Mary M. Evert, MBA, OTR, FAOTA, is President of the American Occupational Therapy Association and adjunct Assistant Professor, Program in Occupational Therapy, Washington University, School of Medicine, St. Louis, Missouri. (Mailing address: 6434 Tucker Avenue, McLean, Virginia 22101-5265.) This article is an excerpt from her joint address with Carole Mirkopoulos, President of the Canadian Association of Occupational Therapy, at the Combined Annual Conference of AOTA and CAOT, July 1994, Boston, Massachusetts