To the Editor.
—In the December 1989 issue of the Archives Dr Sacks1 presented a very incisive and educational article concerning the interaction between ophthalmology and society. However, the articles that he places forth as his course of action are, I think, misplaced. Instead of being listed as a third priority, politics needs to become a first priority. As Sacks said, this is painful for many of us, but we are not going to win this battle concerning many health care costs until physicians become elected to every legislature in every state of the Union and until a significant number of physicians become elected to both the House of Representatives and the Senate of the United States. It is in these arenas that the battles concerning medicine are fought and won and the political trade-offs that are detrimental to the care of our patients are made. I think, if for