Joseph Coyle began with a quotation as well. It went something like this: "A pessimist is an optimist who has been confronted by all of the facts." Joe noted that despite major scientific advances, there has been a steady erosion of support for psychiatry departments from academic medical centers. He cited the Hay Group study in which the health care benefits for psychiatric care were reduced 54 percent under behavioral managed health care, while the benefits for all health care were reduced 7 percent under managed care. When as little as 1 percent of the health care dollar is devoted to psychiatric care, psychiatry programs cannot operate at a profit. Psychiatry is standing out as a major loss of financial resources in academic medical centers even when the psychiatric patient census is 100 percent. At Harvard, the funds for psychiatry departments have decreased by 60 percent in the past five years. Deans complain that departments of psychiatry are not up to the standards of other departments, especially those that are procedurally oriented, because they don’t generate much profit. Yet, students rate psychiatry departments highly, and the departments generate the largest amount of funding for research. Although Dr. Coyle believes the future of psychiatry is bright, he stated, "Until colleagues attribute as much value to fixing a broken mind as they do to fixing a broken bone, the problems of departments of psychiatry will continue."