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M. Therese Southgate, MD

JAMA. 1986;255(8):1054.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the 21 years since it began its weekly use of a four-color art cover, THE JOURNAL has reproduced some 1,000 paintings and other works of art. Only twice before have we elected to repeat a cover; each time the circumstances were exceptional. This week, for the third time, we repeat a cover, one that was first used almost 20 years ago.¹ Again, the circumstances are exceptional: there does not exist a more eloquent statement on what has become our national tragedy.

One hundred years ago, when van Gogh painted Skull With Cigarette, he probably intended a kind of covert self-portrait. In his letters to his brother Theo at that time, Vincent was preoccupied with his health and concerned that he would die before he completed his life's work. He wrote repeatedly of the poor state of his teeth, how it had altered his appearance, ruined his digestion, and . . . [Full Text PDF of this Article]

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