This issue of Psychiatric Services features a statement by APA President Paul S. Appelbaum, M.D., and related commentaries by three leaders from different areas of the mental health field. The current health care crisis in America—"Starving in the Midst of Plenty"—was chosen by Dr. Appelbaum as a topic of critical importance for discussion at this year's Institute on Psychiatric Services. Dr. Appelbaum highlights the lack of funding for mental health services in both the public and the private sector and warns that the problem will become even worse in the near future. He urges mental health care professionals to acknowledge the seriousness of the current situation and to take responsibility for reversing it, or face the inevitable collapse of the mental health care system as we know it. Gary Tollefson, M.D., Jonathan Book, M.D., and Michael Hogan, M.D., continue the discussion by providing their own insights into this salient topic (see page 1247).