As the twentieth century became the twenty-first, we inexorably entered the new middle ages. The tocsin tolls to awaken us all to a sense of urgency concerning the need for remedial measures. If our culture and even our civilization is to withstand the most malevolent of the medieval expressions these measures must be timely and comprehensive. In Toscin, Charles Stewart Goodwin, discusses the attitudes, interactions, and institutions that will be required to prevent this from becoming a malignant condition.