people who spearheaded the whole activity, the most influential and successful was a man named james reeves, reeves was a genuine believer in public health and a fanatical believer in science as the future of medicine. so fanatical that he would not allow any of his members of his medical organizations that were not medical, for example he had one man thrown out of the medical society because the man's father in law was physician of a different sort, homeopathic physician. reeves felt that family gatherings you must talk to your life's father, automatically or expelled from our society because you are talking -- that is what a fanatic he was. to give him his credit, he was genuinely committed to public health. one of the founding members of the american public health association, very politically astute, he is the one more than anybody else who engineers passage of this law. he is the one who engineers the alliance with the railroad mining corporations. it is important to think of this decision is not creating a national medical profession but instead enabling the legislature one at a time