Given the current climate of opinion, with financial incentives and philosophical currents running counter to the depth and subtlety of a psychodynamic approach, it behooves all mental health professionals to acquaint themselves with the available epidemiological, actuarial, and research findings that, taken together, make the case for extended dynamic psychotherapy. This supplementary issue of Psychoanalytic Inquiry is an invaluable resource in this task. Under the skillful editorship of Susan G. Lazar, contributors review the epidemiology and costs of psychiatric illness in the U.S., survey the psychotherapy needs and research findings bearing on specific patient populations, and present overviews of research on the effectiveness of psychotherapy and psychoanalysis. Concluding articles on the origins, workings, and impact of managed care round out a collection destined to play a role in our national debate on health care in the years and century ahead.