We have built a haphazard, unsound, undirected, inefficient nonsystem which has left us unhealthy and unwealthy at the same time,” the candidate told the students, who gave him a polite but cool reception.

Mr. Carter called for greater emphasis on preventive medicine and for programs to insure better distribution of medical manpower. He said he would reorganize the entire Federal health establishment and simultaneously phase in reform of both health service and financing.

The savings achieved by such consolidation, he indicated, would help pay for the national insurance. Among the elements of the insurance proposal are the following:

All Americans would he required to join the plan, to he paid for through a combination of employee and employer payroll tax, as well as general tax reverfues. At a news conference after the speech, Mr. Carter said he was unable to say how much the proposal would cost.

The system should reduce harriers to preventive care to reduce hospitalization.

Rates for both institutional care and doctor fees would he set in advance.

(Me system would he phased in over a four‐year period. Those “most in need” would he served first

AIL citizens t'ould he entitled to uniform benefits, and uniform standards of care would he imposed, Under the privately insured plans used now by many companies, the benefits vary widely, and some workers have no medical coverage.

At the news conference, Mr. Carter said he held open the optioir of allowing private administration of a “portion” of the program. In this respect, his plan may differ slightly from the Kennedy‐Corman bill, which would establish totally nationalized system administered by the Department of Health, Education and Welfare.

Medicare and Medicaid, which Mr. Carter said were “being bilked of Millions of dollars by charlatans,” would he subsumed under the new plan.