I proposed the creation of a Department of Health earlier this year to aid the executive branch in bringing order to Federal health policy. But the Presidents health budget proposal abolishes several Federal health programs of great merit. Unless Congress acts quickly. vital programs dealing with community mental health centers. regional medical programs. medical libraries. allied and public health training. migrant health. comprehensive health planning. hospital renovation. health services research. and others will expire. It will take time to reform those health care programs which need to be changed. It cannot be done in the 4 months remaining before these programs die.