
rinn
o tionand e
r
et
t
v in
i
tia
tiv
e
.
T
o
oof
t
enw s
e
t
t
l
ea
lm
o
s
tau
t
oa
t
i
c
a
l
l
yi
n
t
otwo
y
e
a
r
, on
e-yar
,
s
i
x
-m
on
t
hb
l
ock
so
ft
im
ewh
en qU
i
t
ed
i
f
f
e
r
i
nt
im
ingm
igh
tb
e
p
o
s
s
i
b
l
e. e s
t
e
r
eo
typ
eth
e ntu
r
e0 on
-c u ando
ff
c
ampu
s
e
l
emen
t
so
ft
h
etri
n
in expr
in
c
e. Th
e
r
ei
sf
r e
n t
i
on t
n
c ~' iculum a
n th
ef i
l
u
r
etod
e
v
e
l
opapp
ropr
i
a
t
eo
c
cu
p
a
tio
n
a
l
i
n
t
e
rr
e
l
a
t
i
o
n
sh
ip , andl
.nv
o
l
v
emen
to
f indu
s
ti re
p
rs
en
t
a
t
i's
l
anni
dcondu
c
t
i
nt
e
chn
i
c
a
lp
ror s ayb
ee
ss
e
n
t
i l
y
inp
s
t
e
r
i
l
e
.

4.
	

o
f cou
r
s
e
, ist
h
eu
l
t
imt d
e
t
er i
n
a
n
t0 qua
l
i
t
y
.
atc
h
n
i
c
a
l
v
oc
a
t
i
on
a
lscho
o
l
s dj
u
n
i
o
rc
o
l
l
ee
s
owc n e
e
f
f
e
c
t
i
'C
ly s
t
a
f
ffo
rtchn
i
c
a
lp
r
og
r sin i
c
u
l
t
u
r
e h
a
t
a
r
et
h
es
t
a
f
f
i
n
greq
u
ir e
n
t
s o
rt
hb
a
s
i
co
r co
r
eel
em
en
t
s
o. t
e
c
lm
i
c
a
l i
c
u
l
t
u
r
ec
u
r
r
i
c
u
l
um . em
'c
anth
ee
s
s
e
n
t
i
a
l
se
c
i
a
l
t
yt
a
f
f qu
i
n
tnb ro
v
id
ed
a
t ih
tb
eth
e
L
a
n
d
-r
a
n
tCo
l
l
eeo
f .i
c
u
l
t
u
r
e' ro
l
eand 1 t ih
tb
eth
i
nu
s
t
r
i
a
lcon
t
r
i
b
u
t
i
o
s:
'
a
.
i
'
f
i
r
-n
ed
St
u
d
i
e
s0 jun
io
rc
o
l
l
c
"
c dt
e
c
h
n
i
c
a
lf
.c
u
l
t
ye
r
s
onn
e
l
ind
ic
a
tet
h
a
to
n
e0 t
h
e
i
r ret
e
s
tconc
e
rn
si
si
n
t11c
tu
i
s
o
ltion
. A
se re
ss dbyjun
io
rc
o
l
l
e
g
et
e
a
ch
e
r
s
,"
ou
r
i
n
t
e
l
l
e
c
t cp
i
to
.
li
sno
tb
e
ingrep
ln
i
sh
ed.
"P
e
rh
asto
un
i
z t
h
i
s
'
ci
t
i
n
a
t
i
vl
yr
i
l
lr
o
v
ie n
ew
e
co
in
s1h
t
si
n
t
os
t
a
f
f
i
n t
e
r
n
a
t
i
v
e
s
.

e
It dc
o
n
c
e
rnin e
Ar
chn
i
c 1 du
et
i
o
ni
st ei
n
t rn
a
l
a
t
i
o
nh
i
p
so
ft t chni
c
a
.
la
cuty l
i
t
ho
t
h
e
r ac
u
l
t
y
rl
i
s a
p
es
o
n
n
e
'
l
.
. T
h
i
nmu
s
tb
er
e
a
l
i
s
t
i
c
a
l
l
ycon o
n
tedbo
th
b
y admi
n
it
r
a
t
i
o
n ndby vo
cti
o
n
a
l du
et
i
o
n
e
r
a
.

�f

- 9-

I
tw
o
u
l
d app
e
a
rth
a
tt
h
et
r
a
d
i
t
i
o
n
a
lp
a
t
t
e
r
n
s0 ta~~in ~o
t
e
c
h
n
i
c
a
ledu
c
a
t
ionw
i
ll b
e in
ad
e
qu
a
t
et
ome
e
tc
u
r
r
e
n
tand f
u
t
u
r
e
n
e
ed
s. T
h
ech
a
l
l
eng
et
ot
h
o
s
ei
npo
si
t
i
o
n
so
fl
e
ad
e
r
sh
ip
r
e
sp
on
s
ib
il
i
t
yw
i
l
lb
et
ocop
ew
i
th ta~~in p
rob
l
em
s th
rough
n
ewa
n
dd
i
s
t
i
n
c
t
iv
eapp
ro
a
ch
e
s.

5.
	The

i~
con
c
e
rnr
e
l
a
t
e
storec
ru
i
tm
en
to
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e
f
u
t
u
r
e
.

I
I

S
h
a
r
i
n
g t
h
o
s
et
h
o
u
g
h
t
sl
e
a
d
su
s n
a
t
u
r
a
l
l
y to t
h
ea
s
s
i
g
n
e
d t
o
p
i
cf
o
r
t
o
d
a
y
: "P
h
i
l
a
n
t
h
r
o
p
y
'
s Ro
l
e f
o
rt
h
eF
u
t
u
r
e o
f t
h
e Common Good
.
"

In

t
h
i
n
k
i
n
ga
b
o
u
t wh
a
t i
sh
app
en
ing i
ncon
t
empo
r
a
ry s
o
c
i
e
t
ya
si
tr
e
l
a
t
e
st
o
t
h
ef
u
t
u
r
eo
f t
h
ec
omm
o
n good
, I w
a
s t
emp
t
ed to b
e
g
i
nw
i
t
h a l
i
s
to
f
c
o
n
c
e
r
n
s n
o
t u
n
l
i
k
e t
h
e ag
end
a o
f t
o
p
i
c
sb
e
i
n
g a
d
d
r
e
s
s
e
d a
t t
h
i
s
e
e
li
twou
ld b
ep
r
e
sump
tuou
s and i
n
a
p
p
r
o
p
r
i
a
t
ef
o
rm
e to
c
o
n
f
e
r
e
n
c
e
. If
p
r
o
p
o
s
e a longc
a
f
e
t
e
r
i
al
i
s
to
fi
s
s
u
e
si
nt
h
ea
r
e
n
ao
ft
h
ec
omm
o
n good
.
Y
o
ua
r
e know
l
edg
e
ab
l
ea
b
o
u
tt
h
e

on ~

n

i
no
u
rc
o
u
n
t
r
y
, you
rs
t
a
t
e
, and

p
a
r
t
i
c
u
l
a
r
l
yi
nyou
r hom
e commun
i
t
i
e
s
.

R
a
t
h
e
r
, I h
av
e c
h
o
s
e
n
, i
nb
r
o
a
d o
v
e
r
v
i
ew
, to s
h
a
r
ev
e
r
y b
r
i
e
f
l
ys
i
x
o
b
s
e
r
v
a
t
i
o
n
s abou
t t
h
i
n
g
s g
o
i
n
g on i
no
u
r s
o
c
i
e
t
y
, f
o
r wh
i
ch
im
p
l
i
c
a
t
i
o
n
sf
o
rp
h
i
l
a
n
t
h
r
o
p
y a
r
e r
a
t
h
e
ra
p
p
a
r
e
n
t
.

t
h
e

I hop
e you w
i
l
l

f
o
r
g
i
v
emy f
r
e
q
u
e
n
tr
e
f
e
r
e
n
c
et
oM
i
ch
ig
an and B
a
t
t
l
eC
r
e
ek and a
c
t
i
v
i
t
i
e
s
o
f t
h
eW
. K
. K
e
l
logg F
o
u
n
d
a
t
i
o
n-t
h
e
s
ea
r
et
h
e ex
amp
l
e
s I know b
e
s
t
.
Y
o
uw
i
l
ls
e
eyou
r commun
i
ty and y
o
u
r
s
e
l
fi
nt
h
ei
l
l
u
s
t
r
a
t
i
o
n
sI sug
g
es
t
.

O
b
s
e
r
v
a
t
i
o
n 1c
o
n
c
e
r
n
st
h
es
e
em
ing i
n
a
b
i
l
i
t
yo
f ou
rp
o
l
i
t
i
c
a
lp
r
o
c
e
s
s
e
s

/1

and i
n
s
t
i
t
u
t
i
o
n
st
od
e
a
lw
i
t
hs
i
g
n
i
f
i
c
a
n
ti
s
s
u
e
si
ns
u
b
s
t
a
n
t
i
a
lw
ay
s
.

�- 5T
h
i
s i
smo
s
t v
i
v
i
da
tt
h
en
a
t
i
o
n
a
ll
e
v
e
lwh
e
r
e Cong
r
e
s
s i
ss
t
r
u
g
g
l
i
n
g
i
n
e
f
f
e
c
t
i
v
e
l
yw
i
t
h s
u
c
hc
o
n
c
e
r
n
sa
sf
i
s
c
a
land f
i
n
a
n
c
i
a
lr
e
s
p
o
n
s
i
b
i
l
i
t
y
,
t
r
a
d
eim
b
a
l
a
n
c
e
,f
a
rm p
r
o
g
r
am
s
, f
o
r
e
i
g
na
f
f
a
i
r
s
,c
h
i
l
dc
a
r
e
,s
u
p
p
o
r
to
f
t
h
ea
r
t
s
,e
n
e
r
g
yp
o
l
i
c
y
, and e
n
v
i
r
o
nm
e
n
t
a
lq
u
a
l
i
t
y
.

In L
a
n
s
i
n
g
, o
u
rs
t
a
t
ep
o
l
i
t
i
c
i
a
n
sa
r
ee
q
u
a
l
l
yi
n
e
f
f
e
c
t
i
v
eon m
a
t
t
e
r
s o
f
s
c
h
o
o
lf
i
n
a
n
c
e
,o
u
rs
t
a
t
eb
u
d
g
e
t
, Wo
rkm
en
'
s Comp
en
s
a
t
ion
, and a h
o
s
to
f
o
t
h
e
r c
o
n
c
e
r
n
s
.

I s
u
s
p
e
c
t you m
ay f
e
e
l t
h
e s
am
e a
b
o
u
t d
o
i
n
g
s i
n

Co
lumbu
s
.

A
t t
h
el
o
c
a
ll
e
v
e
l
,you c
an m
ak
e you
r own a
n
a
l
y
s
i
so
fe
f
f
e
c
t
i
v
e
n
e
s
si
n
d
e
a
l
i
n
gw
i
t
h hum
an s
e
r
v
i
c
e
s
,e
n
v
i
r
o
nm
e
n
t
a
lc
o
n
c
e
r
n
s
, and a
l
lt
h
er
e
s
t
.

T
e
chno
logy

h
a
s

ch
ang
ed

t
h
e n
a
t
u
r
e

o
f

p
o
l
i
t
i
c
s and

p
o
l
it
i
c
i
a
n
s

d
r
am
a
t
i
c
a
l
l
y
. N
ew t
e
c
h
n
i
q
u
e
so
fs
o
p
h
i
s
t
i
c
a
t
e
d
,i
n
s
t
a
n
t
a
n
e
o
u
sp
o
l
l
i
n
g and
t
h
ei
n
f
l
u
e
n
c
eo
f m
a
s
s m
ed
i
a t
r
e
a
tm
e
n
to
f e
v
e
r
y i
s
s
u
e and p
e
r
s
o
n
a
l
i
t
y
s
e
em
st
oh
av
e f
o
r
c
e
de
l
e
c
t
e
do
f
f
i
c
i
a
l
st
ob
e
com
e l
e
s
st
h
e"
l
e
a
d
e
r
s
"o
f
s
o
c
i
e
t
yand mo
r
e t
h
ef
o
l
l
ow
e
r
so
fh
e
r
di
n
s
t
i
n
c
t
. Th
e
r
ei
sa t
end
en
cy to
l
e
a
do
n
l
y wh
en c
o
n
s
e
n
s
u
sh
a
sb
e
en r
e
a
c
h
e
d
,t
ow
a
i
t t
os
e
e wh
i
ch
p
a
r
a
d
e i
s go
ing and t
h
e
nr
u
s
ht
oi
t
sh
e
a
d
.

~

t
h
e

O
th
e
r ch
ang
e
s wh
i
ch h
av
e

i
n
f
l
u
e
n
c
e
d th
ep
o
l
i
t
i
c
a
lp
r
o
c
e
s
st
os
o
c
i
e
t
y
'
sd
i
s
a
d
v
a
n
t
a
g
eh
av
eb
e
en t
h
e
p
r
o
l
i
f
e
r
a
t
i
o
no
ft
h
enumb
e
r and t
h
ed
r
am
a
t
i
ci
n
c
r
e
a
s
ei
ns
k
i
l
lo
fs
p
e
c
i
a
l
i
n
t
e
r
e
s
tg
roup
so
fe
v
e
r
yv
a
r
i
e
t
y and t
h
ec
o
n
c
e
p
to
fe
n
t
i
t
l
em
en
t wh
ich h
a
s
h
a
n
d
c
u
f
f
e
dp
o
l
i
t
i
c
a
lr
e
s
p
o
n
s
e toch
ang
ingn
e
e
d
s
.

Tod
ay
, t
h
e
r
ea
r
e f
ew i
ne
l
e
c
t
e
d o
f
f
i
c
e who c
o
u
l
d b
e d
e
s
c
r
i
b
e
d a
s
s
t
a
t
e
sm
e
nw
i
t
hv
i
s
i
o
n
, comm
i
tm
en
t
, and a c
o
n
c
e
r
nf
o
rt
h
ewho
l
e
.

P
a
t
t
e
r
n
s

o
fp
o
l
i
t
i
c
a
l pow
e
ra
l
s
oh
av
e ch
ang
ed d
r
am
a
t
i
c
a
l
l
y
,w
i
t
h g
r
e
a
t
e
rd
i
f
f
u
s
i
o
n
and l
e
s
sl
o
y
a
l
t
yt
op
a
r
t
yand p
u
r
p
o
s
e
.

�- 6T
h
e n
e
te
f
f
e
c
to
fa
l
lo
ft
h
e
s
ech
ang
e
sh
a
sb
e
en t
h
el
e
s
s
e
n
e
da
b
i
l
i
t
yo
f
gov
e
rnm
en
ta
ta
l
ll
e
v
e
l
st
ob
ea s
o
u
r
c
eand c
a
t
a
l
y
s
tf
o
rs
o
c
i
a
lch
ang
e
.

T
h
i
s
, t
h
e
n
, s
u
g
g
e
s
t
s an enh
an
c
ed p
o
t
e
n
t
i
a
l r
o
l
e o
f p
r
i
v
a
t
e s
e
c
t
o
r
i
n
i
t
i
a
t
i
v
e
st
od
em
o
n
s
t
r
a
t
en
ew an
sw
e
r
st
os
o
c
i
e
t
a
ln
e
e
d
s
, t
oi
n
i
t
i
a
t
i
v
e
v
e
n
t
u
r
e
s
,t
op
r
o
v
i
d
et
h
ev
i
s
i
o
n and comp
r
eh
en
s
iv
ea
p
p
r
o
a
c
h wh
i
ch p
o
l
i
t
i
c
s
f
a
i
l
st
op
r
o
v
i
d
e
.

I
I

O
b
s
e
r
v
a
t
i
o
n

~ on

hift
2 c
o
n
c
e
r
n
s t
h
e s
e
em
ing r
e
t
u
r
n (s

b
a
c
k
) t
o l
o
c
a
l

and c
o
n
t
r
o
li
na
d
d
r
e
s
s
i
n
gs
o
c
i
e
t
a
ln
e
e
d
s
.

Fo
r a sp
ano
fa
b
o
u
ts
i
xd
e
c
a
d
e
s-f
rom t
h
e"
p
r
o
g
r
e
s
s
i
v
ee
r
a
"a
t th
et
u
r
n
o
f t
h
ec
e
n
t
u
r
yt
o th
el
a
t
e1
9
6
0
s
, and p
a
r
t
i
c
u
l
a
r
l
yb
e
g
i
n
n
i
n
gw
i
t
h "N
ew
D
e
a
l
" i
nt
h
ed
e
c
ad
eo
ft
h
e'
3
0
s-t
h
ef
e
d
e
r
a
l gov
e
rnm
en
t took an e
v
e
r
i
n
c
r
e
a
s
i
n
gp
a
r
ti
nm
e
e
t
i
n
g t
h
en
e
e
d
so
ft
h
eAm
e
r
i
c
an p
e
o
p
l
e
. S
in
c
e t
h
e
e
a
r
l
y 1
9
7
0
s
, t
h
a
tt
r
e
n
dh
a
s f
i
r
s
ts
l
ow
e
d
, th
en s
e
em
ed t
or
e
v
e
r
s
e
.
I
n
c
r
e
a
s
i
n
g
l
y
,s
t
a
t
e
s and l
o
c
a
l
i
t
i
e
sa
r
eb
e
i
n
g c
a
l
l
e
d upon to d
e
l
i
v
e
r
s
e
r
v
i
c
e
sand p
r
o
v
i
d
eb
e
n
e
f
i
t
st
op
e
o
p
l
ea
tt
h
ecommun
i
ty l
e
v
e
l
.

T
h
i
s f
a
c
t po
s
e
s p
rob
l
em
s f
o
ra
l
ls
t
a
t
e
s and l
o
c
a
l
i
t
i
e
s
. Th
i
s p
u
t
s
p
r
e
s
s
u
r
e on t
h
e t
a
xs
y
s
t
em
, e
s
p
e
c
i
a
l
l
y
, to r
a
i
s
er
e
v
e
n
u
e
s t
oc
o
v
e
r
i
n
c
r
e
a
s
e
ds
t
a
t
eand l
o
c
a
le
x
p
e
n
d
i
t
u
r
e
s
.

A d
e
s
i
r
ab
.
.
.
l
.
e
. con
s
equ
en
c
ei
st
h
a
tmo
r
e p
rob
l
em
sa
r
eb
e
i
n
gi
d
e
n
t
i
f
i
e
dand
d
e
a
lt w
i
t
h c
l
o
s
e
r to hom
e
, a
n
d
, a
sw
e a
l
l know so w
e
l
l
, t
h
e an
sw
e
r
s
u
s
u
a
l
l
yl
i
en
o
t i
nd
o
l
l
a
r
sa
l
o
n
eb
u
t i
nt
h
ei
n
c
r
e
a
s
e
d comm
i
tm
en
t and
invo
lv
em
en
to
fp
e
o
p
l
e who c
a
r
e
. Ag
a
in
, o
p
p
o
r
t
u
n
i
t
i
e
sf
o
rp
r
i
v
a
t
es
e
c
t
o
r
i
n
i
t
i
a
t
i
v
e
sa
r
e o
b
v
i
o
u
s
:

t
h
e
r
ei
sa d
e
s
p
e
r
a
t
e n
e
ed t
ob
e
com
e mo
r
e

�- 7 -

effi cient and more effective in using limited resources and in mobilizing
local leadership.

II

Observation

3

collaborations.

concerns

the

increasing

rhetoric . about

('

public/private

We hear it from the President, members of congress, our

governors, and many of us.

Such co ll a bo r a t i on of privat e philan thropy with public ins titutions and
programs is going on in all of our communities, to the advantage of all.

The best observations tend to be at the community level -- in education,
child

care

and

living for

child

the elderly,

abuse

prevention,

substance

abuse,

intergenerational initiatives,

independent

the cultural and

performing arts, and a host of other examples.

A concern that I would share with you is that, unless we are careful in
such collaborative efforts, they will, in a sense, be "one-way."

Public

officials are anxious to mobilize and ' direct private resources to "their
chosen objectives."
philanthropy
available
relates

in

for
to

the

They are not always anxious to be helpful to private

addressing

such

philanthropic
treatment

of

deliberations still underway.

concerns

purposes.

The

charitable

increasing
current

the

resources

evidence

contributions

in

the

of

this
budg et

While rhetori c on beha lf of phil a nthro py ,

charit able contributions, an d vo Lun t e e r i
taken are usually erosive,

as

invasive,

s tu

i s usuall y effus i ve,

ac t io ns

re strictiv e, and discour aging.

In

our various legislat ive skirmishes at the nat ional level sin ce 196 9, we
usually count success in terms of limited losses rather than real gains.

�- B -

I think our continuing approach should be to be cooperative with public
institutions and organizations, but to be cautious and not be coerced.

Observation 4 concerns the dichotomy between the nature of the problems
which concern us and the soluti ons we devise.

The problems of concern to society tend to be complex, multidisciplinary,
overarching,

pene trating,

a n d permeating.

Each of us can make our own

list -- inflation, K-12 and higher education, home care for the elderly,
groundwater, environmental quality, job generation, peace.

To the contrary, the solutions
tend

to

be

narrow,

most often devised to address such issues

discipline-

or

profession-oriented

and

biased,

simplistic, and inadequat e to the task.

A major contribution of philanthropy in addressing societal needs can be
to

encourage

and

demonstrate

programs

which

are

comprehensive,

collaborative, and provide continuity.

I

Observation 5 concerns

the Qersistent

reluctance

to

face

facts

and

to

deal with reality.

This is a somewhat human c ha r ac t e r i s tic -- a resist anc e t o ch a n ge, when

we are comfortable with that which we kn ow.

Sometimes, ev en when

the eviden ce is overwhelming, both individuals and

their institutions are reluctant

to respond.

It is a

most areas of human concern, we know better than we do."

truism that "in
Think only of

�- 9 -

the areas which may be of special interest to you:

substance abuse, K-l2

education, and health ca re.

For example, if we think of child development in the early years, we know
that age five is too late for societal concern and intervention, yet most
youngs ters

and mos t

communi ties

pr e-school

programs

of

elementary

years

are

high
most

lack

comprehensive

quality.
important

The
and

early childhood and

evidence
that

is

drop-out

clear

that

the

can

really

be

pred icted by grades six or seven.

Yet,

we

persist

starving

the

te acher will

in

accrediting

elementary
t ell

you

our

years

that

it

schools

whenever
takes

the

at

the

resources
first

high
are

school

level,

limited.

Every

three months

of

the new

school year to catch up to where students were when school ended in
spring,
the

yet we persist in having a

summer

months

a

th e

t h r ee - mon t h break in learning durin g

school-year

model

established

by

an

agrarian

Pennsylvania

recently

society nearly two centuries ago.

In

the

matter

commented,

of

penal

reform,

the

"It costs $24,000 a year

Governor
to keep a

of

person in

the st at e

p en,

but only $8,000 a ye ar at Penn State."

We as a society,

through our institution s and org anizati ons, must put

better

which

use

ca t a l ys t .

that

is

already

kn own.

Phil anthropy

c an

be

a

to
ke y

�- 10-

/
1
o ~

II=1
'

on

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In B
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,.
andm
any mo
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n
h
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p
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, w
h
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a
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ed o
f i
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lo
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s
. E
a
ch i
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c
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n
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dw
i
t
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h
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i
rown n
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, tooo
f
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et
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o
f o
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r
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s
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Now w
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.

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�</text>
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                    <text>"EVOLUTION OF THE LAND-GRANT SYSTEM"
Remarks by Russell G. Mawby
Cha irman and CEO
W. K. Kellogg Foundation
Battle Creek , Michigan
Meet i ng of ~n e Deans a~d Direct0rs of
Land-Grant Colleges 0 f Agciculture, North Central Region
Ch i ca go , Illiaois
Oc t ob e r 11, 1985
I

I appreci a t e your thou ghtfu l ness in i nv iting me to participate
program.

It

~n

thi s

a privilege and rare opportunity to meet with the leadership of

~s

the colleges of agriculture and natural resources of the land-grant universities of our twelve Northcentral states -- the deans and the persons responsible
for activi ties

~n

Cer t ainl y this

t

research, t e a ch i n g , Extension, and international progr ams.

s the h e ar t l an d o f Ameri c'ari agriculture.

h ave provided leadership, not on l y

~n

These i nst i t u t i ons

thei r respective sta tes and region, but

na tionally and i nternationally i n the past.

It

~s

to them we look with antici-

pa tion and high e xpectation for th e futur e.
I compliment you on this program and t he un usual collection of speak er s
you have inc l uded.

I commend you also for meeting jointly, bringing to gether

your respective responsibilities in agriculture.

I sense this

~s

a new ex-

perience for many of you and I would encourage you to con tinue this pattern of
join t meetings, for one of the reali ties confronting and confound ing Ameri ca n
agriculture is the fragment a tion o f i nterests and activi ties.
Cer t a i n l y these are challenging time s in American agriculture.

Fa r mi n g

and agr i business have chan ged and wi l l change even more dramaticall y i n the

�2
y
e
a
rs imm
ed
i
a
te
lyah
e
ad. L
and
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ra
n
t un
ive
r
s
i
t
i
e
s~

a
l
s
offisk
ed
r
am
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t
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-

j
u
s
tm
e
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ts i
fthey a
r
et
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s
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v
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n
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le 1ns
e
rv1
ngt
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i
r
so
ci
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t
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ln
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eds
.
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e
r
va
tion a
f
t
e
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avi
n
gp
ar
t
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c
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p
a
t
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~

o
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o
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rs
eSS1
0ns 1S

tha
t th
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re
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t m
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et
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e
rm
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f ideas and r
h
e
t
o
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i
c
. I
f
.i,
\f
a
c
t, any
of you
, in
d
i
v
idua
lly and a
st
e
am
s
,do any
th
ing mu
ch o
fw
ha
t you h
av
e be
en s
a
y
a
v
eb
een a s
ing
, it w
illh

n

~an

m
ee
t
i
n
g
.

I
I

T
he t
h
oug
h
t
s I nowsha
re w
i
t
h you g
rowo
u
t of a p
e
r
s
o
na
le
x
p
e
r
i
en
c
e and
d
e
ep con
v
i
c
ti
o
n
. F
i
r
s
t
, I have an unbou
nd
ed a
p
p
r
ec
ia
t
i
o
nf
o
rand adm
i
r
atio
no
f
ou
r la
n
d
g
r
a
nt co
lleg
es and un
ive
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ities. D
es
c
ribeda
s Am
e
r
i
c
a
's f
ir
s
td
is
t
i
n
c
t
i
v
e co
n
t
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i
b
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t
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o
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oh
ighe
r edu
ca
t
i
o
n
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h
e
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ei
n
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t
i
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u
t
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sh
av
eb
een m
a
j
o
r
p
l
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y
e
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si
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ng Am
e
r
i
c
a
's d
e
s
t
i
n
y
. Th
ey r
e
p
r
e
s
e
n
tone embod
im
en
t o
f the
p
h
i
l
o
sophy exp
r
e
s
s
ed o
ften byW
. K
. K
el
l
o
gg
, "Edu
c
at
i
o
no
f
f
e
r
st
h
eg
rea
test
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t
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t
yf
o
rr
e
a
l
l
y imp
ro
v
i
ng one g
ene
ra
ti
o
n ov
e
r ano
the
r." T
h
e
i
ct
r
a
d
i
t
i
o
n
1S con
s
i
s
t
e
n
t w
iththat o
ft
h
eW
. K
. K
e
l
l
ogg Foundat
i
o
n
: Fo
r th
ea
p
p
l
i
c
a
tio
n
o
fknow
ledg
e tot
h
ep
robl
em
so
fp
e
o
p
l
e
.
S
ec
ond, I amab
enef
i
c
i
a
ryo
f~

r
min Kent Coun
ty
, i
Mchi
g
an
.
fa

e

land
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ran
tp
h
i
lo
sophy
. Ig
r
ew up on a

Ou
rc
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n
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yagen
ts -K
ea
ts K
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i
n
i
n
g
, Coun
ty

A
g
ric
u
lt
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r
a
l A
g
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n
t
, and E
l
e
ano
r D
ensm
oo
re
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emon
s
tr
a
t
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o
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ge
n
t-e
n
r
i
c
h
ed
t
h
elifeo
f the M
aw
by f
am
i
l
y in m
anyw
ay
s
.

L
a
rg
e
l
yt
h
rough t
h
e
i
r iu
f
l
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e
n
c
e, I

h
efi
r
s
tm
emb
e
r o
f theMawbyfami
l
yt
oe
a
r
na b
a
c
ca
l
a
u
r
e
a
t
ed
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g
r
e
e
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becam
et
Fr
o
mea
rl
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st d
ay
s of t
h
e4
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rog
ramto t
h
epr
e
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e
n
t
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o
t
hm
y p
e
r
s
o
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ll
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ro
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l lif
eh
a
v
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e
en i
n
t
e
rm
ingled w
ith t
h
elan
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t wo
rl
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.

�3
Th
ir
d
, you, 1nyou
rv
a
r
i
o
u
sp
o
s
i
ti
o
n
so
f ~es

ns

a
re p
r
i
v
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l
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d

t
op
rov
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e le
a
d
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r
s
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lt
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r
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an e
n
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e
a
v
o
r wh
i
ch w
a
s
z
ed a
so
fp
ar
amoun
tim
p
o
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t
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n
c
ew
h
e
n t
h
eM
o
rrill A
c
tw
a
s p
a
s
s
e
d in1862
.
recog
ni
Ag
ricul
t
u
r
eh
a
s be
en p
rope
r
lyd
e
s
c
r
i
b
ed a
st
h
eb
a
s
i
chum
an e
n
t
e
r
p
r
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s
e
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l
ya
s
peop
le s
u
c
c
e
e
di
na
g
r
i
c
u
l
t
u
r
e-- t
h
efund
am
en
t
a
lp
r
o
c
e
s
s
e
so
fs
u
s
t
a
i
n
i
n
gl
i
f
e
t
h
ro
ug
h an a
d
e
q
u
a
t
e sup
p
l
yo
fwho
l
e
som
e food-can t
h
e
yt
h
e
nr
e
d
i
r
e
c
ttheir
erg
ies and r
e
s
o
u
r
c
e
st
oo
t
h
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ra
c
t
i
v
i
t
i
e
s
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u
l
f
i
l
l
i
n
gt
h
e
i
ra
s
p
i
r
a
t
i
on
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n
en
s
t
a
n
d
a
r
d
so
fl
i
v
i
n
g and q
ua
l
i
t
yo
fl
i
f
e
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u
r l
a
n
d
g
r
a
n
tc
o
l
l
e
g
e
so
fa
g
r
i
cu
lt
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reh
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v
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r
e
a
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r
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d
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t
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o
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o
ua
r
et
h
es
t
ew
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r
d
so
fthe f
u
t
u
r
e
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h
e on
e
s
wh
ow
i
l
lm
a
k
e t
h
i
n
g
sh
a
p
p
e
n
. Thu
s
, I reg
ard m
ytim
ew
i
t
h you a
sp
r
e
c
i
o
u
s
.
'
fu
i
l
ev
a
r10US instit
u
tions p
l
a
yd
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s
t
i
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c
t
i
v
er
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e
s1
ns
h
a
p
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n
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c
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l
t
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r
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f
o
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r cou
nt
r
y and t
h
ewo
r
l
d, no
ne 1S mo
r
e impo
r
t
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n
tt
h
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r l
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n
d
g
r
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n
tc
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o
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ricu
ltu
re, w
ithu
n
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q
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b
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r
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h
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x
t
e
n
s
i
o
n
,
and i
n
t
e
r
n
a
t
i
o
n
a
lp
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r
am
s
. Y
ou
ri
n
s
t
i
tut
i
o
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se
i
t
h
e
red
u
c
a
t
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rh
ave t
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portu
ni
.
t
yt
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'
lu
enc
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o
t
h the p
e
o
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le pL
"OC
eSS
e
s by w
hich a
g
r
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l
t
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re
p
rog
resse
s, '
f
ui
l
e ag
ric
r
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re ,
,
,
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l
li
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v
i
ta
b
ly ch
ang
e
, yo
uh
ave t
h
eri
c
hand
.
,
;
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e
"
om
eop
p
ort
.
u
nity t
osh
ap
et
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se c
ha
ng
es,

I
I
I

In c
omm
e
n
t
i
n
gb
r
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e
f
l
yo
nt
h
ee
v
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l
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t
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o
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rl
a
n
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r
a
n
t .m
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siti
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es, I
o
tp
rov
ide a d
et
a
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l
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s
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yb
u
t
:
:
a
t
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rw
ill m
a
k
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ew o
b
s
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r
vat
i
o
n
s
.
w
ill n
A
.

I
ti
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sefu
l t
obegi
ao
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rr
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l
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t
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r
yp
r
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s by

rem
ind
ing o
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rs
e
l
v
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ft
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ag
e in t
h
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c
twh
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ch w
a
s s
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g
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e
di
n
t
ol
a
w by
P
re
s
i
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en
tL
inco
l
no
nJ
u
l
y2
, 1862
. E
a
ch s
t
a
t
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ich a
c
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t
e
dt
h
ebenef
its o
f
t
h
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sf
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r
s
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a
n
d
g
r
a
n
ta
c
tw
a
s o
b
l
i
g
a
t
e
dt
op
r
o
vi
d
e
: "A
tl
e
a
s
ton
ec
o
l
l
e
g
e
w
he
re t
h
el
e
a
di
n
go
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ts
h
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l
lb
e
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i
th
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t ex
c
lud
ing o
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rs
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e
n
t
i
f
i
cand

�4
c
l
a
s
s
ica
l stud
ies and i
n
c
l
u
d
i
n
gm
i
l
i
t
a
r
y t
a
c
t
i
c
s
,t
ot
e
a
c
hsu
c
hb
r
a
n
c
h
e
so
f
learn
i
n
ga
sa
r
er
e
l
a
t
e
d toa
g
r
i
c
u
lt
u
r
ea
n
dt
h
em
e
c
h
a
n
i
ca
la
r
t
s.
•
•
i
no
r
d
e
rt
o
p
ro
rnot
e

L
i
.be
raI and p
r
a
c
t
i
c
a
l educatLon o
ft
h
ei
n
d
u
s
t
r
i
a
lc
l
a
s
s
e
s in t
h
e

~

s
e
v
e
r
a
lo
u
rs
u
its and p
r
o
f
e
s
s
i
o
n
si
.n L
ife•
•
•
"
W
h
i
l
e each o
ft
h
el
a
n
d
g
r
an
t uni
v
e
r
siti
.
e
ss
t
a
r
t
e
da
s mod
e
st
,s
im
p
l
e

E
.

_
:
_ost
i
t
i
l
ti
ons, t
h
e
yhave nOH b
e
com
e comp
le
xu
n
i
v
e
r
s
i
t
i
e
so
fma
j
o
rs
t
a
t
u
r
ea
n
d
high q
u
a
l
i
t
y
.
I
near
l
i
e
rd
a
y
s
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g
r
i
c
u
l
t
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r
ea
n
de
n
g
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n
e
e
r
i
n
g

n

v
.

~

~

dom
i
.n
ant, wit
.
h

a
lm
o
s
t"
e
x
c
l
u
s
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v
erights" t
ot
h
er
e
s
o
u
r
c
e
so
ft
h
e.m
i
v
e
r
sity, B
o
t
hd
e
v
e
l
o
p
e
d
pr
o
g
r
am
so
ft
e
a
c
h
i
ng
, research, a
n
dp
u
b
l
i
cs
e
r
v
i
c
e
/
o
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t
r
e
a
c
h
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x
t
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n
s
i
o
n
. Th
e
p
ri
o
r
i
t
i
e
sf
o
rt
h
eu
n
i
v
e
r
s
i
ty t
e
n
d
e
dt
ob
et
e
a
c
h
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n
g
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h
e
nr
e
s
e
a
r
c
h
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e
n
E
x
t
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n
si
o
n
.
NOH
,

ag
ricuL
t
.
r
r
e :LS o
n
l
ya m
o
d
e
s
t pa
rt o
ft
h
etotaI u
n
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v
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r
s
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t
y
. I
n

g
e
n
e
r
a
l
,'
:h
ep
ri
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r
i
t
ie
so
ft
h
au
n
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v
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s
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t
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h
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f
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r
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hf
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r
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~ en

t
e
a
c
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n
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nE
x
t
e
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o
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t
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~ se ~

e

a
n
do
u
t
r
e
a
c
ha
c
t
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v
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t
i
e
scha
racte
ristic of a
g
r
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c
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l
t
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r
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n
l
yl
im
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t
e
do
t
h
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rp
a
r
t
so
ft
h
eu
n
i
v
e
r
s
i
t
y
,n
o
t cha
r
a
c
t
eristic o
ft
h
eu
n
i
v
e
r
s
i
t
ya
tl
a
r
g
e
.
~

s

m
o
s
t :and
-g
rant u
n
i
v
e
r
s
i
t
i
e
st
o
d
a
ya
r
el
o
s
i
n
gt
h
ed
i
st
i
n
c
t
i
v
e
n
e
ss

o
f
c
h
eba
la
nce o
rb
l
e
n
do
f'
:eaching
,r
e
s
e
a
r
c
h
,a
n
dE
x
t
e
n
si
o
nwhich c
h
a
r
a
c
t
e
r
iZ
2
st
n
el
a
n
d
g
r
a
n
tt
r
a
d
i
t
i
o
n
.
D
.

A
s l
a
n
d
g
r
a
n
tunive
rsities h
a
v
eg
rown i
ns
c
a
l
ea
n
d in c
om
p
l
e
x
i
t
y
,

c
o
l
l
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ge
s of a
g
r
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c
u
l
t
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r
eh
a
v
et
e
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e
dt
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e
com
ec
a
p
s
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l
a
t
e
di
n
te
llectua
lly.
t
:
JO

T
o

l
a
r
g
ea
ne
x
t
e
n
t
,t
h
ef
a
c
u
l
t
yi
nag
r
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c
u
l
t
u
r
eh
a
v
ed
e
v
e
l
o
p
e
da
ni
n
s
u
l
a
r

m
e
n
t
a
l
i
t
y" L
i
vi
.ngap
a
rt fro
rni
°
'
l
t
h
e
r:
:h
anb
l
e
n
d
i
n
gw
i
t
h t
h
em
ai
.n
str
e
a
rno
ft
h
e
~n e

e

a

l
i
f
eo
f =h
e

~ns

~

n

�5
E
.

\
i
h
e
rea
s in e
a
r
l
i
e
rd
ay
s
, those i
np
o
s
it
i
o
n
so
f le
a
d
e
r
s
h
i
pi
nco
l-

le
g
e
s of ag
ric
u
ltu
r
et
o
o
ka b
r
o
a
d and encom
passing stanc
e, t
h
er
o
l
ea
s
s
um
e
db
y
a
g
ri
c
u
l
t
u
r
a
ll
e
a
d
e
r
si
nt
h
el
a
n
d
g
r
a
n
tJ
n
i
v
e
r
s
i
t
i
e
sh
a
sb
e
com
ep
r
o
g
r
e
s
s
i
v
e
l
y
mo
re n
a
r
r
ow
.
T
o i
l
l
u
s
t
r
a
t
e
,a
tt
h
et
u
r
no
ft
h
ec
e
n
t
u
r
y
,d
e
a
n
so
fag
r
i
c
u
l
t
u
r
ea
n
d
t
h
e
i
ra
s
s
o
cia
t
e
sb
ec
am
ec
o
n
ce
r
n
e
dw
i
th b
r
o
a
d is
s
u
e
s im
p
a
c
t
i
n
gu
p
o
nt
h
eq
u
a
l
i
t
y
of l
i
f
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f fa
rm f
am
i
l
i
e
sand r
u
r
a
lc
omm
u
n
i
t
i
e
s
. T
h
u
s
, t
h
e
yw
e
re r
e
s
p
o
n
s
i
b
l
e
f
o
rt
h
ec
r
e
a
t
i
o
no
fd
e
p
a
r
tm
e
nt
so
fru
r
a
l education ,
.
e
it
h
i
nt
h
ec
o
l
l
e
g
eo
fa
g
r
i
cu
ltu
r
e
,t
oa
d
d
r
e
s
st
h
einadequ
a
c
ies o
f the o
n
e
c
o
om s
c
h
o
o
l
;t
h
e
yc
reated d
e
p
a
r
tm
e
n
t
sof r
u
r
a
ls
o
c
i
o
l
o
g
y
,t
od
e
a
lw
i
t
h p
r
o
b
l
em
so
ft
h
eb
r
o
a
d
e
rc
o
mm
u
n
i
t
y
;
they c
reat
e
dd
e
p
a
r
tm
e
n
t
so
fhom
ee
c
o
n
om
i
c
s
,t
oa
d
d
r
e
s
s

~e

q
u
a
l
i
t
yo
ft
h
ehom
e

and fam
i
l
y liv
i
n
g circum
s
t
a
n
c
e
s on th
ef
a
rm
;t
h
e
y cre
at
.
edb
o
y
s
' and gi
.
r
L
sI c
l
u
b
wo
rk (now4
-H
)t
or
e
l
a
t
ef
o
rm
a
le
d
u
c
at
i
o
nt
of
a
rm1i
'
"
i
n
ga
n
da
s a tec
h
ni
.q
u
e to
inject i
n
n
ovat
i
o
n
s
.
Now
, t
h
eem
p
h
a
s
i
s in c
o
l
l
e
g
e
so
fa
g
r
i
c
u
l
t
u
r
ei
supon a
g
r
i
c
u
l
t
u
r
ep
e
rs
e
,
w
ith a h
e
a
v
yp
r
o
d
u
ct
i
o
no
r
i
e
ntat
i
o
nbu
tw
i
t
h som
e emp
hasis u
p
o
nm
a
n
a
g
em
e
n
t a
n
d
ma
r
k
e
t
i
n
g
. C
o
n
c
e
r
nf
o
rb
r
o
a
d
e
ri
s
s
u
e
so
ff
a
rml
i
v
i
n
g
,r
u
r
a
le
d
u
c
a
t
i
o
n
,r
u
r
a
l
comm
u
n
ity l
i
f
e
,i
n
c
l
u
d
i
n
gh
e
a
lt
hc
a
r
ean
da
l
lt
h
er
e
s
t
,h
a
sb
e
e
ns
i
n
f
t
e
delse
:
w
h
e
r
ew
it
h
in t
h
e unive
rs
i
ty, a
n
dc
o
n
t
em
p
o
r
a
r
yi
s
s
u
e
sm
a
y
o
r m
ay no
t b
e

e~

ti
v
e
ly a
d
d
r
e
s
s
e
d
.
In th
ec
o
l
l
e
g
e
so
fa
g
r
i
c
u
l
t
u
r
e
,t
h
i
shas resu
lted i
ns

e~

s e

a

~a

t
i
on, b
u
tw
i
t
hd
i
f
f
ic
u
lt
i
e
si
ni
n
t
e
g
r
a
t
i
n
gt
h
e sp
ecia
lti
e
sand re
lati
n
g th
em t
o
the l
a
r
g
e
r1
s
s
u
e
so
fc
h
a
n
g
i
n
gs
o
c
i
o
/
e
c
o
n
om
i
c
/
p
o
l
i
t
i
c
a
lc
i
r
c
um
s
t
a
n
c
e
sa
thom
e
a
n
da
b
r
o
a
d
.

�-5-

IV

Two years ago, I had the pleasure of giving the Seaman A. Knapp Memorial
Le cture at the Land-Grant Meetings in Washington.
wa s a man of unusual vision.

Undeniably, Seaman A. Knapp

A pragmatic dreamer, he was adept at developing a

c on ce pt of what the futur e might be, then analyzing the constr aints of problems, determining the research knowledge appropriate to thei r solution, and
mobilizing the resourc es necessary t o the task.
farsighted, clear.

His field of view was broad,

At the turn of th i s century and before, he provided a

v ision of which all o f us are the beneficiaries.
The conditions of l ife have changed in dramatic and remarkable ways
since t h e days of Seaman Knapp.

The challenge to those now in positions of

leadership responsibility is to provide visionary leadership comparable to his
in cl arity, breadth, and scope.

My concern is that too many of you may suffer

an impairment which might b e label ed "agricultural scotoma."
In medieval La t i n , the language of medicine, scotoma 1S defined as a
dimness of V1S1on.

In pondering the future, I wonder -- do we in agriculture

h ave e io.rgh breadth of v ision; do He s ee quite far enough; do we compreh end
broadly en ou gh what agriculture can and should be at the turn of t h e century
and beyond?

Agricultural scotoma, to the extent such a condition may exis t 1n

our intellectual processes, will prescribe a limiting V1S10n of t h e future.
sharing with you my conc erns in this regard, I have organized my thoughts
around seven poin ts.
First, agriculture should take the lead in revitalizing the land-grant
philosophy at you r inst i t ution, not just in rhetoric bu t in practice.

In

�-7I sense the un1que role envisioned for the univers i ty in the land-grant
concep t is in jeopardy.

The leadership of many of our land-grant institutions

- - boards of t r u s t e e s , presidents, provosts, vice presidents for research, V1ce
presiden t s for business -- simply do not understand the tradition and the
d ream.

To t h e e xtent it still exists, it is in your college.

You have the

responsibilit y for its re-invigoration there and beyond.
A.

There should be a systematic program of orientation for new

faculty in your college o f agriculture and for the total university.
Every new f aculty member should l e a r n about the land-grant trad ition and
become aware of the breadth of the university's programs in teaching,
resea r ch, and Extension -_. visit a county e xt e n s Lon office, visit the
main e x p e r i me n t station and a a regional substation, see

,mat

the uni-

versity is doing to address human concerns 1n rural communities, county
seats, and center ci ties.
B.

Undertake for your college a systematic program of development

for department chairmen, who play su ch a critical role an the life of
t h e institution.

My contacts with department chairmeJ 1n a gricLilture

wo u ld lead me to believe that many do not fully •m d e'r s t and or have a
deep commitment to the land-grant notion.

c.

Build an expectation an your college that every faculty mernbe r

wi l l have a responsibility to teach, create new knowledge, and relate
their disc ipline to the needs of people iJ your state.

They 3hould be

encouraged in every possible way to undertake interdisciplinary, interdepartmental, inter-college activities.
D.

Reinforce this expe ctation in the reward syste m.

Second, the stature of agriculture within the university must be elevated through conscience efforts by those in agriculture.

�8
-

T
h
em
o
d
e
r
n l
a
n
d
g
r
a
n
tu
n
i
v
e
r
sit
yi
sa c
om
p
l
e
x, s
o
p
h
i
s
t
i
c
a
t
e
d
,m
u
l
t
i
f
a
c
e
t
e
di
n
s
t
i
t
u
t
i
o
n
.A
s o
t
h
e
ru
n
i
t
so
ft
h
eu
n
i
v
e
r
s
i
t
yh
a
v
eb
e
e
ne
s
t
ab
li
s
h
e
d
and have gr
ow
n
,a
g
r
i
c
u
l
t
u
r
eh
a
sb
e
e
nb
y
p
assed i
nr
e
l
a
t
i
v
es
c
o
p
ea
n
d sc
a
l
e
w
i
t
h
in t
h
eu
n
i
v
e
r
s
it
y
. B
ec
a
u
s
eo
fs
p
e
c
i
a
lf
u
n
d
i
n
ga
r
r
a
n
g
em
e
n
t
sg
r
ow
i
n
g ou
to
f
t
h
el
a
n
d
g
r
a
n
ti
n
s
t
i
t
ut
i
o
n
,a
g
r
i
c
u
l
t
ur
eo
f
t
e
nf
i
n
d
si
t
s
e
l
f~n a d
e
f
e
n
s
i
v
e
stance w
it
h
i
nt
h
eu
n
i
v
e
r
s
i
t
y
.
O
f
t
e
nw
ithin t
h
ec
o
l
l
e
g
eo
fa
g
r
i
c
u
l
t
u
r
ei
t
s
e
l
f
,a u
n
i
f
y
i
n
gs
e
n
s
eo
f?UL
po
se s
e
em
st
oh
el
a
c
k
i
n
g
. l
.
.
fu
et
h
e
ro
n
es
t
u
d
i
e
st
h
eo
r
g
a
niZ
3
tio
n
a
I cha
r
t o
rt
h
e
cou
rse o
f
f
e
r
i
n
g
s
,o
ra
n
a
l
y
z
e
sa v
a
r
i
e
t
ya
n
ds
c
o
p
eo
fd
e
p
a
r
tm
e
n
t
a
la
c
t
i
v
i
t
i
e
s
,
t
h
e
r
ei
sl
i
t
t
l
e
e
vi
d
e
n
c
eo
fa c
o
l
l
e
c
t
i
v
es
e
n
s
eo
fm
i
s
s
i
o
n a
r
o
u
n
dt
h
eth
em
eo
f
r
i
c
u
l
"ag
t
u
rs.
"
"F
u
r

a

~easan s

fac
ult
i
e
so
fa
g
ricultu
re rn m
any i
n
s
t
i
t
u
t
i
o
n
s ha
v
e

d
e
ve
l
o
p
ed a
ni
n
s
u
l
a
rm
e
n
t
a
l
i
ty
,i
s
o
l
a
t
i
n
gt
h
em
s
e
l
v
e
st
oa s
i
g
n
i
f
i
c
a
n
tex
t
e
n
t
fr
o
mt
h
el
a
r
g
e
ru
n
i
v
e
r
si
t
yo
fw
h
i
c
h t
h
e
ya
r
ea pa
r
t
.
A
l
l o
f

~

s
u
gge
s
t
sp
0
s
s
i
b
l
e cou
rses uf ac
t
i
o
n
.

IA
. B
r
i
g
h
ty
o
u
n
gm
ind
s m
u
s
t

~ e

a
t
t
r
a
c
t
e
dto t
h
eag
ri
.
cu
L
t
rraL

f
a
c
u
l
t
y
.
B
.

Th
e mi
s
s
i
o
no
ft
h
ec
o
l
l
e
g
em
u
s
t b
ec
o
n
t
i
n
u
a
l
l
yu
p
d
a
t
e
da
n
d

c
omm
u
n
i
c
a
t
e
dt
h
o
r
o
u
g
h
l
yw
i
t
h
i
n t
h
eu
n
i
v
e
r
s
i
t
y and b
e
y
o
n
d
.
C
.

T
h
o
s
ei
na
g
r
i
c
u
l
t
ur
em
u
s
t becom
e mo
r
e a
c
t
i
v
ei
nt
h
ei
n
s
t
i
t
u
-

tiona
la
f
f
a
i
r
so
ft
h
eu
n
i
v
e
r
s
i
t
y
.
D
.
0
"
:

Wh
en p
e
r
s
o
n
si
np
o
s
it
i
o
n
so
fa
u
t
h
o
r
i
t
y do n
o
thave a k
n
ow
l
e
d
g
e

ag
ric
u
ltu
re, t
h
ec
o
l
l
e
g
eof ag
ricu
ltu
re s
h
o
u
ld a
ssum
e re
spon
si
.b
i
.L
i
ty

f
o
r;
:
:h
e
i
:
ce
n
l
i
g
h
t
e
nm
e
n
ti
nap
p
ro
p
ria
t
e(
'
l
ay
s.
E
.

S
t
u
d
e
n
t
s and f
a
c
u
l
t
yi
na
g
r
i
c
u
l
t
u
r
es
h
o
ul
dbe e
n
c
o
u
r
a
g
e
dt
o

i
n
t
e
r
a
c
tw
ith di
s
c
i
p
l
i
n
e
st
h
r
o
u
g
h
o
u
tt
h
eu
n
i
v
e
r
s
i
t
y
,c
o
n
t
r
i
b
u
t
i
n
gto
and b
e
n
e
f
i
t
t
i
n
gf
r
o
'l1 t
h
er
i
c
h
n
e
s
so
ft
h
ei
n
s
t
i
t
u
t
i
o
n
.

�9
Thi
r
d
,l
a
n
d
g
r
a
n
tc
o
l
l
e
g
e
so
fa
g
r
i
c
u
l
t
u
r
es
h
o
u
l
da
s
s
um
et
h
ec
o
o
r
d
i
n
a
:
"
ing L
a
a
de
rs
h
ip r
o
l
ei
no
u
rn
ation's p
r
o
g
r
am
so
fa
g
r
i
c
u
l
t
u
r
a
lr
e
s
e
a
r
c
h
.
Wh
e
r
e
a
s i
ne
a
r
l
i
e
rd
a
y
s thi.
,l
e
a
d
e
r
s
h
i
pr
o
l
ew
a
s a
s
s
um
ed b
yt
h
eU
n
i
te
d
S
t
i
t
e
sD
epa
r
tn
ent of Agricu
'
ltc
r
e, f
o
rt
h
ep
a
s
th
a
l
fc
e
n
t
u
r
yt
h
ee
f
f
o
r
t
sof
t
h
a
ta
g
e
n
c
yh
a
v
eb
e
e
nl
a
r
g
e
l
yd
e
dic
a
t
e
dt
ov
a
r
i
o
u
sp
r
o
g
r
am
so
fd
i
r
e
c
tb
e
n
e
f
i
t
t
osp
ec
if
ic g
r
o
u
p
so
ff
a
rm
e
r
s
,c
o
n
s
um
e
r
s
, and o
t
h
e
rs
p
e
c
i
a
li
n
t
e
r
e
s
t
s
. In t
h
e
vacuum w
hi
c
hh
a
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�-10s t u dent s drop out of college during the course of their undergraduate career,
or never begin a degree program of study before launching into the family farm
enter prise or otherwise moving into agribusiness.

Your college of agriculture

is probably the only college in your university which has faculty members
res ident in every county of the s t a t e .

Yet, typically, and in fact with only

one or two exceptions to my knowledge, colleges of agriculture have done nothing 1n the creation of external degree programs to enable practitioners to
compl ete the req u i r ements for bac ca l a ur ea t e or advanced degrees.
Si milar ly, colleges of agriculture seem reluctant to move forward wi th
the concept of experiential learning, in which academic credit is awarded for
demonstrated competence and performance.

With the t radition of "learning by

doing" and applica t i on of resear ch knowledge in practical situations, it seems
natural for agriculture to be a ca talyst, rather t han a spectator, 1n this
excit i ng new development in continuing edu cation.
Further , in agriculture there is lacking a systematic and comprehensive
approach to the continu ing professional education of agricultural pr o f e s s i on a l s .
\\There this has become institu tionalized in other professions, i t is spasmodic
and random in the field of agriculture.
Thus, while agriculture 1S in one sense the pioneer 1n lifelong lea rning and has been a pacesetter, it now seems to be lagging behind th e times as
e xciting new developments occur in continuing education.
Fifth, colleges of agric ulture should contribute more actively to the
pr oce s s es of agricul tur al policy development.
'I'he decis ion-making pr-oc e s s by wh i ch agricu1 tur a l policy is established
se0.flIS in disarray or v ir tua l.Ly uon ex is tan t in any rational s en s a ,

The Farn

Bloc, which was a power fu I reality for two decade" following World War I, has
been f'r agmen t e d by the dev e l.o pmen t »f commo d i t y and r eg i.on a l groups.

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r
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: p
o
p
u
l
a
t
i
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n
,
env
i
ronm
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t
,w
a
r
.

�It would be nice if these were simple, tidy issues that we could
deal with forcefully and directly.

But we immediately see that they are

not simple and neat; they are complex, confounding and compounding, comprehensive, inter-related.

One of the dilemmas of the human condition is

that the problems which concern us are diffuse, complex, permeating,
multi-disciplinary, generalized.

Think of any current issue of major

significance--pollution, health care, transportation, education, the
jUdicial system, world peace.

Simultaneously, the solutions devised by

man are usually specific, simplistic, specialized, narrowly based.

Thus,

a serious discontinuity exists betwe en the nature of the problems which
confront us and the solutions which we contrive for dealing with them.
I'll not elaborate on these three issues, simply remind you of them:

Population --

~

realization that the growth of human population is

the principal and most compelling threat to the survival of the
species (man);
Environment -- a growing appreciation for the fragility of the
relationships within the earth's environmental milieu, with
an awareness of the mind-boggling

Consequences of our actions,

impulsive or premeditated; and
War	 -- with no better reminder than the words written 350 years ago
by	 John Donne "No man is an island, entire of itself; ev ery man is a
piece of the continent, a part of the main; if a clod be washed
away by the sea, Europe is the less, as well as if a promontory
were, as well a s if a manor of thy friends or of thine own were;
any luan' s death dimini shes me; b ecause I am involved in mankind;
and therefore never send to know for whom the bell tolls;
it tolls for thee."

�No m
a
t
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r how w
e ch
oo
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e

]

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p
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.
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r wh
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ew
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r
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ld m
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s
. W
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l w
ego t
ow
a
ro
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ro
i
l
? W
i
l
l w
es
h
a
r
eo
u
r
abund
an
c
ew
it
ht
h
o
s
el
e
s
sb
l
e
s
s
e
d
?
~

You
r su
c
c
e
s
sw
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l
lb
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t
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rm
i
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dn
o
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fyou
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h
et
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l
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s
equ
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re
conom
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c
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,andp
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l
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.

[

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~.

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r
-.

1

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11'"1...JL.--...cr-.../
~

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~

a
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-

m
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l l
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n
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5 ~ ~~ ~ . .
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~~

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                    <text>••
Focus on the Future: Creating Caring Communities
Remarks by Russell G. Mawby at the
Grantmakers/Grantseekers V Seminar
Hyatt Regency Hotel, Dearborn, Michigan
May 14, 1993
I.

I am delighted to be here with you for
Grantmakers/Grantseekers V (or as we affectionately refer to it
"GG V".)

I commend our Program Committee for the theme selected

for this year's seminar:
Communities."

"Focus on the Future: Creating Caring

This theme so clearly reflects happenings and

trends of today.

I commend them also for the topics of the

breakout sections and the superb resource people recruited for
each.

And we are fortunate indeed to have Dr. Samuel Betances of

Northeastern Illinois University with us to begin our afternoon
session.

We appreciate also the various sponsors and the

exhibitors who have cooperated with our Program Committee to
enrich this year's seminar.
Many of us here were at Grantmakers/Grantseekers I in Novi.
The theme that year was "Improving Michigan's Nonprofit Sector."
We are grateful indeed to those who had the vision and energy to

�initiate the Grantmakers/Grantseekers series.

I think

particularly of the sponsoring groups: the Council of Michigan
Foundations with the leadership of Dorothy Johnson, its president
and the late Dr. Peter Ellis who was with the Kellogg Foundation
and was, at that time, a loaned executive with CMF; and the three
Michigan Chapters of the National Society of Fund Raising
Executives, under the leadership of John Lore.

We are the

continuing beneficiaries of their leadership.
Last evening, someone had the audacity to ask me if I would
be giving the same speech today that I gave in 1989.

I confess I

did get the speech out to see what I had said back then and I
would quote briefly from the beginning section:

" I am delighted

to be here on this historic occasion, the first statewide meeting
between Michigan's grantmakers and grantseekers.

It took vision

on the part of both groups to see that the moment was right -our thanks to the three Michigan Chapters of NSFRE and to CMF for
their leadership.

2

�"The word 'historic' was not used lightly.

Despite the

close working relationship between grantmakers and grantseekers,
there has been too little meaningful communication between us as
groups.

It is time we get to know each other better.

Why?

Simply because we need each other.
1.	

Without the do-ers, the givers are powerless
to effect social change.

2.

Without the givers, the do-ers lack the

resources they need to carryon their
activities to improve human well-being in
respective areas of concern.
3.

Thus, we are collaborators in mobilizing

private resources to improve the quality of
life for all Michigan citizens.
"This spirit of collaboration should underlie everything we
say and do -- here, and throughout the year."

3

�Lots of things have happened in the nonprofit sector since
then, at least in part because of the Grantmakers/Grantseekers
meetings.

I will mention only two.

First is the creation of the Michigan Nonprofit Forum,
bringing together grantseekers and grantmakers on a permanent
basis and in a systematic way.

The Michigan Nonprofit Forum's

mission is "to promote the awareness and effectiveness of
Michigan's nonprofit sector, and to advance the cause of
volunteerism and philanthropy in the state."

In pursuit of that

end, the Forum, as a membership organization, exists for the
following purposes:
1.

To act as a convener, bringing together

nonprofit leaders, as well as the leadership
of the government and the private sectors, to
increase understanding of the nonprofit
sector, confront common issues and concerns,
and promote collaboration;
2.	

To encourage voluntary giving and service;
4

�3.

To disseminate information important to

defining the sector -- its scope and values, meeting
the management/technical needs of organizations in the
sector, and fostering communication and collaboration
in the public, private, and nonprofit sectors;
4.

To take an active role in public policy

that affects the nonprofit sector at large;
and
5.

To provide programs and services that

enhance the sector by strengthening
organizational capacities.
While the Michigan Nonprofit Forum is a very new
organization and is gradually taking shape, it will be
increasingly important for nonprofit organizations in our state
and for the people of Michigan.

MNF had an excellent Board

meeting yesterday with a full representation of the nonprofit
sector; we are delighted to have in place our new executive
director, David Egner; and plans for the future in the
5

�programming and policy areas are taking shape.

The Forum, of

course, is now the sponsoring organization for the
Grantmakers/Grantseekers Seminars.
A related activity is the Campaign for Volunteerism, so ably
chaired by Governor George Romney.

Governor Romney always uses

the title "Honorary Chairman," but we indeed have a very
hardworking chairman working effectively with three cochairpersons:

First Lady Michelle Engler and former First Lady

Janet Blanchard, making the volunteerism initiative truly bipartisan; and Frank Popoff of Dow Chemical Company in Midland,
representing business and industry.

The public service

announcement clips which we saw earlier this morning are only one
example of their initiative to encourage volunteerism and create
Volunteer Centers throughout the state.

We are grateful indeed

to you, Governor Romney, for your leadership and for the
inspirational example you provide for us all.

6

�And so, it is in that context and shared commitment that we
meet today in GG V, with the theme: "Focus on the Future:
Creating Caring Communities."

II.
In thinking about what is happening in contemporary society
as it relates to our individual communities, I was tempted to
begin with a list of concerns not unlike the agenda of topics
being addressed at this conference.

However, I feel it would be

presumptuous and inappropriate for me to propose a long cafeteria
list of issues around the topic o f ' Creating Caring Communities.
You are knowledgeable about the concerns in our country, in our
state, and particularly in your home communities.
So instead, I have chosen, in broad overview, to share five
observations about things going on in our society, for which the
implications for nonprofits and nonprofits leaders -professionals, volunteers, board members, etc. -- are rather
apparent.

I will be speaking in short-hand, leaving the
7

�interpretation and translation to you.

I hope the meaning will

be clear and you will see your community and yourself in
illustrations I suggest.
Observation 1 concerns the seeming return -- shift back -to local responsibility and control in addressing societal needs.
For a span of about 6 decades -- from the "progressive era" at
the turn of the century to the late 1960s, and particularly
beginning with "the New Deal" in the decade of the 30s -- the
federal government took an ever-increasing part in meeting the
needs of the American people.

In recent years, the trend has

first slowed, then seemed to reverse.

Increasingly, state and

localities are being called upon to deliver services and provide
benefits to people at the community level.
This fact poses problems for all states and localities.
This puts pressure on the tax system, especially, to raise
revenues to cover increased state and local expenditures.

While

responsibility seems to have shifted back to the community level,

8

�we know that most financial resources have remained at the state
and federal level.
Ultimately, a desirable consequence is that more problems
are being identified and dealt with closer to home, and, as we
all know so well, the answers usually lie not in dollars alone
but in the increased involvement and commitment of people who
care.

Opportunities through the nonprofit sector are obvious:

there is a desperate need to become more efficient and more
effective in using limited resources and in mobilizing local
leadership.
Observation 2 concerns the seeming inability of our
political processes and institutions to deal with significant
issues in substantial ways.
This is most vivid at the national level where Congress is
struggling ineffectively with such concerns as fiscal and
financial responsibility, health care, foreign affairs, child
care, farm programs, support for the arts, energy policy,
environmental quality ... the list goes on.
9

�In Lansing, while there has been some progress, our state
politicians are equally ineffective on matters of school finance,
our state budget, Worker's Compensation, correction, human
services, and a host of other concerns.

At the local level, you

can make your own analysis of effectiveness in dealing with human
services, environmental concerns, and all the rest.
Technology has changed the nature of politics and
politicians dramatically.

New techniques of sophisticated,

instantaneous polling and the influence of mass media treatment
of every issue and personality seem to have caused elected
officials to become less the "leaders" of society and more the
followers of herd instinct.

There is a tendency to lead only

when consensus has been reached, to wait to see which way the
parade is going and then rush to its head.

Other changes which

have influenced the political process to society's disadvantage
have been the proliferation of the number and the dramatic
increase in skill of special interest groups of every variety and
the concept of entitlement which has handcuffed political
10

�response to changing needs.

Today, there are few in elected

office who could be described as statesmen with vision,
commitment, and a concern for the whole.

Patterns of political

power also have changed dramatically, with greater diffusion and
less loyalty to party and purpose.

One consequence of term

limitation may be to further erode institutional memory and
continuity and enhance the influence of bureaucratic structure
and special interests.
The net effect of all of these change has been the lessened
ability of government at all levels to be a source and catalyst
for social change.

This, then, ·suggests an enhanced potential

role for initiatives in the nonprofit sector to demonstrate new
answers to societal needs, to initiate ventures, to provide the
vision and comprehensive approach which the political fails to
provide.
Observation 3 concerns the persistent reluctance to face
facts and deal with reality.

This is a somewhat human

11

�characteristic -- a resistance to change, when we are comfortable
with that which we know.
Sometimes, even when the evidence is overwhelming, both
individuals and their institutions are reluctant to respond.

It

is a truism that "in most areas of human concern, we know better
than we do."

Think only of the areas which may be of special

interest to you:

substance abuse, K-12 education, health care,

the environment.
For example, if we think of child development in the early
years, we know that age five is too late for societal concern and
intervention, yet most youngsters ·and most communities lack
comprehensive early childhood and pre-school programs of high
quality, except as provided by family, which mayor may not be
sufficient.
The evidence is clear that the elementary years are most
important and that drop-out can really be predicted by grades six
or seven.

Yet, we persist in accrediting our schools at the high

12

�school level, starving the elementary years whenever resources
are limited.
Every teacher will tell you that it takes the first three
months of the new school year to catch up to where students were
when school ended in the spring, yet we persist in having a
three-month break in learning during the summer months -- a
school-year model established by an agrarian society nearly two
centuries ago.
In the matter of penal reform, the Governor of Pennsylvania
commented not long ago, "It costs $24,000 a year to keep a person
in the state pen, but only $8,OOCY"a year at Penn state."
We, as a society, through our institutions and
organizations, must put to better use that which is already
known.

Nonprofits can be a key catalyst to making this happen.

Observation 4 concerns the dichotomy between the nature of
the problems which concern us and the solutions we devise.
The problems of concern to society tend to be complex,
multidisciplinary, overarching, penetrating, and permeating.
13

�Each of us can make our own list -- national debt, K-12 and
higher education, home care for the elderly, environmental
quality, job generation, peace.
To the contrary, the solutions most often devised to address
such issues tend to be narrow, discipline- or professionoriented, biased, simplistic, and inadequate to the task.
A major contribution of nonprofit organizations in
addressing societal need can be to encourage and demonstrate
programs which are comprehensive, collaborative, and provide
continuity and caring.

(The 4 CiS)

That leads naturally then to my fifth and final observation
which concerns the persistence of "turfism" in addressing
societal needs.

Usually programs of human service are badly

fragmented and lack continuity.

In Battle Creek, for example, we

have 67 identified voluntary, nonprofit groups directed to the
needs of youth.

Pluralism is good; competition can also be

healthy; but infighting, adversarial stances, and combative
behavior are not!
14

�The clearest example in our home town was in health care,
where we had two hospitals, virtually across the street from each
other, each suffering from less than 50 percent occupancy.

In

addition, we have the usual host of other health care
organizations -- Visiting Nurse Service, Department of Public
Health, American Red Cross, Hospice, Meals on Wheels, voluntary
ambulance services, and many more.
Unhappily, while each is composed of intelligent, able,
dedicated, and well-intentioned individuals, each also tends to
address issues from the perspective of their organizational or
institutional objectives.

Each is concerned with their own

niche, too often not sensitive to the activities of others and
with insufficient attention to the comprehensive health needs of
the people of the community.

In Battle Creek we finally

succeeded in getting the two hospitals to merge.

Now we are in

the process of getting the other players to join the team.

15

�Again, a challenge for nonprofits is to be an influence in
bringing about services which are comprehensive, collaborative,
and continuous.
John Gardner, one of the most thoughtful and visionary
leaders of our time, is now focusing his attention on community.
At the CMF Conference last fall, he addressed the topic "Building
Community."

Dr. Gardner began his remarks as follows:

"The

disintegration of communities and the sense of community has gone
about as far as it can be allowed to go, and I foresee a strong
movement to regenerate communities.

I am familiar with the rule

that if you think things are getting better, you've probably
overlooked something.

And I am sufficiently considerate of you

as an audience to recognize that you are accustomed to gloomy
pronoses and an optimistic view could throw you seriously off
balance.

But there it is.

We're moving back toward community --

community incorporating diversity, open, pluralistic, but still
community."

16

�Dr. Gardner suggests the following ten ingredients as
essential to a healthy community.
1.

Wholeness Incorporating Diversity (Probably the greatest

challenge confronting the generations assembled here
plus our children and grandchildren.
2.

A reasonable base of shared values.

3.

Effective internal communications.

4.

Caring, trust, and teamwork.

5.

Participation.

6.

Affirmation.

7.

Links beyond the country.

8.

The development of your people.

9.

A forward view.

10. Institutional arrangements for community maintenance.

Dr. Gardner, throughout his discussion of community, always
emphasizes: "We, the people ... ", reminding us that people at the
community level must take responsibility for their own future.
17

�This is not something which can be left to elected officials or
anyone else.
What a comprehensive, visionary, challenging agenda for all
of us concerned with communities, where life is really lived.
III.
In conclusion, as we focus on the future, can we really say
we, in our multiple and various roles, are working to create
caring communities?

The hard reality -- or the exciting fact --

is that all of us here, individually and collectively, will make
that determination by our decisions and actions.

We may be

passive and reactive -- or we may be creative and participatory.
While we are continually concerned with dealing with
problems and addressing shortcomings, we need to keep these
troublesome concerns in perspective.

For example, we read a lot

about the problems of teenagers today, but most teenagers do
well-- most are not on drugs, they do not get pregnant, and they
do not drop out.

18

�At the same time, there are pressing concerns which must be
addressed.

It is to such issues that much of our thought and

resources must be directed.
We, in the nonprofit sector -- whether a paid staff
professional, a board member of an organization, or a volunteer
working to provide services -- must be responsive to changing
circumstances and opportunities.

Most of the significant new

directions imperative to our societal future will not be charted
by government.

In fact, many elected officials are almost

desperate for better answers, proposed solutions to perplexing
issues.
We in the nonprofit sector must continue our tradition of
innovation, nurturing creative collaborative approaches to human
concerns at the community level.
We must provide leadership to enhance the resources in our
communities and ensure their most effective use.

19

�We in Michigan have a great tradition of social concern.

We

in the nonprofit sector -- and those who have preceded us -- have
been important partners in this progress.
There is unfinished business demanding the best efforts of
all of us!

Godspeed!

20

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                    <text>FOUNDATION CHALLENGES AND OPPORTUNITIES ON THE LEGISLATIVE
SCENE
Russell G. Mawby
Chairman, Council on Foundations' Committee on
Legislation and Regulation
and
President, W. K. Kellogg Foundation
Clearinghouse for Mid-Continent Foundations
Kansas City, Missouri
June 15, 1981
I.

Introduction

I am delighted to be with all of you this afternoon and
appreciate the invitation from Marjorie Allen and Linda
Hood Talbott to talk about the legislative activities of
the Council on Foundations.

I will center my comments

around the changes which have occurred between foundations
and government during the past decade.

Specifically, I

view today as a time of particular challenge, and opportunity,
for further improvement in, and definition of, the relationship
and roles of private philanthropy and the public, governmental
sector.

�2

The area associations, like your own Clearinghouse for
Mid-Continent Foundations, will have a crucial impact on
how successful we will be in that effort.

II.

Philanthropy in Kansas City

I am particularly pleased to be in Kansas City.

Yours is

a very special example of how a city can go about a major
revitalization that is far sighted, comprehensive and long
term in focus.

I am familiar with the "Prime Time" campaign which Kansas
City leaders launched in the early 70's as a way to promote
national awareness about a new and progressive Kansas
City.

Your new international airport, the Crown Center

development, Truman Sports Complex, the new Kemper Arena,
and the new performing arts center at the University of
Missouri-Kansas City are all indications of that civic
pride and achievement.

�3

On several occasions, I have read through the History of

Philanthropy in Kansas City published last fall by the
Clearinghouse for Mid-Continent Foundations.

The Clearing-

house, the Greater Kansas City Community Foundation, and
Linda Hood Talbott, as editor and publisher, have put
together what I consider the most comprehensive, interesting,
and enlightening profile on philanthropy in one city ever
published.

What impressed me about the History of Philanthropy in
Kansas City was that private giving has flourished in
Kansas City with relatively few large family fortunes, but
extremely broad community philanthropic support.

I wish I could say, as its president, that the W. K.
Kellogg Foundation also has been a major contributor to
civic efforts in Kansas City.

However, our grants in

Kansas City over the years have totalled a relatively

�4
modest $700,000.

Kellogg has made grants to a number of

your hospitals and colleges for various projects.

The

Foundation's single, major impact locally [if one equates
impact with dollars] has been its support of your Kansas
City Regional Council for Higher Education (KCRCHE).

We

have provided well over $500,000 to KCRCHE during the past
decade to help it improve and coordinate educational
services, and faculty development, among member institutions
of higher education in the Kansas City region.

More important and instrumental than the programming
initiatives in Kansas City of any national foundation, I
suspect, has been the work of the Kansas City Association
of Trusts and Foundations over the past 30 years and at a
sum of some $19 million in grants for local initiatives.

It is particularly fitting that this afternoon's session
is being held in a conference area named after Arthur Mag,

�5
who established the Association.

His work and that of

Homer Wadsworth as its executive director for many years
are recognized nationally.

The Association has been a

model for how relatively small private trusts and foundations can pool their resources in order to employ professional staff and at the same time maintain control over
their own funds.

Today you are once again taking the lead

through the Clearinghouse in providing a model for better
services to grantmaking organizations and to grant seekers.
I know that the Clearinghouse is the only organization of
its kind which provides joint membership on the national
Council on Foundations for its local member foundations,
companies and banks.

I am also aware of the role which

the Clearinghouse has played in the incorporation of the
new Greater Kansas City Community Foundation .

There is little doubt that area associations like the
Clearinghouse will have an increasingly larger role in

�6
fulfilling a variety of functions to both grantees and
grantors.

There are now some 1500 foundations, businesses,

corporations, banks, and other institutions that make
charitable grants which have joined together in associations
that relate to a city, a state, or a multi-state region.
These cooperating area associations are linked at the
national level with the Council on Foundations to engage
in a range of joint actions and programs .

III.

The Changing Philanthropic Climate Since TRA69

Let me turn now to the legislative scene.

We have come a

long way in changing and improving the philanthropic
climate since those troubled times before and immediately
after passage of the Tax Reform Act of 1969.

The growth

in the number and activities of area associations of
grantmakers, as well as the strengthened role of the
Council on Foundations at the national level, are part of

�7

a general awakening during the past decade to the need for
improved services to grantees, and a more unified approach
to enhancing general public understanding and support for
the role of private philanthropy in our society.

The Council on Foundations

t

its members

t

and the area

associations have worked together to achieve significant
legislative success in correcting several of the most
damaging aspects of the Tax Reform Act of 1969.

In 1976,

they secured reduction in the private foundation payout
requirement from an escalating 6 percent to a flat 5
percent, or all of income.

We know now that if the

escalating 6 percent payout requirement had remained in
effect--and as you may recall it was tied to fluctuating
interest rates of U.S. Treasury Bills--it would have
created havoc with foundations in terms of their ability
to carry out rational investment policy.

That escalating

type of payout requirement would also have forced many

�8

foundations to further deplete their assets in the recent
years of high inflation.

In 1978, private philanthropy was also successful in
securing passage of legislation which reduced the excise
tax levied against private foundations from 4 percent to 2
percent.

There have been other examples of success in

forestalling potentially damaging Internal Revenue Service
interpretations of the 1969 Tax Reform Act; for example,
relating to pre-1969 business holdings of foundations and
lobbying restrictions on non-profit organizations.

IV. Recent Legislative Developments

In spite of these accomplishments there was recognition in
1979 that the Council on Foundations' growth required a
more systematic approach to legislative issues.

Consequently,

the Council's Board of Directors in late 1979 established

�9
an ad hoc committee on legislation and regulation, under
the chairmanship of Jean Hennessey, executive director of
the Charles Butcher Foundation.

In that year, HR4753 was

introduced by Congressman Bill Frenzel of Minnesota to
eliminate the requirement that foundations payout adjusted
net income above the 5 percent minimum investment return.
However, no action was taken on the bill.

The new ad hoc legislative committee early in 1980 agreed
that:

*	

Its membership should be expanded to include more
representatives from community and corporate foundations;
and

*	

That the Council on Foundations should adopt an
affirmative, and active, posture regarding public
policy supportive of private initiative for the
public good.

�10

Shortly thereafter the Council also adopted the recomrnendation that the Committee on Legislation and Regulation be
a standing committee.

In May 1980, the Committee held

legislative hearings at the annual Council on Foundations
conference in Dallas and invited all members of the Council
to complete and return a short opinion sample which identified
members' legislative concerns, issues, priorities, and
opinions.

At the same time the Committee asked private foundations
to complete a more lengthy quest ionnaire.

Basic statistical

information was needed if we were to convince Congress to
change other features of the Internal Revenue Code.

Results of the opinion poll of all Council members spotlighted
four legislative priorities:

�11

*

Permit taxpayers who do not itemize their other
deductions to deduct gifts to charity (GephardtjConable,
PackwoodjMoynihan Bill);

*	

Eliminate the requirement that private foundations
must payout income above the minimum investment
return of 5 percent;

*	

Allow deduction of gifts of appreciated property to
private foundations; and

*	

Establish a procedure to relieve foundations and
managers of first-level penalty taxes for inadvertent
violations of 1969 rules.

The more lengthy questionnaire completed by some 243
private foundations showed that from 1977 to 1979 there
had been a decline of 14 percent in the real value of

�12
private foundation assets.

This taken with other figures

revealed that private foundation assets had declined by
nearly 40 percent during the decade of the 1970's. The
problem and the solution were clear.

Private foundations

must be permitted to reinvest income over 5 percent, in
order to help insure their long-term grantmaking capabilities.

The Committee on Legislation and Regulation recommended to
the Council's Board, and the Board approved, a set of two
immediate legislative priorities:

One.	

To seek action by Congress to eliminate the
requirement that private non-operating foundations
distribute income earned in excess of 5 percent;
and

Two.	

To secure Congressional approval on a number of
technical amendments to the Internal Revenue

�13
Code, based on more than a decade of experience
since TRA69.

The Council's Committee on Community Foundations, and
Committee on Corporate Philanthropy were asked to advise
the legislative committee on any legislative and regulatory
matters affecting their specific foundations.

The legislative committee noted that community foundations
would generally prefer that there be no support test and
that their public charity status 'rest on their public
characteristics--essentially the facts and circumstances
tests that existed under pre-1970 regulations.

It was

agreed, however, that revisions in the support test for
community foundations, and other federal regulations for
them, should probably not be sought now in Congress.
Changes in the community foundation support test may be a
legislative priority in the future, if they cannot be
resolved administratively through the Treasury Department.

�14

v.

Current Legislation

As most of you know, legislation has been introduced in
both the House and the Senate in this session which would
eliminate the "all of Lnc ome " above 5 percent distribution
requirement for private, non-operating foundations.
HR1364 has been introduced in the House by Congressmen
Conable, Brodhead, and Frenzel.

Currently, this bill has

22 co-sponsors (of 35 possible) in the House Ways and
Means Committee.

On the Senate side, the bill is S464 and

was introduced by Senators Durenberger and Moynihan.
of the bills also include three technical amendments.

Both
One

of the technical amendments would create an exception to
current foundation recordkeeping requirements when total
grants to a particular grantee do not exceed $10,000.
Another would limit the definition of "family member"--for
purposes of determining disqualified persons--to children
and grandchildren of substantial foundation contributors;

�15

,	 the other would allow foundations to rely on official IRS
rulings recognizing the tax status of potential grantees.
For example, a large grant from a foundation could cause
the grantee to lose or be "tipped" out of its public
charity status.

The IRS has taken the position that a

foundation is not allowed to rely on official IRS rulings
as to the grantee's status, but must instead make its own
independent and costly investigation of the grantee's
financial resources to determine if the proposed grant
would have that effect.

HRl364 and S464 would correct

this, a problem we have been pressing the IRS on, with no
results, for eight years .

Over past months, a number of Council on Foundations
members, and area associations, "have been enlisted to
contact their Congressmen in support of the legislation
,a n d to secure additional co-sponsorship of the bills in
the House and Senate.

�16

A hearing on the Senate bill was held by the Senate Finance
Committee's Subcommittee on Taxation and Debt Management
on March 30.

I testified at that hearing on behalf of the

Council as Chairman of its Committee on Legislation and
Regulation.

In addition, representatives from four national

non-profit organizations testified in support of the flat
5 percent annual foundation payout requirement.

Those

testifying included representatives from the United Way,
Girl Scouts of the USA, the National Conference of Catholic
Charities, and the United Negro College Fund.

Also testifying was John Chapoton, Assistant Secretary of
the Treasury for Tax Policy.

Chapoton said the Treasury

Department had not yet taken a position on adjustment of
the minimum payout requirement, but that Treasury opposed
the technical amendments to the bill.

We have since met

with Chapoton's boss, Undersecretary of the Treasury
Norman Ture, to ask his support of the payout change, and

�17
to modify the position expressed by Chapoton in testimony
before the Senate Finance Subcommittee.

Ture is very

knowledgeable about the foundation payout problem and we
are confident that Treasury will support the payout change
if it appears the legislation has a chance for passage.

VI.

Chances for Passage

Currently, the Reagan Administration's tax reduction
bills, known as the Economic Recovery Act of 1981, seem to
be the primary vehicle for having the foundation payout
bill considered in this legislative session.

The payout

reduction item might be "tacked on" to the tax reduction
bill in either the Senate or the House.

If so, such

action would require consideration in conference committee.

The Reagan Administration is adamantly opposed to any
items being tacked on to the tax reduction bill, however.
The payout reduction item would not be, unless the "flood

�18

gates" are opened by other items being added--items which
have larger constituencies and, frankly, are perceived as
being more important.

In the jargon of Capitol Hill, this

is known as a "Christmas tree bill"--for the number of
legislative "ornaments" being added.

Those who should

know say the tax reduction bill will not be considered
until mid-summer and will probably remain clean .

If the situation changes, we will be ready.

As I mentioned,

a hearing on the payout bill has been held by the Senate
Finance Committee.

We are working to also have the required

hearing on the payout bill in the Select Revenue Measures
Subcommittee of the House Ways and Means Committee within
the next several weeks.

If there is opportunity for the

measure being added to the tax reduction bill, we will
have completed the hearings and laid the necessary groundwork
on both the Senate and House sides .

�19
There is also the possibility that the payout measure
might be considered on a second tax bill later in the
session.

A recent issue of the Congressional Index quoted

Treasury Secretary Regan, in testimony before the Senate
Finance Committee, as saying that if the Administration's
Economic Recovery Bill is "kept clean" and passed by the
August Congressional recess then the Administration would
have a second tax bill ready to present by the time
Congressmen get back from the recess.

If that indeed

turns out to be the case, the payout measure might be
included in that next tax package.

We don't know what other tax legislation will be considered
later in" the year.

The payout reduction might also become

part of another, completely different piece of legislation
in the fall.

�20

VII.

Support of Area Associations and Foundations

The legislative process is complex and confusing, isn't
it?

Yet, much of what has been accomplished to date in getting
the payout legislation introduced, and in securing Senate
Finance Committee and House Ways and Means Committee
support, has been the result of key Congressional contacts
made by individual foundations, area associations and by
foundation representatives serving on the Council's Committee
on Legislation and Regulation.

A two-day Council on Foundations workshop on legislation
and regulation was held in Washington, D.C. in mid-February .
It was attended by area associations--including those from
California, Michigan, and the southeast--and large and
small foundations from Florida, Colorado, Texas, and other

�21
states across the country. It was the grassroots, personal
contacts by representatives from these area associations
and private foundations, both while they were in Washington
and back at home, which helped insure that the payout
reduction bill garnered co-sponsorship by a majority of
Ways and Means Committee members in the House.

It is here

that there are very distinct roles for the Council on
Foundations' staff, individual foundations, and area
associations.

The Council on Foundations office in Washington certainly
can and should provide the staff resources to respond
quickly to legislative and regulatory matters.

The Council

can help organize its membership for action, and, for
example, for effective testimony before Congress and
executive branch agencies.

The Council can provide effective,

current information to members on legislative developments.
But in the final analysis, the Council must also rely

�22
heavily upon the area associations and its individual
foundation members if there is to be an effective
legislative relations program for all of private
philanthropy.

It is the individual foundations and the area associations,
working with their U.S. Senators and Congressmen, that
determine whether a legislative program will be successful.
Reliance on this type of "grassroots" legislative initiative
has been the essence of our efforts to date.

In Michigan,

for example, we have what our statewide association calls
the "Developing Goodwill Program."

An individual at a

foundation within each Michigan Congressional District is
assigned to encourage and coordinate annual contact by
trustees and staff from ALL of the foundations in that
District with their local Congressman.

That includes

sending a copy of the foundation's annual report with a
personal letter, sponsoring an annual informal luncheon

�23
with the Congressman and foundation representatives, and
other forms of ongoing communications and contact.

I would urge you and the Clearinghouse to consider--if you
have not done so already--the creation of a legislative
committee to "thrash through" the issues I've described
today, other needs which have been identified by your
individual foundation members, and also those which are
being discussed at the national level within the Council
on Foundations and the Independent Sector.

In the short term, the Clearinghouse also can, and hopefully
will, assist on the payout legislation being considered in
Congress.

Both Senators John Danforth of Missouri and Bob

Dole of Kansas are members of the Senate Finance Committee.
Senator Dole chairs that Committee.

In the weeks ahead,

we may ask the Clearinghouse and its members to consider
taking the lead in personal contacts with Senators Dole

�24

and Danforth to explain, and seek the Senators' support
on, the payout legislation.

The current strategy is to continue to firm up support for
the foundation payout bill on the House Ways and Means
Committee and Senate Finance Committee.

The Council on

Foundations also will identify 30 or 40 Congressmen who
are highly regarded by their peers within the Senate and
the House.

Individual foundations and the area associations

will be asked to brief these Congressmen on the payout
legislation.

We would hope that ' t h e s e 30 or 40 key

Congressmen will then be informed and ready to speak in
favor of the payout measure if and when it is considered
in the Senate and House as either part of the Administration's
tax reduction program or as a separate piece of legislation.

�25
VIII.

Conclusion

I would like to now throw the discussion open for your
questions, about either the payout bill or the general
legislative program of the Council on Foundations.

In

closing, however, let me say again how much I appreciate
the invitation to be here with you today.

My assistant at

the Kellogg Foundation, Jim Richmond, is a native of
Kansas City, Missouri, and a graduate of the University of
Missouri at Kansas City.

To hear Jim talk about Kansas

City--as I frequently have to

do~ ~one

would think there is

no place quite like, or as good as, the "City of Fountains
and Boulevards", the American Royal, and, of course, the
Kansas City Royals.

You have a remarkable spirit and a

remarkable tradition of civic pride, concern and betterment.

I hope, and am confident, that the Clearinghouse for
Mid-Continent Foundations, and its individual members,

�26
also will work with others within the field of private
philanthropy to insure that the tradition of private
initiative, responsibility, and achievement so evident in
Kansas City, remains equally a vital part of our national
fabric, our national pride, and our national future.

RGM-IH 6/8/81

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                    <text>" FOmIDATI ON CULTI VATI ON, PRESENTATI ON, AND FOLLOW-UP"

Rema r ks by Dr . Rus s e ll G. Mawby
Pr e s i dent, W. K. Kel l ogg Found at i on
a t the
Boy Scout s of Ame r i ca 1979 Nat i onal Fi na nce Semi na r
St. Louis, Mis s ouri
Octob e r 12 , 1979

Th ank you v e ry mu c h , AI .
of y o u t h is mo r n i n g.

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I am d e l igh t e d t o b e wi t h a l l

As Al no t e d , Sco u t i ng

my li f e a n d I am p le ased

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c ommen ts thi s morn i n g o n ph i l an t h ro pi c l e gi sl at i on in t h e
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olu
n
t
e
e
r lea
d
e
r
sh
i
p an
d on

a in ~a i n ir

ah
i
gh r
a
ti
oof adu
lt vo
lun
t
eer
st
o

~

th
a
ttoday fi
n
d
s mo
r
ethan one and

h
alf m
i
llio
na
d
ult

It i
sa t
r
a
d
i
t
i
o
,

a
d
ers w
o
rk
ing wi
t
h the m e than t
h
r
e
ea
n
dah
al
f
m
il l
i
on
le
you
t
h in Sco
u
ting.
i
nt e r

~

is th
is s
t
ro
n
gp
rivate c
i
t
i
ze
ni
n
v
o
l
vem
e
n
t --

o
f financ
in
g
, operation
, an
d pr
o
g
ramm
ing -- t
h
at

ha
sm
ade s
c
o
uting s
u
ch a c
e
n
tr
a
l pa
r
t of t
h
e Am
e
ri
c
a
ne
~ ...,

II
M
y a
s
s
i
g
n
ed top
i
c th
i
sm
a
r
P
r
es
e
n
t
a
t
i
o
n, a
n
d Fol
l
ow
-up"

~ ~. " - ~

/
'C .
.
.
.
.
.
.

for o
ver 75 years.

~

i
s"

eri~

~~~ ~

n d a t ~ n.

e
-U
-

l

t
i
v
a
t
i
o
n,

-

~ ~~
~
~ J
J1
-'
!
b
othA
n
dP
a
u
l
l Aymond a

Da
v
i
s suggested that I focu
s on gu
i
d
eli
n
es \oJhic
hY
.Q
.1L
.
.might
u
s
et
oachi
e
ve f
a
v
o
r
a
b
l
e co
ns
i
der
a
t
i
o
n by f
o
u
nda
t
i
o
n
sof
l
o
c21 C
ounci
lfu
ndi
n
gproposa
ls
. C
er
t
ai
n
l
y th
ere ha
s been a
o
s
ea
n
ds
u
p
p
o
rt
i
ve r
e
l
a
tio
n
sh
ip be
t
w
ee
n Sc
o
ut
i
n
ga
n
d
cl
f
o
und
atio
n
s, ex
t
e
n
d
i
ng a
l
l the w
a
y bac
k to L
ee H
a
n
m
e
r of t
h
e
R
usse
l
lSage Foundation se
r
v
ing a
s se
c
ret
a
r
y of t
h
ef
i
r
st

�o
r
g
an
ization co
mmi
t
t
e
e of t
h
e B
oy Sco
u
ts o
fAmerica in 1910.

r

The f
o
u
n
d
e
ro
f Scou
ting, B
ri
t
i
sh arm
yo
ffi
c
e
rand

Iauthor Robert

I

c
ribed how he d
ec
i
ded
B
a
d
en
-Pow
e
ll in 1906 des

to r
e
wr
i
t
ef
o
r boys h
is m
ilitary book A
ids t
oSc
o
u
ting and
t
or
e
f
o
c
u
st
h
ebook on you
th tra
iD
ing.

B
aden
-Pow
el
l
enj
o
yed

te
l
l
i
ng t
h
esto
ry of the B
ritish br
i
gad
ie
rgen
era
lwho wa
s
r
i
d
ing hom
e from m
ilitary m
a
n
euv
e
r
s w
hen f
r
o
mt
h
eb
r
an
c
he
s
o
fa t
r
ee overhead he hea
r
dh
is young son ca
ll o
u
t
, "Fat
h
e
r
,
I ami
nambus
hand you h
a
ve pa
sse
dm
e w
ithou
t see
ing m
e.
R
em
em
ber, you s
h
ou
l
da
lways lo
ok up as w
el
l
a
sa
r
ound you!tl
Ba
d
en-Pow
e
l
l obse
r
v
e
d that t
h
is i
n
c
iden
t opene
dh
is ow
ne
y
e
s
t
ot
h
efac
t that tra
in
ing ot
h
er
si
nt
h
e sk
il
l
s of obser
v
ation
a
r
rd d
e
d
u
c
ti
o
n has g
rea
t e
d
u
cati
o
n
a
l va
lu
e
. I
tis st
i
l
l
t
o
d
a
ya cen
tra
lp
a
r
t of S
cout
i
n
g
.
I m
ight summ
a
r
i
z
e th
i
s mo
rn
ing b
y suggesting th
at you
u
s
et
h
2
s
esam
eS
co
u
t
i
ng pow
e
r
s of ob
s
e
r
v
a
t
i
on and d
educ
t
i
.
on
i
nyour approac
h
es to s
e
e
k
i
ng f
o
undation s
u
ppo
rt -- o
r
'i
n
e
v
e
n few
er w
o
rds -- tha
t you co
nc
e
n
trat
eon th
eS
couting

~

�c
r
e
d
o "B
ep
repa
r
ed."

~

B
y tha
t, I m
ean be p
r
ep
ar
e
dby ha
v
i
n
g

a gene
ra
lunde
rs
tand
ing about p
ri
v
a
te fo
unda
tion
s in our
s
o
c
i
e
t
y, and m
o
re s
p
e
cif
i
ca
l
ly
, the ro
le o
fp
riv
a
t
e foundat
i
on
s

~

you
r ow
n co
mm
un
ity
.
W
h
e
n the w
o
rd "foundation
" is m
e
ntio
n
e
d, t
h
e instan
t

r
e
a
c
t
i
on is t
ot
h
i
n
kb
i
g: F
or
d
, R
ock
e
f
e
l
l
e
r
,Jo
h
n
son,
M
el
l
o
n
,K
res
g
e, L
i
lly, p
e
r
haps even K
e
llogg.

T
hese a
r
e

h
i
g
h
l
y vi
s
i
b
le f
o
unda
ti
o
ns w
ith l
a
r
g
ea
s
s
e
t
s
,s
u
bs
t
ant
i
a
l
a
n
n
ua
l expen
d
i
t
u
res, pr
o
f
essi
o
na
l s
t
aff
s, and na
t
i
o
n
a
lor
in
terna
tiona
ls
p
her
e
so
fa
ct
i
v
i
ty
. Ye
ton
l
y 38 f
o
u
ndat
i
o
ns
ha
v
e as
s
et
sof $100 m
il l
i
o
no
rm
ore.

W
e ne
e
d to rem
ind

o
ur
s
e
l
ve
st
h
a
t 9
0p
ercen
to
ff
o
u
nda
t
i
o
ns -- o
rs
o
m
e 2
2
,
5
0
0 -~.~t..-.-~

h
a
v
ea
s
se
t
sof l
e
s
sthan $
1 m
illion.
•

~ .

~~l

-r ~ ~
e agg
rega
te cap
ita
l res
o
ur
c
e
so
f al
lfounda
t
i
o
n
si
s
a
b
o
u
t $27 b
i
l
l
i
o
n
. T
he
i
r inv
e
stmen
t por
t
f
o
l
i
o
sp
r
o
d
u
c
e
s
ome
t
h
i
ng sligh
tly over $2 b
i
l
l
i
o
ni
ni
n
c
o
m
e -t
h
eba
si
s
f
o
rg
r
ants m
ade by f
o
u
n
d
a
tio
n
s. The
s
efi
g
u
r
e
s still s
e
Em
la
r
g
e and im
p
r
e
s
s
i
v
eu
n
t
i
lt
h
e
ya
r
epu
ti
n
t
ope
r
s
p
e
c
t
i
v
e
,

�f
o
r examp
le in r
e
l
a
ti
o
nt
ofed
e
r
a
le
x
p
e
nd
iture
s.

To il
l
ustrate

t
h
i
spoint, t
h
et
o
t
a
lca
pita
la
s
sets o
ff
o
un
dati
o
ns
,o
r the
$27 b
i
l
l
i
o
n
,i
ss
l
ight
l
yle
s
st
h
an the amount spen
t by t
h
e
U
.S. D
epart m
en
to
fH
eal
t
h, Ed
ucation, and W
elfare in j
u
st a
0
Jc
.\C..F-"7 ~ : (J-c?W
"? ~ ~
s
i
x-m
o
n
t
h per
i
od
. B
u
t wh
il
epriv
at
ef
o
undat
i
on resource
s
a
r
er
e
l
a
t
i
v
e
l
ysm
al
l
,p
r
i
va
te g
r
an
t do
llars very o
f
te
n ar
e
c
r
i
t
i
c
a
la
n
dc
ata
l
y
t
ic in pro
vid
i
n
gf
o
rex
peri m
en
tation,
r
e
d
i
r
e
ct
i
on
,a
n
dc
h
ange bo
t
hi
ns
o
ciet
yand i
ni
t
s nonprofi
t
o
r
g
a
n
i
zatio
n
s
.

I
tm
ay be u
sefu
lt
o

i /a ~f n d at i n s ~

r
e
t brie
f
l
y on the n7

0f

a basi
sfo
ro
u
r exp
lo
r
a
t
ion of t
h
eir

r
o
l
ei
nre
l
a
t
i
o
ns
h
i
pt
oy
o
ur s
p
e
c
i
fic ~lnc il ~e e d s .

B
roa
dl
y
,

~------- -- --- - -

t
h
e
r
ear
efi
v
ec
l
assi
f
ic
a
t
io
n
s of p
r
i
v
a
t
ef
o
unda
t
i
o
n
s
. I am
s
u
r
ey
o
u ca
n id
e
n
t
i
f
y exam
p
l
e
so
fe
a
c
hI
ny
o
u
r own ex
per
i
enc
e
o
rg
e
og
r
a
p
h
i
c loca
l
i
t
y
.
1
. The fami
l
yfo
u
ndati
o
n
,t
h
ep
h
ila
n
t
h
ropi
cm
echan
ism
f
o
rc
h
ar
i
t
a
b
l
eg
i
v
i
n
gb
ya s
i
n
g
l
e fam
i
l
yo
rf
a
m
i
l
y gr
o
up
.

�Mo
s
t fam
il
yf
o
u
n
d
a
tion
s are re
lat
i
v
ely sm
al
l
,ha
v
e no p
r
ofe
ss
i
o
n
a
ls
t
a
f
f
,m
ay li m
i
t t
h
e
i
rg
r
an
ts t
oce
r
t
a
in area
so
f
i
n
te
r
es
to
r pu
r
p
ose
, and g
ene
r
a
ll
yar
el
i
m
ite
di
nthe
ir
a
phi
cscope of act
i
v
ity.
geogr
2
. The c
o
mm
un
ity foun
d
ation, am
e
chan
ismb
y wh
ich
v
a
r
i
c
u
sd
o
n
o
r
sc
a
ng
ive t
occ
r
nm
unity p
u
r
p
o
s
e
s
. Th
e CO
lT
lT
I
lUn
it
y
f
o
u
n
d
a
t
i
o
nh
a
si
t
s own b
o
a
r
do
f tr

st e e ~,

~

h
a
v
e re
s
p
o
n
s
i
-

b
i
l
ity f
o
radm
in
istrati
o
n of t
h
e funds p
ro
v
i
de
d to it b
y
g
i
f
to
r be
q
uest
. In i
t
sc
h
arter the ge
o
g
r
a
p
h
i
cscope o
ft
h
e
commun
i
ty f
o
u
n
d
at
i
on
'
si
n
te
r
e
s
t is p
r
es
c
r
i
b
e
d
.
3
. The com
pa
n
y-sponso
red f
o
u
n
d
at
i
on, t
h
e char
i
ta
b
l
e
anno
fa b
u
si
n
e
s
s co
r
po
rat
i
on.

The p
r
o
g
r
am a
r
ea
so
f in
t
e
r
e
s
t

m
ay b
ep
r
es
c
r
i
b
e
da
n
d ver
yo
f
t
e
ng
ran
ts a
r
em
ad
e t
oconuuuni
t
i
e
s

~~

i
nw
h
i
c
h t
h
ec
o
r
p
o
ra
t
i
o
nca
r
r
i
e
son i
t
sbus
i
ness a
c
t
i
v
i
t
i
e
s
.
4
. The spec
ial
pu
r
pose founda
t
i
o
n
,e
s
t
a
b
l
i
s
h
eG by
i
n
d
i
v
i
d
u
a
l
so
rg
r
oups, w
ith v
er
ys
p
e
c
i
f
i
cp
u
r
p
ose
si
nm
i
n
d
.
The
s
em
ay re
l
a
t
et
oresearc
hi
n
t
e
r
e
s
t
,p
r
o
g
r
am activ
ities,
o
rr
e
l
i
g
i
o
u
s purpos
e
s
.

)

�5
. The genera
l-purpose found
at
i
o
n
, w
h
ich h
a
s broad
purpo
ses, a
n
dw
ithp
r
i
o
r
i
t
i
es es
t
a
b
lis
h
ed by boards of
t
r
ustees on a co
n
tinuing basis i
nresp
o
n
s
e to s
o
c
ia
lc
h
ange
d
. The
s
ea
r
et
h
el
a
rge p
r
iv
a
t
ef
o
u
ndat
i
on
sm
any of
and nee
w
h
ich you w
il
lre
cogn
ize -- Fo
rd, R
ockef
e
ll
e
r, and K
e
llogg.
Th
ey t
e
nd t
ob
e at least nat
i
o
n
al in te
rm
s of g
e
og
raphic
s
c
o
p
e of i
n
te
r
est
.

:

g
r
a
nt
s
,wh
il

.
/

o

I

d
e
t
erm
ined by th
e
i
rgov
e
r
ning
(

.
.
-

I

--

priva
te fou
n
d
a
t
i
o
n
sm
ake
t
h
e
ir own

-.....-.... ~rn ~

r

~a

s

as

~

~~~~
~- -..-~~

h
ou
l
da
lso be not
e
dt
h
a
t funding fo
r indi
v
id
u
al
s
,
It s

f
o
rg
e
n
e
r
a
l operat
i
n
g budgets, and f
o
r sc
h
o
l
ars
h
i
p
s, f
e
l
low
s
h
i
p
s
,and loan
s is a
v
a
i
l
ab
le on
l
yf
r
o
mr e
l
a
t
i
v
e
l
y~e\l
f
o
u
n
d
a
t
i
o
n
s
,often w
ith
in spec
i
a
ll
i
m
i
t
a
t
i
o
ns
.

L
-

, 11

r~

Re
g
ar
d
l
ess o
ft
y
p
eo
r si
z
e
,f
o
un
d
a
t
i
o
n
st
o
d
ay r
e
c
e
i
v
e

t
\
.A
-~~

m
any t
h
o
u
s
a
nd
s of w
o
rthy reque
st
s
,w
h
ich t
h
e
ym
u
s
t d
e
c
l
i
n
e

e
i
t
h
e
rfo
rt
h
ere
a
s
on t
h
at t
h
e
r
ea
r
en
eV2
r enough f
u
n
d
st
o
go ar
o
u
n
d
,o
rb
e
c
a
use th
e re
q
u
e
s
t
sfa
ll c
l
e
a
r
l
yo
u
t
si
d
et
h
e
f
o
u
n
d
a
t
i
o
n
's fie
l
dof i
n
t
e
r
e
s
t
. O
t
he
rapp
licat
i
o
n
sa
r
e

�poo
r
l
yp
r
e
pa
r
ed o
rg
ive l
i
ttle e
v
i
d
ence of care
f
u
la
nal
y
sis
o
ft
h
eo
r
gan
i
za
t
i
o
n's needs, its cred
ib
i
l
i
ty
,o
r its capacity
t
operfo
rmthe t
a
s
ks f
o
r w
h
ich f
u
nds are be
i
ng requested.
Som
eti m
es the qua
lifica
t
i
ons o
rp
ro
jec
tstaff are no
t w
e
ll
t
a
b
l
ished o
rt
h
e budge
ta
n
d th
em
eans f
o
re
v
a
lua
ti
n
g
es
p
r
og
r
ess m
ay no
tb
ep
r
ese
n
t
ed con
vin
c
i
ng
l
y
.

JJ" tL
.
.
. ~\- '-\~ ~ t~
.

.

'
L

W
ith f
o
unda
t
ion s
t
a
f
f ti m
e lim
ited, a
nd t
h
ec
o
m
pe
tition

-

fo
rs
c
arce founda
t
i
o
n dollars g
r
ow
ing, a C
oun
ci
ls
h
o
u
ld

s
t
u
d
yt
h
o
ughtf
u
l
l
y its ow
n or
g
a
n
iza
t
ion an
d th
e charac
t
e
r
isti
c
s
o
f the fund
ing s
ourc
e bef
o
re app
l
.y
ing.

Th
eC
oun
cil s
h
ou
l
d
:

1
. Know t
h
ef
o
undat
i
on'
sa
r
ea of in
tere
s
ta
n
d ob
jec
ti
v
es
a
n
di
t
s capa
city t
og
iv
ea g
r
a
nt i
nthe amo
u
n
t ne
e
d
e
d,
2
. Suhmi
t
on
ly t
h
ose pro
po
sal
sw
h
ich fa
ll w
i
th
i
n the

f
o
u
n
d
c
t
i
o
n
'
sareas of i
n
t
erest and w
ith
in i
t
s m
eans,

«:
'
:
~~

.
'

~~~

e~

~.

3
.
	 Q
u
e
r
y th
ef
o
u
n
d
a
ti
o
n be
f
o
re p
r
e
par
i
n
ga
n
ds
u
bm
i
t
t
i
ng
pr
oposaL
s, and

:
:
:
'

f-

4
. I
fa gr
a
n
tis m
ad
e
, ma
k
e re
g
ular e
v
a
l
u
a
t
i
o
n and
o
gr
e
s
sr
e
po
rts w
pr
ith a s
u
f
f
ic
ie
ntl
yde
t
a
ile
de

.

o
u
n
t
i
n
g of foundati
o
nf
u
n
d
s.
acc

r=
	
n
I
L

-

.

.-v
.
,
.
.~ '
	

t-~-

7

endi t ~
e
c
d
J
l
. ~

.
J
.
.
-!

�~!

_

.-

~ ~.
~

:

es

..
.
.

~~

~ ~

r
.
:
~ ~\ l ~
~--- )~- :-.: ~.

~~.~ ~.~ ~ ~ .

-

ff
il
g
h
tb
e fo
llow
ed ~-nt

sever
a
le
o
r
r
e
s=.
~

p
o
n
A
s

ns

L

advi
e
e re
g
a
rd
ing the a
ctual fa
n
d
ing propo
s
a
ls.

n~, mo
s
t foundatio
n
s ar
eprob
lem
- an
d pe
o
p
le
-

orie
n
te
di
nt
h
e
ir

r

a
n
d are i
n
t
eres
t
e
di
nprop
o
sa
l
s

r an~ i n

~~

-"-~."\. ~ ~

j1
Tha
tis

w
h
i
c
h a
r
e si m
i
l
ar
l
yc
o
nce
r
ned

w
hat p
r
ofes
s
i
ona
l

p
h
i
l
ant
h
ro
p
hy i
sa
l
l abou
t. A
t t
h
es
a
m
e ti m
e, e
a
ch foundatio
f
l
i
sd
i
f
f
e
r
e
n
ti
ni
t
s approach t
ot
h
eg
r
a
n
t
m
ak
i
n
g pr
o
c
e
ss
.
Som
e pr e
f
e
ra p
o
t
e
n
tia
lg
r
a
n
t
ee t
oc
o
m
p
lete th
ef
o
undat
i
o
n
'
s
p
r
e
p
a
r
e
df
o
rm
; ot
h
ers reque
st a b
r
i
e
fle
t
t
er o
ut
l
i
n
i
n
g t
h
e
p
r
o
p
o
sa
lh
igh
l
i
ghts fo
l
low
ed b
ym
ore el
a
bo
r
ate p
la
n
si
ft
h
e
f
o
u
n
da
t
i
o
n ex
p
r
es
s
e
s an in
ter
e
st i
npu
r
s
u
i
n
gar
e
q
ue
st.
O
t
h
e
r f
o
u
n
da
t
io
ns re
q
u
i
r
ethe to
t
al p
r
o
p
osa
l to be p
r
es
e
n
t
e
d
a
tt
h
et
im
eo
f th
ei
n
i
t
i
a
lrequest.
I
t
'
sa

s~fe

be
t
, as w
e
ll
.
,t
of
o
l
l
o
wfive g
e
n
e
r
a
lp
o
j
n
t
s

i
nw
r
i
t
i
ng a
l
lp
r
0
p
osa
l
s fo
rf
o
u
n
d
at
i
o
nf
u
n
di
n
g
: (
1
)k
.
c
ep
t
h
e

ritt~n

p
r
o
p
osa
l sho
rt and c
l
e
a
r
;(
2
)s
t
a
t
e at t
h
e

o
u
t
s
e
tw
ha
ti
sto be accom
p
lished, w
ho e
x
p
e
c
t
st
oa
c
c
o
m
p
l
is
h
i
t
,how mu
ch i
t
w
.
ilI c
o
s
t, a
n
d how l
o
n
gi
t
w
i
l
l t
a
k
e
;(
3
)

/D

�av
o
i
d br
o
ad sw
eep
i
n
gg
e
neral
i
za
t
i
on
s; (
4
) test the p
r
o
p
o
sition
o
no
thers befor
es
u
bm
itt
i
ng it
;and (
5
) be prepa
r
ed to

(
f\-.-~ &lt;; 0',.)

re
t
h
i
nk and rew
rite the propos
~ al. ~

It is a
l
s
o he
l
pfu
lt
oth
i
n
kof a
n
yp
r
opo
sa
l i
nt
e
rm
s of
it
sba
s
i
ccomp
one
nts: a c
l
e
ar summ
ar
yof w
ha
tis t
obe
ac
comp
lis
h
ed; a de
f
e
n
s
eof w
h
y the p
l
an i
sn
eeded; a de
s
c
rip
t
i
o
n
of t
h
e peop
le t
ob
e invo
lved; a r
e
a
list
i
cfi
n
aTIci
n
g schem
e
;
a
n
d a de
s
crip
t
i
o
no
f approp
r
iate o
r
gan
iza
t
i
o
na
lar
r
a
n
g
em
e
nts,
c
i
l le
a
ders
h
ip w
ill b
e
fo
r examp
le how C
oun
par
t
ic
u
l
a
rpr
o
g
ram
.
You m
ay a
s
k, how do I go about d
o
i
ng th
is hom
ew
o
r
ko
r
be
i
ng s
u
f
f
i
c
ie
nt
l
yp
r
epared in ~ app
r
oa
c
ht
oa

.

~

f

n ~ a ti n

~~~~

My f
i
r
.
s
tsuggestion wou
ld b
ef
o
r you to go t
oyou
rl
o
c
a
l

l
i
b
r
a
r
yand ge
t ac
o
p
yo
ft
h
ela
t
es
ted
ition o
ft
h
eF
o
u
ndat
i
o
n
D
i
re
cto
r
y
. Th
e

irec~ r

is p
u
b
l
i
s
h
e
d by th
e Found
a
t
i
o
n

C
e
n
t
e
r
, l
o
c
ate
di
nN
ew Yo
r
kC
i
ty
, and i
st
h
estan
d
a
r
d re
f
ere
nce
w
o
r
k f
o
ri
n
f
o
rm
a
t
i
on on the 2
,
8
0
0l
a
r
ge
s
tf
o
unda
t
i
o
ns in t
h
e
U
n
i
t
e
dS
t
a
tes
; founda
t
i
o
n
s w
h
ich h
a
ve re
p
o
r
t
e
d asset
so
f $1

/
/

�mi
l
l
i
on o
rmo
r
eo
rw
h
ich annua
ll
ym
ake g
r
an
ts o
f$
1
0
0
,000 o
r
m
o
re
. The D
i
re
ct
o
r
ya
l
so p
ro
vides v
ery va
luabl
einfo
rm
at
i
o
n
r
e
gar
d
i
n
gt
h
ef
i
e
l
ds of in
teres
tof the
s
e fo
u
nda
t
i
o
ns, the
ir
l
o
cati
o
n by sta
te and ci
t
y
,a
n
d abou
t t
h
ei
rtru
stees and
a
d
mi
n
ist
r
a
to
rs.
I
na
d
dition t
opub
li
s
h
i
ng th
eD
ire
ctory, the Founda
tion
Ce
n
ter operates lib
r
a
ries in N
ew Yo
rk a
n
dW
ashi
n
g
ton wh
ich
are open w
i
t
h
ou
t c
h
arge t
othe p
u
bl
i
ca
n
d co
n
t
a
in vi
r
tua
lly
al
lthe p
u
b
l
i
c reco
r
d
sand pri
n
ted p
u
b
l
i
c
a
tions r
e
l
a
t
in
gt
o
pr
i
v
a
t
ef
.
oundat
i
o
n
s
.

S
ixty c
ooperat
i
n
g co
l
l
e
ct
i
o
n
sin 44

sta
te
s are a
lso open t
othe p
u
b
lic:
' Aca
ll to t
h
e Founda
t
ion
C
en
t
e
rin N
ew Y
o
r
kw
ill gi
v
e you the loca
t
i
o
no
f th
e neare
st
reference c
o
l
l
ec
t
i
o
n
.

~

M
,
;
;
'"

f
J
.
,
.&gt;
-~

J
l
.a
i.
:-~ ~

,)~ ,

-

~. ~ ~

~~ \,--"- -

~ «
t
- ~_ "
t
t
.

~ For example, usingone of thesecollections, you would

~~d

t
h
a
tt
h
eI
,
.K. Kel
l
o
gg Foun
d
ation is ap
r
i
va
t
eg
ran
tm
ak
i
.ng

foun
d
a
tion t
h
a
ts
t
r
esses support or y
ilo
t pro
jects w
i
t
h
in
t
h
ea
r
eas of hea
l
t
h
,e
du
ca
tion, a
n
d agric
u
ltu
r
e-- a Foundation
t
h
a
tseeks t
oapp
ly e
x
i
s
ting know
ledge in n
ew a
n
d innova
tive

/
c2
-

~

'
"
:

'+5
:
-~

�w
ay
st
oadd
r
ess s
i
g
n
ifica
nt s
o
c
i
a
lc
o
ncerns
. B
y using t
h
e
re
s
o
u
r
ces o
f th
eL
ibra
r
y C
enter o
r its c
o
l
l
e
c
tio
ns
,y
o
u
c
o
u
l
dqu
ick
l
y lear
n-as I m
enti
o
n
e
dearli
e
r-t
h
a
tt
h
e
K
e
llogg Founda
tion ha
s ha
da h
i
s
t
orica
l in
t
erest in s
u
c
h
p
i
l
o
tpro
jects that add
ress t
h
e problem
sa
n
d pote
n
t
i
a
lo
f
y
o
u
t
ha
n
d you
th-se
r
v
ing organ
iz
a
t
io
ns
.
O
u
r f
o
undati
o
nhas m
a
d
e gran
t
s to
t
a
ling over $86
1
,
0
0
0
t
oB
oy S
c
o
uts o
fAmer
i
ca, inc
lud
ing pi
l
o
tpr
o
j
e
cts t
oexpand
Boy Sco
ut
i
n
g in the co
re ci
t
y ar
e
a
so
fm
a
jo
r m
et
r
o
p
o
l
i
ta
n
c
i
t
i
e
s i ~ Il
l
i
n
o
i
s, Ind
iana
,I
o
wa
,M
ic
higan, a
nd W
isconsin.
Y
o
u wO
l
i
ld a
l
s
o learn t
h
at th
eK
e
llogg Founda
t
i
o
n has m
ade

tb
,
;

j
o
rg
r
a
n
t
st
oi
t
sl
o
c
a
lB
oy S
ma
cou
t C
o
u
n
ci
lt
oexpand e
in
ar ~

l ~~ ~

~ s t \~~i i an.

I
na
d
d
it
i
o
n
,t
h
e K
el
l
ogg Founda
t
i
o
nhas hi
s
to
ri
.
c
alLy

m
ad
e al
a
r
g
ea
n
n
u
a
l gra
nt i
ns
u
p
p
o
r
to
ft
h
el
o
c
a
lU
n
i
t
e
dW
ay
c
ampa
i
g
n
,w
h
i
c
h o
fc
o
u
r
s
ei
nt
u
r
nhe
l
p
ss
u
p
p
o
r
tt
h
eo
n
g
oi
n
g
p
r
o
g
r
am
so
ft
h
ea~ea noy S
e
o
u
e Counc
i
l
.

/
.3

�There w
ou
l
d be s
o
m
e "pe
r
son
al" b
a
dn
ew
s fo
ryou i
nt
h
i
s
ana
l
y
s
i
so
fK
el
l
o
gg Foundat
i
o
ns
u
ppo
rt, a
n
d mo
st l
i
k
e
l
y
s
i
m
ilar n
ew
s r
e
g
a
r
d
i
ng the o
ther m
a
jor na
t
ion
a
lo
ri
n
ternat
i
o
na
l
nda
t
ions. The bad new
s is that t
h
e large found
at
i
o
n
s
fou
usua
l
l
ydo no
t suppo
rt the ongoingo
p
e
r
a
tiona
l pha
ses of
existing p
rog
r
am
s
.
w
ith
in

~

e~f~

o
v
t ~ ow
n commun
it
i
es.

~

m
ake exc
e
p
tions fo
ro
r
g
a
n
i
zat
i
ons
How
ever, t
h
e
ya
r
e m
uch m
ore

e
l
yt
os
u
p
por
tth
e Boy Scou
ts o
fAm
e
rica at t
h
ena
tiona
l
lik
e
l than t
h
e m
o
r
e loca
lized in
itiatives of t
h
e ind
i
v
i
dua
l
lev
C
ounc
i
ls.
. They a
r
e in
teres
t
ed in inno\
a
tiona
n
d ch
a
nge, and
the dev
e
l
opm
en
to
f ideas a
nd p
r
ogr
a
m
s tha
t
n ~ t i nal

o
r i
n
t
erna
ti
o
n
a
l im
pa
c
tand use.

S
o
, my ce
n
t
ra
l m
ess
a
ge t
oyou t
h
i
smo
rning is th
at,
u
n
l
e
s
s you h
a
v
e a large gran
tm
ak
ing founda
t
ion hom
eb
ased i
n
you
rc
cw
n
un
ity, you focus you
r hom
ewo
r
k, your pow
e
r
so
f
de
d
uc
ti
o
na
n
d observation, o
nt
h
eo
t
h
e
rtypes o
f founda
t
i
ons
.
For uh
ile t
h
e fewb
i
gf
o
undations m
ay b
et
h
e m
ost fam
ili
a
r
by nam
e
, and t
h
e m
o
s
t new
sw
o
rthy in vie
vo
f th
em
edi
a
,t
h
e

�"qu
i
e
t m
a
jo
rity" of th
e sm
all p
r
i
va
t
e'
foundat
i
on w
or
l
d ar
e
c
o
ns
c
ie
n
t
i
ously pu
rsui
n
g di
v
erse ac
t
iv
i
t
i
es w
ith
in your
i
n
d
i
v
idua
l co
mmun
ities
. A
nd thr
o
u
g
h the peo
p
l
eo
f you
r
co
r
ru
,mn
it
i
e
s-large a
n
d sma
ll
,i
ne
v
e
r
y stat
e-- and t
oth
e
p
r
'
i
v
a
t
ev
ol
u
n
t
a
ry o
rgani
z
at
i
ons and institu
tion
sw
hi
c
h serve
l
o
c
a
lne
e
ds
, th
e mod
est co
n
t
r
ib
u
t
i
o
ns of the
s
equ
i
e
tfound
a
t
io
n
s
a
r
ev
it
a
l indeed.
e re
s
o
u
r
c
e
s of the Foundat
i
o
nC
en
ter, the
U
sing th
f
o
u
n
da
t
i
o
n D
irec
to
ry
,l
o
ca
lpub
lic l
i
b
ra
r
y
, the refe
rence
r
eomof the loca
l new
spap
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National Priorities and Challenges
the Role of the University

and

Russell Mawby, Chairman Emeritus, W. K. Kellogg Foundation
October 22, 1995, 7:00 p.m.

1.	

The University
A.

Knowledge-Reservoir sustained by society
1.	

~o

serve society's purposes

To preserve knowledge-to provide continuity through archives of
history

B.	

2.	

To conduct research-at the frontiers of knowledge

3.	

To organize and synthesize bodies of knowledge

4.	

To transmit knowledge--to teach and share knowledge

Two Trends Characterizing the Academy with Implications for Outreach
1.	

The teaching missiori has been, over time. narrowly defined to mean
courses on campus for credentials. as something that happens to
students; has lost "excitement" And this is where
lifelon
,
leaming/outreach/continuing education comes in. Instilling lifelong
learning in every person needs to be more characteristic of teaching.

2.	

Research has become omnipotent Need to responsibly relate research
to broader service of community and society.

II.	

The National Scene, with Implications for Higher Education

A.	

Return to greater commitment to local responsibility and control for addressing
society's problems, cycled back from the move toward federal responsibility
back now to

Ijal

c~ntrol" with change in pattern of decision-making.

Sign,ificance fi r higher education:

JAN 18	 '96 13:52

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Skill-building/training for increasing numbers of local civic leaders in

leadership, collaboration, consensus-building, etc., especially elected,
appointed, and volunteer citizens. For example: public health board,
local school boards, jobs training programs, rural and urban day care

programs.
2.	

Technical assistance needed to communities from infant care to the
elderly, from job generation to welfare reform, from toxic disposal to

greenscapes in inner cities.
B.	

Distinction between the nature of the problems and the solutions we devise.
1.	

Problems are complex and penetrating; e.g., inflation, K·12 education,
violence, health care.

2.	

Yet solutions tend to be disciplinary, departmental, association-oriented.

Significance for higher education:

1.	

Need to blend specialties and disciplines to address political. cultural,
and economic sides of problems.

2.	

Need to provide creative leadership to decisionmakers in government to

mobilize that which we know to address problems (other than building
more prisons, e.g.).

3.	
C.	

Must be more committed to synthesizing knowledge.

Limitless new opportunities provided by technology to education and to
society-at-large in distance learning, computers, etc.
Significance for higher education:

1.	

In general, the undergraduate experience has changed relatively little:
No systemic implementation of technological potential

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                <text>Russell Mawby speech, Fulfilling Higher Education's Covenant With Society: The Emerging Outreach Agenda</text>
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                <text>Speech given October 22, 1995 for the W. K. Kellogg Foundation at the Capstone Symposium of the Michigan State University Lifelong Education Grant.</text>
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                    <text>HEALTH SYSTEM OUT OF SYNC:
A LAYMAN'S PERSPECTIVE

REMARKS BY
DR. RUSSELL G. MAWBY
INFORMATIONAL MEETING FOR THE
W. K. KELLOGG FOUNDATION'S
HEALTH PROFESSION'S EDUCATION INITIATIVE
CHICAGO MARRIOTT DOWNTOWN
OCTOBER 17, 1989
I

I WELCOME THE OPPORTUNITY TO BE WITH YOU TODAY TO SHARE A
FEW OBSERVATIONS ABOUT REFORM IN HEALTH PROFESSIONS
EDUCATION FROM A LAYMAN'S PERSPECTIVE.

I HAVE CERTAINLY

ENJOYED THE EXCHANGE OF THE MORNING SESSION AND FOUND YOUR
QUESTIONS MOST PROVOCATIVE.

I WANT TO THANK EACH OF YOU AND

YOUR INSTITUTIONS FOR EXPRESSING BY YOUR PRESENCE YOUR
INTEREST IN THE FOUNDATION'S NEW INITIATIVE IN HEALTH
PROFESSIONS EDUCATION.

IT IS APPARENT FROM YOUR COMMENTS

THAT THE AGENDA THAT THE FOUNDATION HAS PUT BEFORE YOU IS A
CHALLENGING ONE INDEED -- CALLING FOR HEALTH PROFESSIONS

�2.
EDUCATION TO EXAMINE DEEPLY ITS LONG-STANDING PATTERNS AND
ORGANIZATIONAL STRUCTURES.

THUS FAR, THE RESPONSE TO THIS

INITIATIVE HAS BEEN VARIED, AS WE WOULD EXPECT.
IS A PATTERN.

YET, THERE

YOu RECOGNIZE THE DIFFICULTY IN WHAT WE ARE

ASKING AND THE NEED THAT IT BE DONE.

THE TIME IS RIGHT FOR

SOME INSTITUTIONS TO REACH OUT -- TO LINK WITH PEOPLE AND
COMMUNITIES, TO CREATE ACADEMIC PARTNERSHIPS THAT WILL
INFLUENCE HEALTH PROFESSIONS EDUCATION AND HEALTH CARE IN
THE DECADES TO COME.

ALL OF YOU IN THIS ROOM KNOW ONLY TOO WELL THAT THE
PROCESSES OF INSTITUTIONAL CHANGE, CAREFULLY DESIGNED TO
PROTECT US ALL FROM HASTY DECISION OR IMPULSIVE ACTION, CAN
AS EASILY SERVE TO SMOTHER A FLAME OF INNOVATION.

MAY YOU

HAVE THE COURAGE, THE ENERGY, AND THE GENIUS TO AVOID THAT
BEING THE CASE -- AGAIN.

�3.
I AM IMPRESSED WITH THIS GATHERING.

EVERYONE IS HERE.

USUALLY, PHYSICIANS TALK WITH PHYSICIANS, NURSES WITH
NURSES, PUBLIC HEALTH SPECIALISTS WITH SOCIOLOGISTS AND
POLITICAL SCIENTISTS, AND DENTISTS WITH THEMSELVES.

BUT ALL

DIMENSIONS OF THE HEALTH PROFESSIONS ARE REPRESENTED IN THIS
MEETING -- THE BASIC SCIENCES, MEDICINE, DENTISTRY, NURSING,
ADMINISTRATION, PHARMACY, PUBLIC HEALTH, THE ALLIED HEALTH
FIELDS.

REMARKABLE!

WONDERFUL!

SOME OF YOU WILL BE THE

VANGUARD IN MOVING FORWARD, IN TANGIBLE AND GRATIFYING WAYS,
THE CONCEPT AND GENIUS OF THE ACADEMIC HEALTH CENTER -- AT
THE MOMENT ACCOMPLISHED IN DISCIPLINARY SCIENTIFIC
CONTRIBUTIONS, BUT WITH THEIR POTENTIAL UNFULFILLED IN
PREPARING HEALTH PROFESSIONALS SPECIALLY SUITED FOR
ADVOCATING AND DELIVERING COMPREHENSIVE HEALTH CARE TO
COMMUNITIES, BENEFITS WHICH THEREFORE ARE NOT YET REALIZED.

�4.

AS ALREADY INDICATED, MY BACKGROUND AND MY GRADUATE
EDUCATION ARE IN AGRICULTURE.

I COME TO YOU AS A LAYMAN,

HOPEFULLY AN uINFORMED LAYMAN u WHOSE ROLE AS CHIEF EXECUTIVE
OFFICER OF A FOUNDATION -- WHICH EACH YEAR PROVIDES ABOUT
$40 MILLION FOR DEMONSTRATION PROGRAMS IN HEALTH EDUCATION,

SERVICES, AND DELIVERY -- OBLIGATES ME TO BE AWARE OF ISSUES
IN THE FIELD.

I STILL RECALL VIVIDLY A SERIES OF uRUDE

AWAKENINGS u AS I FIRST BECAME INVOLVED IN THE FOUNDATION'S
PROGRAMMING IN HEALTH.

I WAS DISMAYED, SHOCKED, DISAP-

POINTED BY MUCH OF WHAT I LEARNED OF THE INNER WORKINGS,
BOTH IN EDUCATION AND PRACTICE.

WHILE THERE IS MUCH TO BE

ADMIRED AND PRAISED, THE STARK REALITIES WHICH BECAME CLEAR,
TARNISHED AND ERODED THE PINNACLE UPON WHICH THE HEALTH
PROFESSIONS HAD RESIDED IN MY MIND.

I HAVE TRIED TO LEARN

WISELY AND TO CAREFULLY PLACE THE VARIOUS COMPONENTS IN
PROPER PERSPECTIVE AND BALANCE.

IN SO DOING, I HAVE HAD TO

�5.
LEARN THE LEXICON OF THE HOSPITAL HALLWAYS AND THE
DIFFERENCES BETWEEN RADIOLOGY AND RHEUMATOLOGY; TO RECOGNIZE
A "THIRD PARTY PAYOR" WHEN I SEE ONE; TO UNDERSTAND THAT
"FOUR-HANDED DENTISTRY" DOESN'T REFER TO A CLUMSY
PRACTITIONER OR A CARNIVAL FREAK; AND TO APPRECIATE A CAREER
LADDER IN NURSING (BUT I MUST CONFESS I STILL CANNOT
DISTINGUISH EASILY A NURSE PRACTITIONER FROM ONE WHO IS NOT).

ACTUALLY I BRING MORE BAGGAGE THAN THAT TO THIS MEETING.

I

GREW UP ON A FARM IN WEST CENTRAL MICHIGAN, NOT REALLY
"RURAL RURAL" BECAUSE THE HOMEPLACE IS NOW PART OF A SUBURB
OF GRAND RAPIDS, BUT A FARM NONETHELESS AND IN A FAMILY
WHICH ENJOYED FOR YEARS THE SPLENDID SERVICES OF A COUNTRY
DOCTOR, DR. JAY D. VYN.

HIS WIFE WAS HIS OFFICE

NURSE/RECEPTIONIST; LATER HIS DAUGHTER SERVED IN THAT ROLE
ALSO.

THEY WORKED TOGETHER IN HARMONY -- WE NOW CALL THAT

�6.

JOINT PRACTICE -- SUPPORTIVE OF EACH OTHER, THE PATIENT, THE
FAMILY.

I AM NOT A NOSTALGIA BUFF, YEARNING FOR THE GOOD

OLD DAYS -- A RETURN TO THE OUTHOUSE, TUBERCULOSIS, AND
BLOOD LETTING -- BUT THERE WERE SOME THINGS IN THAT PATTERN
WHICH SHOULD STILL SERVE US WELL.

BUT PERHAPS MY BEST QUALIFICATION FOR BEING HERE TODAY IS
NOT THAT OF A FOUNDATION EXECUTIVE, BUT SIMPLY A LAYMAN
A SON, HUSBAND, PARENT, CONCERNED CITIZEN.

I HAVE BEEN

BLESSED WITH GOOD HEALTH AND SO· MY PERSONAL INVOLVEMENT WITH
THE HEALTH CARE SYSTEM HAS BEEN MINIMAL.

BUT I HAVE HAD

MORE THAN ENOUGH OPPORTUNITY TO BE DEEPLY INVOLVED -EMOTIONALLY AND IN EVERY OTHER WAY -- IN MY RESPONSIBILITIES
AND RELATIONSHIPS WITH BROTHERS AND SISTERS, PARENTS,
FRIENDS.

I HAVE SPENT MORE HOURS THAN I CARE TO REMEMBER

AT A HOSPITAL BEDSIDE, LEANING ON THE WALL OF A HOSPITAL

�7.
CORRIDOR, SITTING ENDLESSLY IN A WAITING ROOM.

I HAVE

SOUGHT INFORMATION AND ASSISTANCE IN EVERY CONCEIVABLE WAY
ASKING, BEGGING, CAJOLING, THREATENING -- TO GET A TIDBIT
OF INFORMATION, A GLIMPSE OF THE TRUTH, A GLIMMER OF
UNDERSTANDING.

I HAVE EXPERIENCED IT ALL -- TRIUMPHS AND

TRAGEDIES, COMPASSION, ARROGANCE, SELFLESSNESS, INSENSITIVE
CALLOUSNESS, BOTH THE BRILLIANCE AND THE PETTINESS OF THE
CARING PROFESSIONS YOU REPRESENT.

SO THE PERSPECTIVE I

BRING IS THAT OF A LAYMAN -- A CONCERNED INDIVIDUAL, A
GRATEFUL BENEFICIARY, A CONSTRUC J.IVE CRITIC, AN EAGER
PARTICIPANT IN THE UNENDING PROCESS OF MAKING THE SUPERB
HEALTH SYSTEM AND SITUATION WE HAVE TODAY EVEN MORE
RESPONSIVE, EFFECTIVE, AND SATISFYING.

�8.
II

You ARE EDUCATORS, THOSE CHARGED WITH KEY RESPONSIBILITIES
IN THE PREPARATION OF THE PROFESSIONALS WHO DESIGN, MANAGE,
AND CONDUCT THE AFFAIRS OF OUR HEALTH CARE SYSTEM -- ITS
VARIOUS COMPONENTS, INSTITUTIONS, AND PROGRAMS.
TOMORROW.

YOU SHAPE

W. K. KELLOGG SAID IT WELL, "EDUCATION OFFERS THE

GREATEST OPPORTUNITY FOR REALLY IMPROVING ONE GENERATION
OVER ANOTHER."

YOU ARE VITAL PARTICIPANTS IN THE SELECTION

AND MOLDING OF PHYSICIANS, NURSE S, PHARMACISTS, DENTISTS,
AND OTHER HEALTH PROFESSIONALS OF THE FUTURE.

YOu HELP TO

DETERMINE THE CRITERIA BY WHICH THE TOUGH DECISIONS ARE MADE
AS TO WHO IS IN AND WHO IS OUT; YOU SHAPE THE PATTERN OF
EXPERIENCES TO WHICH THEY ARE EXPOSED AND THE RIGORS TO
WHICH THEY ARE SUBJECTED, AND YOU ESTABLISH THE CRITERIA BY
WHICH THEIR SUCCESS OR FAILURE IS DETERMINED.

THUS,

�9.

ULTIMATELY, YOU INFLUENCE THE SHAPE, THE CHARACTER, THE
PERSONALITY, THE MORALITY OF THAT WHICH WE CALL OUR HEALTH
CARE SYSTEM.

WE ARE GRATEFUL FOR THE DEGREE TO WHICH YOU

SUCCEED; WE WORRY ABOUT THE WHYS, THE HOWS, AND THE SO WHATS
OF THE JOB YOU DO AND WE ARE THE BENEFICIARIES -- OR THE
VICTIMS -- OF THE CONSEQUENCES OF YOUR EFFORTS.

QUITE FRANKLY, I HAVE STRUGGLED WITH HOW I MIGHT MOST
PRODUCTIVELY APPROACH MY ASSIGNMENT TODAY.

My FIRST

INCLINATION WAS TO APPROACH THE ·TASK AS I ALWAYS APPROACH
DOCTORS AND NURSES -- HAT IN HAND, IN AWE AND IN ADMIRATION
OF THOSE WHO ARE PRIVILEGED TO SERVE AND INFLUENCE SO
INTIMATELY THE HUMAN CONDITION.

DESPITE MANY EXPERIENCES

WHICH ABUSE THAT IDYLLIC IMAGE, TO ME THERE IS NO HIGHER
CALLING THAN THE CARING PROFESSIONS YOU REPRESENT.

�10.
BUT I HAVE CHOSEN A DIFFERENT COURSE IN PURSUING MY TASK
TODAY.

QUITE SIMPLY, I LEANED BACK IN MY CHAIR AND SAID,

"SUPPOSE I WERE A HEALTH PROFESSIONS EDUCATOR.
DO?"

WHAT WOULD I

AS A LOGICAL FIRST STEP, I THEN PURSUED THE QUESTION,

"IF I COULD DESIGN IT, WHAT KIND OF HEALTH CARE ARRANGEMENT
WOULD I LIKE FOR THE MAWBY FAMILY?"

THIS IS NOT AN IDLE OR

AN IMPULSIVE QUESTION; IT IS ONE I HAVE BEEN ASKING MYSELF,
MEMBERS OF OUR FOUNDATION PROGRAM STAFF, LEADERS IN THE
HEALTH PROFESSIONS FOR A NUMBER OF YEARS.

I HAVE FINALLY

CONCLUDED THAT IDEALLY I WOULD HAVE THE MAWBY FAMILY
AFFILIATED WITH A SMALL TEAM OF PROFESSIONALS -- PERHAPS
SOME COMBINATION OF PRIMARY CARE PHYSICIANS, ONE OR MORE
DENTISTS, NURSE PRACTITIONERS, WITH A RECEPTIONIST/
BOOKKEEPER, OTHER SUPPORT PERSONNEL IN NURSING AND THE
ALLIED HEALTH FIELDS.

THIS GROUP WOULD HAVE APPROPRIATE

PRIVILEGES WITH COMMUNITY HOSPITALS AND REFERRAL
ARRANGEMENTS WITH SPECIALISTS.

�11.
PHILOSOPHICALLY THE GROUP WOULD BE COMMITTED TO A PROGRAM OF
HEALTH PROMOTION/DISEASE PREVENTION OR HEALTH MAINTENANCE,
AS WELL AS TREATMENT OF ILLNESS.

Now

LET'S TAKE A MOMENT TO

CONSIDER THIS MODEL.

FIRST, THE CORE OF THE GROUP WOULD BE PRIMARY CARE
PHYSICIANS, CONCERNED WITH THE INDIVIDUAL AND WITH THE
FAMILY.

WHEN OUR PERSONAL PRIMARY CARE PHYSICIAN WAS AWAY,

WE WOULD BE COVERED BY ONE OF HIS GROUP PARTNERS WHO WOULD
HAVE COMPLETE ACCESS TO OUR HEALJH RECORDS.

WHEN WARRANTED,

THESE PRACTITIONERS WOULD INVOLVE APPROPRIATE SPECIALISTS
FOR CONSULTATION AND/OR TREATMENT.

THEY WOULD BE WORKING IN HARMONY WITH NURSE PRACTITIONERS.
VERY OFTEN MY MINOR COMPLAINTS DO NOT REQUIRE THE ATTENTION
OR TIME OF A BOARD-CERTIFIED SPECIALIST.

I AM QUITE CONTENT

�12.
TO BE TREATED BY A COMPETENT NURSE PRACTITIONER, WITH CONFIDENCE THAT IF SHE IDENTIFIES A PROBLEM THAT SHE THINKS
REQUIRES FURTHER EXPERTISE, SHE WILL INVOLVE HER PHYSICIAN
COLLEAGUES.

IT SEEMS TO ME DEPLORABLE, IN FACT INEXCUSABLE,

THAT THE COMPETENCE OF THE NURSING PROFESSION IS PROVIDED SO
FEW OPPORTUNITIES TO CONTRIBUTE MAXIMALLY TO HUMAN HEALTH
CARE.

THE PUBLIC, I AM CONVINCED, WOULD WELCOME SUCH

MODIFICATION.

THE PROBLEM LIES NOT WITH THE CONSUMERS, BUT

IN THE PROFESSIONS AND THEIR WORKING RELATIONSHIPS, OR LACK
THEREOF.

WITHIN THE TEAM, PRIMARY CARE PRACTITIONERS WOULD OF COURSE
CONTRIBUTE THEIR APPROPRIATE SPECIALITIES TO THE GROUP
ENTERPRISE, AS WOULD THE OTHER HEALTH PROFESSIONALS.
THE DENTIST?

AND

AS A LAYMAN, I DON'T UNDERSTAND WHY THE

PROFESSION OF DENTISTRY IS PRACTICED IN ISOLATION -- PERHAPS

�13.
SPLENDID ISOLATION -- BUT NONETHELESS ISOLATION FROM THE
MAINSTREAM OF THE HEALTH CARE SYSTEM.

THE PROBLEMS OF MY

TEETH AND MY MOUTH ARE NOT ISOLATED FROM THE REST OF ME, AND
I BELIEVE, CAN HAVE IMPACT THROUGHOUT THE BODY.

THUS, THE

FAILURE OF THE PROFESSION TO ADDRESS THIS IDIOSYNCRASY IN
THE PRESENT PATTERN OF PRACTICE IS DIFFICULT TO FATHOM.

AND THE EMPHASIS ON HEALTH PROMOTION/DISEASE PREVENTION?
YOu IN THE HEALTH PROFESSIONS HAVE DESIGNED A SYSTEM WHICH
COMPENSATES YOU ONLY FOR THE TREATMENT OF MY ILLNESS OR
INJURY.

I CAN ENGAGE SPECIALISTS TO DESIGN AND IMPLEMENT A

PREVENTIVE MAINTENANCE PROGRAM FOR MY AIR CONDITIONER AT
HOME, OR THE ELEVATOR OR DUPLICATING MACHINE AT MY OFFICE.
OR -- CLOSER TO OUR TOPIC TODAY -- I CAN CONTRACT WITH MY
VETERINARIAN FOR A HERD HEALTH PROGRAM FOR MY HORSES.
SUCH A CONTRACTURAL ARRANGEMENT, I ALWAYS HAVE

IN

�14.
RESPONSIBILITIES WHICH I MUST FULFILL IF THAT CONTRACT IS TO
BE VALID.

IN SIMILAR FASHION, I WOULD LIKE TO COMPENSATE A

HEALTH CARE GROUP FOR THE DESIGN AND THE CONTINUING
MONITORING, WITH MY FULL PARTICIPATION AND FULFILLMENT OF MY
OBLIGATIONS AND RESPONSIBILITIES, OF A MAINTENANCE CONTRACT
FOR MY MOST PRECIOUS POSSESSION -- MY HEALTH AND THAT OF MY
FAMILY.

WHY HAVE THE HEALTH PROFESSIONS BEEN SO

UNIMAGINATIVE, SO UNCREATIVE, SO UNRESPONSIVE IN THIS AREA?

SO, THAT'S A BRIEF INSIGHT FROM ·A LAYMAN'S PERSPECTIVE OF
ONE MODEL OF AN "IDEAL PRIMARY CARE ARRANGEMENT."

THERE CAN

-- AND SHOULD -- BE MANY OTHERS, TO PROVIDE PRIMARY CARE TO
DIVERSE CLIENT GROUPS IN VARIED SETTINGS.

AT THE

FOUNDATION, WE ARE NOT IN THE BUSINESS OF PRESCRIBING MODELS
AND WE HOPE MANY CREATIVE IDEAS WILL ARISE OUT OF THE NEW
INITIATIVE.

SO, THAT'S AS FAR AS I WILL GO TODAY AS A

�15.
LAYMAN.

AS EXPERTS, YOU WILL GIVE FURTHER CONSIDERATION

RELATING TO SECONDARY AND TERTIARY LEVELS OF CARE, OFFERING
THE BENEFITS OF SUPERB SPECIALIZATION AND SOPHISTICATED
TECHNOLOGY AND LINKING PRIMARY CARE PROVIDERS ULTIMATELY TO
THE RICH RESOURCES OF RESEARCH INSTITUTIONS AND ACADEMIC
HEALTH CENTERS.

WITH MODERN COMMUNICATIONS TECHNOLOGY,

PRACTITIONERS IN EVEN THE MOST REMOTE LOCATIONS CAN BE IN
TOUCH WITH COLLEAGUES FOR CONSULTATION AND COUNSEL ON A
CONTINUING BASIS.

YOu WILL THINK OF PEOPLE FOR THEIR NEEDS,

AND LOOSEN YOUR GRIP ON THE TECHNOLOGY THAT STRENGTHENS THE
CONFIDENCE OF PHYSICIANS, BUT LITTLE COMPASSION TO PATIENTS.

AS A LAYMAN SURVEYING THE HEALTH CARE SCENE TODAY -- BOTH IN
EDUCATION AND IN PRACTICE -- I SEE THE "BITS AND PIECES" AS
SUPERB.

By "BITS AND PIECES" I REFER TO OUR PROFESSIONAL

SCHOOLS, IN MEDICINE, NURSING, DENTISTRY, PHARMACY,

�16.
ADMINISTRATION, ALLIED HEALTH, ALL THE REST; THE
PROFESSIONS, WITH DEDICATED AND COMPETENT INDIVIDUALS AND
EFFECTIVE ASSOCIATIONS; THE VARIOUS PRACTICE SETTINGS,
INCLUDING SOLO AND GROUP OFFICES, CLINICS, HOSPITALS,
RESEARCH AND TEACHING CENTERS.

ALL SUPERB; WITHOUT

QUESTION, THE FINEST IN THE WORLD.

BUT I HAVE THE UNEASY FEELING THAT TOO LITTLE THOUGHT AND
EFFORT HAS BEEN GIVEN TO RATIONALIZING THE WHOLE, WITH AN
OBJECTIVE OF SERVING MAXIMALLY THE INTERESTS OF THE ULTIMATE
BENEFICIARIES.

THE "TOTAL SYSTEM" (THIS PHRASE SOUNDS

TIDIER, MORE PRESCRIBED AND RESTRICTIVE THAN INTENDED OR
POSSIBLE) -- WITH MULTIPLE ALTERNATIVES AND PLURALISM IN
EVERY SENSE -- SHOULD BE PARTICULARLY SENSITIVE TO THE
PUBLIC IT SERVES AND BY WHICH IT IS SUSTAINED, SUBJUGATING
THE MORE SELFISH INTERESTS OF PROFESSIONS AND INSTITUTIONS

�17.
TO THE HIGHER PURPOSE.

WE LACK A "GRAND DESIGN" OR A SERIES

OF GRAND DESIGNS WHICH BRING TOGETHER IN MOST EFFECTIVE WAYS
THE EXPERTISE OF THE VARIOUS HEALTH PROFESSIONS, AND
NETWORKING MORE EFFICIENTLY THE RESOURCES OF THE HEALTH CARE
INSTITUTIONS OF OUR SOCIETY.

WISELY DONE, BUILDING ON THE

TERRIFIC STRENGTHS OF THE DAY BUT RESPONDING OBJECTIVELY AND
SENSITIVELY TO THE DEMAND AND UNMET NEEDS OF THE PUBLIC, THE
RESULT SURELY WILL BE FAR GREATER THAN THE SIMPLE SUM OF THE
PARTS OF WHICH IT IS COMPRISED.

AS EDUCATORS IT IS YOUR CHALLENGE TO FULFILL SUCH A VISION
AND GOAL.

IT IS NOT ENOUGH TO BE SIMPLY A NURSE EDUCATOR OR

A MEDICAL EDUCATOR.

YOu MUST SEE THE LARGER PICTURE, WITH

ITS STRENGTHS AND SHORTCOMINGS, AND MOVE RELENTLESSLY TOWARD
THE REALIZATION OF THE BETTER SITUATION.

UNIVERSITIES, OF

WHICH THE SCHOOLS OF THE HEALTH PROFESSIONS ARE A PART, ARE

�18.
THE KNOWLEDGE RESERVOIRS OF OUR SOCIETY, ESTABLISHED AND
SUSTAINED TO PRESERVE, CREATE, AND TRANSMIT KNOWLEDGE.

AN

UNENDING CHALLENGE IS THAT OF MOBILIZING THESE KNOWLEDGE
RESOURCES IN EVER MORE EFFECTIVE WAYS TO DEAL WITH THE
CONCERNS OF SOCIETY.

WHILE THERE IS MUCH IN THE HEALTH CARE SCENE IN THIS COUNTRY
OF WHICH YOU CAN BE JUSTIFIABLY PROUD, THERE IS STILL MUCH
"UNFINISHED BUSINESS."

HOPEFULLY THE HEALTH PROFESSIONS

WITH YOU AS EDUCATORS IN THE VANGUARD -- WILL PROVIDE
AGGRESSIVE AND IMAGINATIVE LEADERSHIP IN ADDRESSING ISSUES
OF CONCERN, LEST THE RESPONSIBILITY FALL BE DEFAULT TO THOSE
LESS ABLE.

�19.
III

RECENT HEALTH PROGRAMMING OF THE W. K. KELLOGG FOUNDATION
FOCUSES ON COMMUNITY-BASED HEALTH SERVICES, AS YOU HAVE
HEARD FROM OUR HEALTH PROGRAM TEAM THIS MORNING.

SINCE 1987

MORE THAT 30 PROJECTS HAVE BEEN FUNDED BY THE FOUNDATION FOR
COMMUNITY-BASED, PROBLEM-FOCUSED HEALTH SERVICES.

LET ME

TELL YOU ABOUT THREE OF THEM.

FIRST, THERE IS THE PROJECT CONDUCTED FOR AND BY THE
RESIDENTS OF AN ATLANTA PUBLIC HOUSING PROJECT.

THERE,

BILLIE AVERY AND HER TEAM ARE TRYING TO PIECE TOGETHER THE
FRAGMENTED LIVES OF ADOLESCENTS, PUTTING THE FOCUS ON THEIR
SELF-ESTEEM BY TYING THE THREADS OF DESPERATE INTERVENTIONS
TOGETHER -- DRUG EDUCATION, SEX EDUCATION, AIDS EDUCATION,
PREGNANCY COUNSELING, JOB TRAINING, LITERACY TUTORING, AND

�20.
MORE.

SHOULDN'T HEALTH PROFESSIONS EDUCATION BE ROLLING UP

ITS SLEEVES AND GOING TO WORK ON EDUCATION THAT PREPARES
HEALTH PROFESSIONALS TO SHOULDER THEIR PART OF THE BURDEN?

IN ANOTHER INSTANCE, ONE GROUP FROM A HEALTH PROFESSIONS
SCHOOL IS BEING FUNDED TO ADDRESS THE BASIC HEALTH AND HUMAN
SERVICE NEEDS OF MASSES OF ISOLATED URBAN IMMIGRANTS.

THERE

THEY DEAL WITH LANGUAGE BARRIERS, ILLITERACY, AND TROPICAL
DISEASES, TO NAME A FEW.

THE GROUP'S TETHER TO THEIR SCHOOL

AND TO THE OTHER HEALTH PROFESSIGNS' SCHOOLS OF ITS
INSTITUTION IS THIN INDEED.

HOPEFULLY, HEALTH PROFESSIONS

STUDENTS WILL ATTAIN VALUED EDUCATIONAL EXPERIENCES IN THIS
PROGRAM.

YET, THE SUPPORT SO FAR FROM THE PARENT

INSTITUTION IS "LONG DISTANCE ENCOURAGEMENT."

LIKE BIG

SHIPS, ACADEMIC HEALTH CENTERS CHANGE THEIR COURSE EVER SO
SLOWLY.

�21.
AND A THIRD EXAMPLE, ALTHOUGH I COULD GO ON AND ON, IS THAT
OF A COMPREHENSIVE PROGRAM FOR YOUNG BLACK MALES TO TEACH
HIGH SCHOOL

GRADUATE~

TO READ, TO IMPROVE THE NUTRITIONAL

STATUS OF YOUNG BLACKS, TO PROVIDE BASIC HEALTH SERVICES, TO
HELP THEM FIND JOBS, AND IN THE WORDS OF THE PROJECT'S
DIRECTOR, "TO TURN THEM AWAY FROM THEIR SYNDROME OF
SELF-HATE."

THESE ARE BUT A FEW EXAMPLES, AND AS I MENTIONED EARLIER,
THERE ARE MANY MORE FROM OUR PROJECTS COMPRISING OUR PRIMARY
HEALTH STRATEGY.

THERE ARE FOUR SUPPORTING STRATEGIES IN

OUR HEALTH PROGRAM AS WELL.

THEY ARE:

INFORMING

POLICYMAKERS, INFORMATION TECHNOLOGY, LEADERSHIP
DEVELOPMENT, AND THE ONE THAT IS THE FOCUS OF TODAY'S
SESSION, HEALTH PROFESSIONS EDUCATION.
EDUCATION IS CRITICAL OF COURSE.

HEALTH PROFESSIONS

IF OUR SUPPORT OF THESE

�22.
SPECIFIC COMMUNITY-BASED, PROBLEM-FOCUSED PROJECTS IS TO
LEAD TO WIDER AND SYSTEM-WIDE IMPACT, WE MUST INVOLVE
PROFESSIONS EDUCATION, AND THAT'S WHERE OUR NEW INITIATIVE
COMES IN.

WE EMPHASIZE PRIMARY HEALTH CARE.

AS HEALTH PROFESSIONALS,

YOU UNDERSTAND THE ISSUES OF PRIMARY HEALTH CARE AND THEIR
RAMIFICATIONS, SO THERE IS NO NEED TO COMPREHENSIVELY
ADDRESS THIS TOPIC.

WE ARE ASKED SO OFTEN WHAT WE MEAN BY

PRIMARY HEALTH CARE, PROBABLY BECAUSE IT MEANS SO MANY
THINGS THAT IT MEANS SO LITTLE.

I AM NOT GOING TO HELP WITH

THE DEFINITIONAL PROBLEM, BUT I WOULD LIKE TO REFLECT ON A
FEW THINGS THAT ARE IMPORTANT FROM MY LAYMAN'S PERSPECTIVE
-- AND I SUSPECT TO MOST PEOPLE AS WELL.

�23.
IT MAY BE APPROPRIATE TO BEGIN WITH A PROBLEM IDENTIFIED IN
THE WRITING OF HERODOTUS SOME 2400 YEARS AGO.

THE GREEK

HISTORIAN PERCEIVED A DISCONTINUITY OF CARE IN HIS NATIVE
LAND, AND HE LAMENTED, "EACH PHYSICIAN TREATETH ONE PART AND
NOT MORE.

AND EVERYWHERE IS FULL OF PHYSICIANS; FOR SOME

PROFESS THEMSELVES PHYSICIANS OF THE EYES, AND OTHERS THE
HEAD, OTHERS THE TEETH, AND OTHERS OF THE PARTS OF THE
BELLY, AND OTHERS OF OBSCURE SICKNESSES."

HERODOTUS WAS CORRECT IN HIS VIEW THAT A DISCONTINUITY OF
CARE CAN RESULT FROM THE TREND TOWARD OVERSPECIALIZATION.
HEALTH CARE, OFFERED OR PROVIDED IN A FRAGMENTED FASHION, IS
DIFFICULT TO DEAL WITH IN ITSELF BUT THE PROBLEM GOES
DEEPER.

OFTEN ACCOMPANYING SUCH SPECIALIZED CARE IS THE

PROBLEM OF TRANSFER OF INFORMATION BETWEEN PROVIDERS OF CARE
WHO UNWITTINGLY OR WORSE, KNOWINGLY, INHIBIT THE PATIENT'S
ACCESS TO COMPREHENSIVE CARE.

�24.

My

LET ME USE A PERSONAL EXAMPLE TO ILLUSTRATE WHAT I MEAN.
MOTHER, BY THE TIME SHE REACHED HER MID-70S HAD SEVERAL
DIFFERENT HEALTH PROBLEMS, INCLUDING CANCER AND
COMPLICATIONS FROM A SERIES OF STROKES.

IN THE COURSE OF

HER CANCER TREATMENT, SHE WAS SHUNTED FROM ONE SPECIALIST TO
ANOTHER, FROM INTERNIST TO SURGEON TO RADIOLOGIST TO
ONCOLOGIST, NONE OF WHOM REALLY TOOK A COMPREHENSIVE LOOK AT
HER PROBLEMS IN ORDER TO ASSESS HER OVERALL CONDITION.

THE

INTERNIST WHO DIAGNOSED THE PROBLEMS INITIALLY REFUSED TO
CONTINUE AS HER PRIMARY CARE PHYSICIAN, SO THE
RESPONSIBILITY FOR CONTINUITY RESTED WITH THE PATIENT AND
HER FAMILY, CERTAINLY AN UNSATISFACTORY ASSIGNMENT BY
DEFAULT.

WE ENCOUNTERED ANOTHER STUMBLING BLOCK -- A GREAT

RELUCTANCE, AND AT TIMES, REFUSAL ON THE PART OF SEVERAL
PHYSICIANS TO TRANSFER MEDICAL RECORDS OF THE CARE THEY GAVE
MY MOTHER TO OTHER PHYSICIANS WHO ALSO WERE TREATING HER.

�25.
CONSEQUENTLY, EXAMINATIONS, TESTS, AND PROCEDURES WERE
DUPLICATED UNNECESSARILY, AT INCONVENIENCE, DISCOMFORT, AND
COST.

I UNDERSTAND THE REASONS GIVEN, BUT I DO NOT ACCEPT

THE FINAL RESULT AS ADEQUATE OR DEFENSIBLE.
BETTER WAYS.

THERE MUST BE

THIS EXAMPLE IS NOT AN ISOLATED ONE.

FRIENDS

AND ASSOCIATES HAVE TOLD ME SIMILAR STORIES, AND YOU CAN
SURELY ADD ANECDOTES OF YOUR OWN.

OVERSPECIALIZATION AND A LACK OF CONTINUITY IN CARE ARE NOT
PROBLEMS CONFINED TO THE PRACTICE OF MEDICINE.
SPECIALIZATION, SOME OBSERVERS CONTEND, HAS RESULTED FROM
THE IMPLEMENTATION OF TECHNOLOGY IN ALMOST EVERY FIELD,
FORCING THE INDIVIDUAL TO DEAL WITH AN EVER-INCREASING
NUMBER OF PROVIDERS OF SERVICE.

THE SPECIALIZATION OF

HEALTH EDUCATION AND HEALTH SERVICES IS, IN MANY WAYS, AN
ACHIEVEMENT IN AMERICAN THAT WE CAN BE PROUD OF.

BUT AT THE

�26.
SAME TIME, WE MUST MANAGE IT SO THAT IT DOES NOT BECOME AN
END IN AND OF ITSELF.

IF SUCH SPECIALIZATION RESULTS IN

FRUSTRATION AND FRAGMENTED, INCOMPLETE PATIENT CARE, IT
NEEDS RETHINKING AND REARRANGING.

THIS PROBLEM SHOULD BE ADDRESSED BY ALL HEALTH PROFESSIONAL
SCHOOLS, AND PARTICULARLY BY THE MEDICAL SCHOOL.

THE

MEDICAL SCHOOL HAS THE RESPONSIBILITY OF EDUCATING THE KEY
MEMBER OF THE HEALTH CARE DELIVER TEAM.

THE PHYSICIAN HAS

BEEN THE QUARTERBACK, THE CEO, THE GUARDIAN, THE GATEKEEPER
-- LARGELY DETERMINING IN WHAT MANNER AND WITH WHAT EMPHASES
PATIENT CARE IS PROVIDED.
COME.

HE PROBABLY WILL BE FOR YEARS TO

BUT NEW MODELS SHOULD BE TRIED.

QUARTERBACK, A DENTIST QUARTERBACK?

WHAT ABOUT A NURSE

�27.

IV

LET ME USE A TRUE STORY TO ILLUSTRATE THE ISSUE OF
AVAILABILITY OF AND ACCESS TO HEALTH CARE.

NOT LONG AGO ON A VISIT TO A COUNTY SEAT TOWN IN
SOUTHERN MICHIGAN, I MET WITH A GROUP OF YOUNG
PHYSICIANS.

I ASKED THEM, "IF THE MAWBY FAMILY MOVED TO

THIS AREA, COULD ANY OF YOU TAKE US ON AS NEW PATIENTS?"

THERE WAS A QUICK CONSENSUS, "OH YES, RuSS MAWBY,
CHAIRMAN OF THE KELLOGG FOUNDATION, OF COURSE WE WILL
GET YOU IN."

"NO, NO," I SAID.

"RUSS MAWBY, WITH A WIFE AND THREE

KIDS, LIVING ON 40 ACRES SOUTH OF TOWN."

�28.
AGAIN THERE WAS A QUICK AGREEMENT, "NONE OF US IS TAKING
ANY NEW PATIENTS.

YOU'LL JUST HAVE TO GO TO THE

EMERGENCY ROOM AT THE HOSPITAL."

I DON'T BELIEVE THAT IS A SATISFACTORY ANSWER TO PRIMARY
CARE FOR FAMILIES; EMERGENCY ROOM CARE SHOULD BE FOR
EMERGENCIES, NOT SERVE AS A USUAL POINT OF ENTRY FOR PRIMARY
CARE.

EXPERTS KEEP TELLING ME THAT ACCESS TO HEALTH CARE IS A
SERIOUS PROBLEM ONLY FOR THE URBAN POOR AND FOR PEOPLE IN
REMOTE RURAL COMMUNITIES.

THAT SIMPLY IS NOT TRUE, IF THE

MEASURE WE APPLY FOR ADEQUACY GOES BEYOND THE MOST PRIMITIVE
OR BASIC STANDARD.

IN COMMUNITIES OF ALL TYPES, URBAN AND

RURAL, WITHOUT REGARD TO ECONOMIC CIRCUMSTANCES, MANY
FAMILIES HAVE REAL DIFFICULTY IN GAINING ACCESS TO
SATISFACTORY PRIMARY CARE ON A CONTINUING BASIS.

�29.
AS A LAYMAN, I HAVE OBSERVED THAT HEALTH PROFESSIONALS -- IN
PARTICULARLY PHYSICIANS, BUT TO A DEGREE ALL HEALTH
PROFESSIONALS -- HAVE NO PROBLEMS GAINING ACCESS TO THE
HEALTH CARE SYSTEM.

IF THEIR CHILD OR MOTHER OR GOOD FRIEND

NEEDS TO SEE A DOCTOR, EVEN A SPECIALIST WHO IS BOOKED SIX
MONTHS IN ADVANCE, THERE IS NO PROBLEM OF ACCESS.

I SUSPECT

THIS MAY BE A FRINGE BENEFIT WHICH ALSO EXTENDS TO YOU AS
HEALTH PROFESSIONS EDUCATORS.

BUT DON'T LET THIS LULL YOU

INTO A BELIEF THAT THIS IS THEREFORE NO PROBLEM FOR THE REST
OF US, REGARDLESS OF GEOGRAPHIC, CULTURAL, OR ECONOMIC
CIRCUMSTANCE.

I CAN'T HELP BUT THINK THAT THE VERY PRESSING PROBLEMS OF
MALDISTRIBUTION, AND SOME WOULD SAY ACTUAL SHORTAGE, OF
NURSES ALSO RELATE DIRECTLY TO HEALTH PROFESSIONS EDUCATION
ISSUES -- AND SPECIFICALLY MEDICAL EDUCATION.

AS A LAYMAN,

�30.
I CANNOT UNDERSTAND, NOR DO I SYMPATHIZE OR HAVE PATIENCE

WITH, THE KINDS OF "PROFESSIONAL SNOBBERY" WHICH SEPARATE
THE HEALTH PROFESSIONS IN BOTH EDUCATIONAL AND CLINICAL
SETTINGS.

FOR EXAMPLE, I DO NOT UNDERSTAND THE RELUCTANCE

OF THE MEDICAL PROFESSION

AND THE MEDICAL SCHOOLS -- TO

TAKE A MORE ENLIGHTENED VIEW TOWARD RECOGNIZING THE
UNREALIZED POTENTIAL OF NURSES AND OTHER NON-PHYSICIAN
HEALTH PROFESSIONALS IN MEETING THE HEALTH CARE NEEDS IN
THIS COUNTRY.

I SUSPECT THE ELITISM AND SEPARATION WHICH

STILL CHARACTERIZES TOO MUCH OF PHYSICIAN EDUCATION AND CARE
WILL NOT MUCH LONGER BE TOLERATED.

THIS WOULD SEEM

PARTICULARLY TRUE AS THE PUBLIC BECOMES MORE AND MORE AWARE
OF HOW SUCH PAROCHIALISM IS AFFECTING THE QUALITY,
CHARACTER, AVAILABILITY, AND COST OF CARE IN THEIR
COMMUNITIES.

�31.
INNOVATIVE APPROACHES TO ENCOURAGING PHYSICIANS, NURSES,
DENTISTS, AND OTHER HEALTH PROFESSIONALS TO PRACTICE
TOGETHER MORE EFFICIENTLY AND EFFECTIVELY, INCLUDING THE
PROVISION OF CARE IN UNDERSERVED AREAS AND TO UNREACHED
CLIENTELE, MUST CONTINUE TO BE SUPPORTED SO THAT ALL PEOPLE,
WHETHER THEY BE AFFLUENT OR POOR, AND WHETHER THEY LIVE IN
THE CITY OR THE COUNTRY, HAVE ACCESS TO QUALITY HEALTH CARE.

v

NOTICE -- I SAID QUALITY HEALTH CARE -- CERTAINLY A
PERSISTENT AND BASIC CONCERN OF ALL.

IN RECENT YEARS, NOT

JUST IN THE PRACTICE OF MEDICINE, QUALITY INCREASINGLY HAS
COME TO BE DEFINED IN TERMS OF THE APPLICATION OF HIGH
TECHNOLOGY.

WE PRIDE OURSELVES ON MAKING USE OF THE LATEST

EQUIPMENT,PROCEDURES, AND SYSTEMS WHETHER IN MEDICINE, THE

�32.
AUTO INDUSTRY, OR COMMUNICATIONS.

IN THE HEALTH FIELD THIS

EMPHASIS ON TECHNOLOGY CAN CONTRIBUTE TO A FAILURE BY THE
PROFESSIONS TO RECOGNIZE THAT ACTUAL PRACTICE AS AN
INDICATOR OF QUALITY FOR COMMON HEALTH PROBLEMS MAY BE JUST
AS GOOD OR BETTER IN THE SMALL, MODESTLY EQUIPPED CLINIC AS
IN THE MAJOR MEDICAL CENTER.

MEDICAL SCHOOLS HAVE TAKEN THE LEAD IN APPLYING HIGH
TECHNOLOGY TO PRACTICE (AS WELL THEY SHOULD) BUT THEY MUST
NOT RUSH SO FAR AHEAD THAT THEY FORGET THE HUMAN DIMENSION
-- THE PATIENT'S PERCEPTION OF QUALITY WHICH OFTEN HINGES ON
HOW THE PHYSICIAN TREATS THE PERSON, NOT JUST THE MEDICAL
PROBLEM.

DESPITE STATEMENTS BY INDIVIDUAL FACULTY MEMBERS

THAT THEY RECOGNIZE THIS PATIENT PERCEPTION OF THE QUALITY
OF CARE AS CONTRASTED WITH THE PHYSICIAN'S PERCEPTION OF
CARE, MOST OBSERVERS ARE UNABLE TO NOTE MUCH EVIDENCE OF
THAT RECOGNITION.

�33.

IF YOU OR I WERE TO HAVE A CORONARY TODAY, OUR SPOUSE WOULD
NOT WALK INTO THE HOSPITAL AND ASK, "WHAT'S THE AVERAGE
LENGTH OF STAY?"

BUT THAT YARDSTICK HAS BEEN TOO MUCH A

PRIMARY MEASURE OF "QUALITY" IN HOSPITAL REVIEWS.

INSTEAD,

A LOVED ONE IS LIKELY TO ASK, "IS HE OR SHE IN PAIN?
BEING KEPT COMFORTABLE?
HIM?"

IS SOMEONE WITH HIM?

IS HE

MAY I SEE

PHYSICIANS AND HOSPITAL ADMINISTRATORS TEND NOT TO

WORRY ENOUGH ABOUT THOSE HUMANLY CRITICAL GAUGES WHICH ARE
SO SIGNIFICANT BOTH TO THE PATIENT AND THE FAMILY, AND TO
THE PATIENT'S ULTIMATE RECOVERY.

THERE IS A DEFINITE NEED FOR EDUCATORS TO GIVE AS MUCH
CONSIDERATION TO THE PATIENT'S PERSPECTIVE ON QUALITY IN
PRACTICE AS IT GIVES TO HEALTH SCIENCE AND RESEARCH.

MANY

RESPECTED AUTHORITIES HAVE LONG CALLED FOR INCREASED
ATTENTION TO THE HUMANITIES AND SOCIAL SCIENCES AS A MEANS

�34.
FOR INSTILLING A CONCERN FOR HUMANE CARE IN THE BUDDING
PHYSICIAN, DENTIST, NURSE, OR PHARMACIST.

IN THE NEW

INITIATIVE, I HOPE STEPS ARE INCLUDED TO MAKE THIS DIMENSION
CENTRAL TO ALL HEALTH PROFESSIONS EDUCATION.

VI

My CLOSING THOUGHT WOULD BE A RETURN TO MY FIRST
OBSERVATIONS:

1) WHILE THERE IS MUCH IN OUR HEALTH CARE

SYSTEM IN THIS COUNTRY ABOUT WHICH WE CAN BE PROUD AND WHILE
IN FACT, IT IS UNEQUALED IN THE WORLD, IMPROVEMENT IS
POSSIBLE; THERE ARE SHORTCOMINGS WHICH NEED TO BE
IMAGINATIVELY ADDRESSED; AND 2) AS EDUCATORS, YOU WILL
VISIBLY SHAPE TOMORROW.

�35.
WHAT WILL THE NEW MODELS BE LIKE?

I DON'T KNOW THE DETAILS

AND IT'S NOT THE KELLOGG FOUNDATION'S STYLE TO SHAPE THOSE
DETAILS.

SOMEONE SAID THAT THE TROUBLE WITH PREDICTIONS IS

THAT THEY DEAL WITH THE FUTURE, BUT UNDAUNTED I WILL TURN ON
MY FUTURE SCOPE TO 20 YEARS HENCE.

I CAN SEE THE OUTLINES

OF A VISION -- COMMUNITY-BASED ACADEMIC HEALTH CENTERS WITH
THE STATUS AND PRESTIGE OF UNIVERSITY-TEACHING HOSPITALS
TODAY.

ACADEMIC HEALTH CENTERS WHERE RESEARCH, TEACHING,

AND PATIENT CARE ARE OCCURRING; WHERE NEW INSIGHTS OF
SCIENTIFIC EXPLORATION ABOUT COMMUNITIES AND THEIR HEALTH
NEEDS ARE INFORMING EDUCATION AND PATIENT CARE.

STUDENTS,

RESIDENTS, POSTDOCTORAL FELLOWS OF THE HIGHEST CALIBER ARE
LINED UP TO GO TO THE ACADEMIC HEALTH CENTERS FOR STUDY
BECAUSE OF THE RECOGNIZED ACADEMIC AND INTELLECTUAL STATURE
OF THE PROFESSORS WHO WORK THERE.

PROMOTION AND TENURE

DECISIONS BY THE PARENT INSTITUTION ARE MADE SUCH THAT THE

�36.
WORK OF FACULTY AT THE COMMUNITY-BASED, ACADEMIC HEALTH
CENTER IS WEIGHED EQUALLY WITH OTHER FORMS OF SCIENTIFIC AND
ACADEMIC ENDEAVOR.

I SEE THE OUTLINES OF A CARE SYSTEM

WHERE COMPASSION, CARING, AND CONTINUITY OF RESPONSIBILITY
PREVAILS; WHERE STUDENTS AND PATIENTS ALIKE ARE TREATED WITH
HUMAN DIGNITY AND RESPECT AND IN TURN, THE GRADUATES TREAT
THEIR PATIENTS IN THE SAME MANNER.

I KNOW -- AND YOU KNOW -- THAT OUR SOCIETY WILL NOT PERMIT

THE PRESENT STATE OF AFFAIRS IN . HEALTH CARE TO LAST FOREVER,
AND THE PRESSURES ARE GROWING UPON POLICYMAKERS TO FIND
SOLUTIONS; MORE PEOPLE HAVE NEEDS TO BE SERVED, AND THE
COSTS ARE INCREASING AT A RATE WELL ABOVE INFLATION.

WHAT

ELECTED OFFICIALS SEEK ARE SOLUTIONS THAT THEY CAN SUPPORT
AND IMPLEMENT.

THEY NEED ACADEMIC HEALTH CENTERS TO SHIFT

FROM BEING PART OF THE PROBLEM TO BEING PART OF THE

�37.
SOLUTION.

WE HOPE THAT THE KELLOGG INITIATIVE WILL GIVE

SOME OF YOU THE OPPORTUNITY TO CREATE AND IMPLEMENT SUCH
SOLUTIONS.

WE -- ELECTED OFFICIALS AND POLICYMAKERS, CITY

FOLK, RURAL FOLK, THE UNDERSERVED POOR, THE UPPER MIDDLE
CLASS, THE YOUNG AND THE ELDERLY, ME AND MY FAMILY -- ARE
ALL COUNTING ON YOU.

IN MOST AREAS OF HUMAN CONCERN uWE KNOW BETTER THAN WE DO. u
CERTAINLY THIS IS TRUE IN YOUR CHOSEN FIELD OF
CONCENTRATION, THE EDUCATION OF PROFESSIONALS FOR HEALTH
CARE.

FOR IN FACT, A GREAT DEAL MORE IS KNOWN ABOUT WHAT

GOOD HEALTH CARE COULD BE AND SHOULD BE THAN IS GENERALLY
PUT TO USE BY THE PRACTITIONERS WHOM YOU GRADUATE.

THE

UNENDING CHALLENGE TO YOU AS EDUCATORS IS TO MOVE REALITY
CLOSER TO THE VISION OF THAT WHICH OUGHT TO BE.

I WISH YOU

GODSPEED AND LOOK FORWARD TO THAT DAY IN THE FUTURE WHEN WE
CELEBRATE TOGETHER YOUR ACHIEVEMENTS.

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�</text>
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                    <text>"How Area As so cia tions Make A Dif f erenc e "
Out l i ne o f
Remarks by Russel l G. Mawby
Pr e s i dent , W. K. Ke l logg Founda tion
Area Ass oc ia t ions' Se s s i on o f t he 33rd Annua l Counci l
on Founda t ion s Confe r ence
Thur s day , Apr il 29
12- 2 : 00 p . m.

1~

Detroi t, Mich igan

I.

Introduc t ion:

Two Key Poin t s t o Cove r This Af t e rnoon

ONE: Coop e ra t ion pays off through Are a/Regional As socia t ion s

TWO: Ph i l an t hr opy ne eds t o coope r a t e to surv ive and
prospe r

II .

Relat ing Thes e Point s t o My Mi chigan Exper i enc e ,

A.

CMF formed i n 1972 as response to 1969 Tax Act

�2

B.	

Growth under Dot tie Johnson 's leadersh ip to i nc l ude
mor e than 130 found ations, banks and corporation s .

C.	

CMF membership t oday r epres ents 90 percent of all
f ounda t i on a s se t s i n t he state.

D.	

Why ha s CMF succeeded?

I t has recogniz ed and

re sponded to a diverse membership.

1.	

Emphasis on "COMMON GROUND" OBJECTIVES of
membership

a.	

Continuing education

b.	

Communication

c.	

Comprehensive legislat ive program

d.	

Stressed involvement and use o f member
volun teers t o provide s e r vi ces .

�3

E.	

Awaren es s of CMF membersh ip tha t coope ra tion ha s:

1.	

Resu l ted i n bet t er i n f ormed public about
philanthropy i n Mi ch i gan

2.	

Bet ter gran t s and grantmaking proc esses
through CMF manag ement and programming wo rks hops and conferenc e s for members

3.	

Concret e legisl at ive v i c t or ie s t hrough CMF ini ti a tive,
that of other a r e a a s soc iat ions , an d t he Counci l
on Founda tion s

I I I.	 Cooperation Pay s Of f Through Are a/Regional Association

A.	

Regional associations are today a national network:

�4

1 .	

17 associa t ions throughout country serving 30
s tates and representing 1 , 500 membe rs

2.	

Many other foundation luncheon group s al s o
f un c t i on i ng informa l ly

3.	

Serve a s a vit al "n e t wo r k " linkage with the
Counci l on Founda tions

4.	

The associations overall diversity o f geogr aph i c ,
programmatic and member ship repres ent t h ei r
co l lec tive and individual s t r eng t h

B.	

Cooperation pays o f f t h r ough be tte r u s e of s c a r c e
resource s

1.	

Fac il i t a t i ng the coordinat ion o f donor s e r v i ce s
member foundation s sharing equ ipmen t and expert i s e

�5

through the cooperat ive e ffort and help of
the New York Regional Associa tion of Gran tmake rs

2.	

Ass istance whic h many a re a/ r e gi ona l a s sociations
provide members in publish ing annua l r epo rt s
from adv ice on pub l i c a t i on forma t s and content
to actua l mailing l i s t s

C.	

Legislation

1 .	

Regional a ssociations' effort s to "tr a ck " and
keep members informed abou t legislative
change s , a t both state and national levels.

2.	

Regional associa tions have been THE key
organizations in f ounda ti on legi sl ative
vi ctories of the past decade .

�6

a.

1976 reduction o f priva te founda t ion
payou t from an esc al ating s i x pe r c en t to
f i v e p e r c en t or a l l o f income.

b.

197 8 vi ctory in ge t ting ex c is e tax
reduc e d fr om fou r t o t wo percen t.

c.

19 81 v ic t or y in a chi eving a fl a t f ive
perc ent p ayou t requiremen t .

d.

The se changes re su l ted f r om area assoc iat ion s'
le ade rsh i p : the state and c ommun i ty
based legislat ive ne tworks which r eached
i nd i v i dua l Congre s smen.

Rol e o f area

a s sociat ions in coordinating l e gi sla tive
ac t iv i ti e s with Counc i l on Foundations
wa s part i cularly importan t for t he 1981
change in the payout requirement.

�e .	

Almo s t a l l are a a s soc i a t i ons have al so
been vigi lan t and i mport an t f or ums for
proposed a c t i ons o f State Attor neys
General.

D.	

Pro fe s sional Development

1 .	

Are a as soc ia tions work wi th ne w f ounda t i on s
t o pro f e s siona li ze managemen t and gr an t mak i ng ,
and t o bet ter use foundation r e s our c es whi ch
are avai lable through the r egiona l as soci a tion
member sh i p .

2 .	

Area a s s oc i a t i on s h ave be en important in
preserving p lural i sm i n t h e f i e ld -- by
helping smaller foundati ons with s ervices,
and a "v oic e" or avenue t o expres s l egi s la t i v e
or o ther conc e rn s and needs.

�8
E.

Commun i ca t ion

1.

Ar ea/regional a s soc ia t ion s ( l ike t h e i nformal
l un ch eon groups ) have mos t o f ten go t ten
s t a r t ed a s f or ums for commun ication.

2.

Through such i n it ia l e f f ort s a t communica tion,
o t he r pr og r ams , a c t i vit i e s , service s o f area
a ssociat ion s h ave evol v ed.

3.

Communicat ion i s s t i l l a key f unc t i on o f area
a s s oci at ions -- be twe en t he i r membe r s and ,
wi th s uch na t ional organiza t ion s a s t he
Counci l on Founda ti on s and I ndepend ent Sector.

4.

Such communi ca t ion a lso con tinues to t a ke
many fo r ms , s ome common and s ome un ique to
indiv idual area assoc ia tions :

�9

a.	

Newslet t ers , annual report s, direc tories

b.	

Res earch da ta on gran tmaking

c .	

Serving as centr a l s ourc e f or communication
wi th t he ge ne ra l pub l i c an d ne ws media
on reg i onal ph i l ant hropy

d.	

Coordina ting membe r s ' invo lvement and
s ervice s t o don e e groups

e.	

Opera ting Founda tion Cent er r eg iona l
l i br a r i e s

IV.	

Ph i lanthropy Needs To Coopera t e To Surv i ve and Prosper

A.	

Thre at s repre s en t ed by gr oup s/ i ndiv i duals s t il l
an tagoni s ti c toward philan th ropy and ph i l an t hr op i c
organi z a tion s:

Some Congre s smen, ev en today,

would li ke t o s ee f oundati ons " go ou t of busine s s. "

�10
1 .	

Effor t s by group s such a s t he "National
Commi ttee for Responsive Ph i lan thropy" to
dic ta t e t he type o f tru s t e e ship, managemen t t
and programming which wil l be permi t t ed
f ounda ti ons under the l aw.

B.	

At same t i me t most people reco gnize that privat e
ph i lanthropy mu s t imp r ov e public accoun tab i l ity
and t h e a r ea r egiona l a ss ociation s c an and must
t a ke a c ent r a l role i n such ef f or t s .

1 .	

Sta t ements by Sena tors Dur enberge r t Moynihan ,
Matsunaga , and othe rs a t t i me o f 1981 Tax Act
con s i de r a t i on exp re s s i ng concern over inadequate
pub l ic r ep orting by f ounda t i on s ; and t he ir
cal l f or po ss ible Congre ssional hearings
wh i ch may be hel d t hi s s umme r or f a l l .

�11

2.

Representa tive Ros en thal/GAO s t udy of priva t e
ph i l anthr opy ' s compl iance wi t h 990 AR/PF
requ irement s .

3.	

Area as s oc i ations provided valuab l e " input "
on the changes which were made in comb ining
the 990AR and 990PF into a s i ngle r epor t ing
fo rm f or f oundat ions .

4.	

Area- as socia t ion s have , and mu s t co nt i nue , t o
a c tively pu rsue new' avenues o f cooperation i n
the publ ic a ccoun tabili ty/ r eporting a r e a :

a.	

Working through and wi th t he i r members
and wi th the Counc i l on Founda t i ons

b.	

Quest ioning, prodding, and s e cur i ng new
and be t t e r type s, u s e s, and ava i lab il i ty
o f i n f or ma t ion on ph i lanthropy about

�12
thei r	 membe rs t h r ough t h e r es earch and
compu ter capabi li t i es of the Foundation
Cente r and, now, th e new National Cente r
f o r	 Cha r itab l e St atis t ic s.

V.	

Conc lusion:

Res tat ement th a t t h e growth and s uc c e ss o f

a re a re gional assoc ia tions in pas t decade have proven
that:

A.	

Cooperat ion pay s o ff

B.	

Coopera t i on i s ne c e s s a r y f o r th e s u r viv al o f
ph i l an t h r opy a s a v i ab l e , and v a l u ab l e par t o f
Americ an li fe.

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                  <elementText elementTextId="451372">
                    <text>" IN THE BEGINNING... "
Commencement Address
given by
Dr. Rus sell G. Mawby
President, W. K. Kellogg Fou ndation
at
Naz aret h College
Kalama zoo, Mich igan
May 1, 1976
I

It is a pleasure inde ed f or Ruth and me to b e with you at Nazareth
Colle ge f or t his Commenceme nt cer emony.
stretch back more than a de c a de.

My r elationships with Nazareth

My pr edecess or a t th e Foundation,

Dr. Emory W. Mor r is , s erve d a s a member of your Board of Tru s tee s .

I

came to know your President, Dr. Lore, very we l l when h e served a n
int ernship a t the Foundati on a s a part of his doct oral proGram of
studies.

Through the years, as t he Foundati on has had t h e privilege

of a ss isti ng Nazareth in various

~ ay s,

I have come to r esp ect thi s

ins ti tuti on an d apprec i a t e i t s stude nts , f acult y, officers , and t r ustees .
Thank y ou now for this further pl e a suJ:"e of b e ing wi th y ou today.
To you who are gradua ting, I wa nt to add my c ongrat ulat i ons to t ho s e
already expres sed.

For each of you, t his is a n occ a s ion l ong awaited, on e

of those instances in life when a person can have both a sense of satisfac tion in past achi evemen ts and a spe cial excitement f or the futur e.

By

happy coincidence your gr aduat i on y ear is a special year in the life of
our country -- our Bicent enni al ob s ervance, an anni ve rsary when we
should . reflect on ou r hi s to ry and
col le ct i vely -- to t h e f uture.
with y ou.

h er:~ t

8.!je , a nd c ctrui t --- indiv iJually an d

I fe e l pri v i l eg ed to b e s har i ng

t i~i s

day

�2

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ld adda wo
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�3
Each of us has st a shed away in memory certain lines - -of poetry ,
f r om l iteratur e, pa s sages from the Di b le - whi ch have special mea ni nc t o
us.

One such which fr equently r ecurs t o me are t h e se line s from Edna

St . Vi nc ent Millay The world stands out on e i t h er side
No wider than t he hear t is wide;
Above the world i s stretc hed the sky ,-No high er than the soul is h igh .
The h enrt can pus h the SEa and l and
Fa rthe r away on e i t h e r ha nd ;
The soul can split the s ky i n two ,
And l et t h e fac e of Ga d s hi ne thru .
But Eust and Wes t will pi nch the heart
Tha t ca nnot keep them pu sh ed ap art ;
And he whose soul is f lat- -the sky
Will cave i n on him by a nd by .
The world sta nds out- --no wider than the h eart is wide.
Any r ea s onable p er son who refl e cts thoughtfully on today and t.omor-r ow-con where ma nkind i s a nd where we 're go i ns- - f i nds the prospect soberin g .
Re c ently I read a d i stur b ingl y p ess i mist i c- - a nd perhap s dist re ssingly
reali stic- -book, An In quiry I nt o the Human Pro s pect, by Rober t L. Heilbroner.
Heilbroner s ugges ts that t hre e i s s ues above all others sha p e t he current
human predic ament.
envi rorunent, Hal' .

The s e can be summari zp.d in thre e wor ds : "populati on,

�4
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                    <text>J
"Innovation and Change for Higher Educat i.on"
Summary of Remarks by
Dr. Russell G. Mawby, President, W. K. Kellogg Foundation
at the Annual Meeting of
American Association of State Colleges and Universitie s
San Diego, California
November 8, 197:":',

By tradition, the member institutions of AASCU are "people's colleges,"
serjring the educational needs of people and communities of their regions.
ldhile the institutions vary greatly in scope and size, they are pub l.Lc
institutions whLch were e stablished to meet specific obj ectives in education
and service.
As the needs and concerns of society have changed, so too have these
institutions of higher education been transformed.

And the pressing challenge

now is to keep pace as their potential mission in serving their regjons change
ever more rapidly and dramatically,

*

*

*

1.	 We are a learning society.
Change is one of the most pervasive characteristics of our times.
We have come to recognize the vital role of learning in accomplishing
and accommodating to change.
2,	

Learn~ng

is for life, in all its aspects.

Education is essential for

all the various roles of the individual:
- for occupational proficiency

j

whet.her in the trades, the

professions , or what have you;
- for civic: competence in fulfilling democratLc citizenship
responsibilities;

�- for avocational interests;
for self-fulfillment goal s in an :'ncreasingly complex world.
3.	 Learning is life-long, from the crad.le t.hrough the twilight years,
ir myriad forms and circumstances.

It's this life-long dimension

of learning to which institutions of higher education have found
it most difficult to accommodate.

*

*

*

*

Among the specific challenges confronting higher education currently
are the f'oLl.owf.ng :
1.	 vlhile college education traditionally has been provided essentially

for young people in their late teen s and. 20's, this pattern no longer
serves life-long education needs.

Traditional patterns of edur.ation

must be restructured to serve individuals throughout their lifetime.
2.	 New delivery systems mu s t be implemented in a comprehensive way,
breaking the lockstep sequence of the past.

3.	 New forms of institutional governance mUEt be devised, providing for
participatory decision-making of all groups concerned with higher
education.

4.	 With increasing dependence for financing from centralized government
in state capitols and Washington, new rela.tionships between individual
institutions and governmental decision-makers must evolve.

Unless

this is acccmplished, and quickly, the decision-making function Hill
pass from the hands of competent educators to the political ayena.

�3
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�4
3.	 Very often proposed activities :reflect, rather than a primary focus
upon the educational pr0blems of people, a preoccupation with
professional interests or institutional. needs and objectives.

While

it would seem both appropriate and logical that one could expect the
educational system to be designed and operated to the best interests
of the ultimate beneficiary, the students) the more one learns the
more one becomes skeptical that this is sometimes not in fact the
case.

Up to now, the American public has vested confidence and

responsibility for education in education professionals.
have been many definitions of the term "professional."

There
From various

sources, I have orawn certain phrases which I find helpfUl in considering the professional role:

(a) Professionals deal more with

people than 'd th t.ha.ngs; (b) Professionals are more concerned ,.;ith
the public interest than with self-limited private or personal interests;
(c)	 In professionalism, sompthing more than technique is emphasized;
(d) As a professional, the individual must be as expert as he c:an be
in his field, but professionalism is mere than specialization; and
(e) Above all, professionalism implies commitment.

One somehow

questions in the current scene if such a concept of professionalism
is outmoded or t.ar-nd shed ,

It seems to me, for example, that just as

public confidence in government and the health professions has faltered,
so too is public confidence in higher education becoming less certain
and more questioning.

HopefuJly, you and your professional colleaGUes

in education will meet this situation with responsible and constructive
action rather than l11timately responding less satisfactorily to varied
crises and pressures.

�·,

5

*

*

*

The situation in higher education today--fraught with tension and
frustration but ripe with potential--calls for more innovative and
aggressive leadership than has generally been evidenced.

Beset by

co nf l i c t i ng pressures from all sides, too many in leader'ship positions
have opted to accommodate to circumstances rather than moving to new levels
of innovation.
These days axe troubled for higher educ at.Lon-c-and may get darker .
Yom genius as administrators and educators will be sorely tested, but with
your Lmag.i.nat.Lve leadership, higher education can r -egai n the confidence of
America and r-ecaptu r-e its historic role in contributing to the betterment
of mankind.

�</text>
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              <elementText elementTextId="452232">
                <text>Family foundations--Michigan</text>
              </elementText>
              <elementText elementTextId="452233">
                <text>Charities</text>
              </elementText>
              <elementText elementTextId="452234">
                <text>W. K. Kellogg Foundation</text>
              </elementText>
              <elementText elementTextId="452235">
                <text>Speeches, addresses, etc.</text>
              </elementText>
              <elementText elementTextId="452236">
                <text>Education</text>
              </elementText>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="452237">
                <text>eng</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="452238">
                <text>&lt;a href="http://rightsstatements.org/page/InC/1.0/?language=en"&gt;In Copyright&lt;/a&gt;</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>1973-11-08</text>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="796553">
                <text>application/pdf</text>
              </elementText>
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          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="799660">
                <text>Text</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
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</itemContainer>
