RT Journal A1 Tischler GL, Astrachan BM T1 Psychiatry 2099: Commerce without conscience = practice without prudence JF Archives of General Psychiatry JO Archives of General Psychiatry YR 1999 FD December 1 VO 56 IS 12 SP 1155 OP 1156 DO 10.1001/archpsyc.56.12.1155 UL http://dx.doi.org/10.1001/archpsyc.56.12.1155 AB We present a day in the life of 3 psychiatrists, members of an American family in 2099. They and their practice are shaped by the world in which they live. The confluence of capitalism triumphant,1 the rapid burgeoning of technology, enhanced access to information and globalism2- 4 is reshaping the world, and with it medicine and psychiatry.5 The pace of change seems almost beyond our capacity to absorb. It is a time for medicine and public health to join in a search for complicated answers to complex questions.