Since my awarded student fellowship in Psychiatry in 1960, the face of Psychiatry has changed dramatically.  The first government sponsored grants to physicians to enter psychiatric training were just starting so as to increase the number of psychiatrists, found to be very deficient in WWII.  Federal grants were flooding medical schools and other institutions to expand research and knowledge in the field.   But by the early to middle seventies, the health care budget began to challenge the military budget and was soon to overtake it.  Budgetary constraints followed and federal grants were replaced by the drug companies and pharmaceutical industry.  The premier research medical school in the country, Washington University, wondered “Can St. Louis Psychiatry be exported?”  Well, it was, and their research criteria actually replaced the current DSM (Diagnostic and Statistical Manual) in psychiatry and their researchers started research programs in other medical schools and voila, here we are today.  Also, in 1964, a psychologist with an autistic child challenged the prevailing view that “refrigerator” or “ice box” parents actually caused autism, and started a biological revolution.  He was Bernard Rimland, PhD.  Also when I opened my private practice, everyone with very few exceptions was a cash patient without insurance coverage; the opposite is now the case.