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F "health for all by the year 2000" is the realistic goal of W.H.O.,1) and that of the World Federation of Neurology, all expert groups in communicable and non-communicable diseases will have to understand some basic problems facing the developing countries. Firstly, the third world countries have increased the number of universities imparting fundamental and practical training in technical medicine for the "art of healing", but this is not the solution (Fig.1). Large number of trained medical personnel are attracted to lucrative jobs in developed nations. The need-gap is ever increasing. Not only is rapid population growth the problem, it is the age distribution pattern of existing and future generations where the impact of cost and the value of technical medicine is felt. Nearly 50% of our people are under the age of 30 and therefore the diseases of aging are not of primary concern (Fig.2). Thus, the reorganisation of available health care services to focus on those maladies prevailing in the younger age groups is our foremost need. In addition to the above, with changing lifestyles and habit patterns and when people are striving for better living standards, both in urban and rural areas, Maslow's theory of motivation is gaining real momentum: namely,

Cost and value of technical medicine for diagnosis and treatment of cerebrovascular disease. Problems in the developing countries.