“…"Skillful diagnoses, judicious medication, or bold and successful operation, if not properly recorded," wrote John Shaw Billings in 1876, "benefit the individual only, not being available for those compari-sons and higher generalizations which alone can make medicine a science. " 59 A prominent surgeon, librarian, and statistician, Billings (1838-1913) built a national medical library in the Surgeon-General's Office, collected medical statistics during the Civil War, and founded the Index Medicus, the major catalogue of medical research in the United States. He counted a single medical book by an American author at the beginning of the Revolutionary War, three reprints, and about twenty pamphlets.…”