4.2 11/4:434 HEALTH SCIENCE PROMOTION ACT OF 1979 96-1 HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH AND SCIENTIFIC RESEARCH OF THE COMMITTEE ON LABOR AND HUMAN RESOURCES UNITED STATES SENATE ... NINETY-SIXTH CONGRESS Printed for the use of the Committee on Labor and Human Resources 49-140 O U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1979 SUBCOMMITTEE ON HEALTH AND SCIENTIFIC RESEARCH EDWARD M. KENNEDY, Massachusetts, Chairman HARRISON A. WILLIAMS, JR., New Jersey RICHARD S. SCHWEIKER, Pennsylvania GORDON J. HUMPHREY, New Hampshire Dr. LAWRENCE HOROWITZ, Professional Staff Member (II) CONTENTS Introductory statement by Senator Kennedy on S. 988. CHRONOLOGICAL LIST OF WITNESSES THURSDAY, APRIL 26, 1979 Page 36 Javits, Hon. Jacob K., a U.S. Senator from the State of New York.. Richmond, Julius B., M.D., Assistant Secretary for Health, Department of Health, Education, and Welfare; Donald B. Frederickson, M.D., Director, National Institutes of Health; Gerald L. Klerman, M.D., Director, Alcohol and Drug Abuse and Mental Health Administration; George C. Pimentel, Ph. D., Deputy Director, National Science Foundation, a panel Upton, Arthur C., M.D., Director, National Cancer Institute; Jay Moskowitz, Ph. D., Director, Program Planning and Evaluation, National Heart, Lung and Blood Institute; G. Donald Whedon, M.D., Director, National Institute of Arthritis, Metabolism, and Digestive Diseases; Ruth Kirschstein, M.D., Direc- tor, National Institute of General Medical Sciences; Carl Kupfer, M.D., Director, National Eye Institute; Herbert Pardes, M.D., Director, National Hamburg, Dr. David A., president, Institute of Medicine, accompanied by Sarah Spaght Brown, Staff Director, Division of Health Sciences Policy, Institute of Bartlett, Thomas A., Ph. D., president, Association of American Universities; 254 Eckstein, Dr. John, president, American Heart Association; Dr. Frank Raucher, senior vice president for research, American Cancer Society; and Dr. Eugene Jacobson, chairperson, National Commission on Digestive Diseases, a panel... 311 Association of American Universities, Thomas A. Bartlett, president, prepared 274 Page Bartlett, Thomas A., Ph. D., president, Association of American Universities; Richard Ross, M.D., dean, Johns Hopkins Medical School, representing the Association of American Medical Colleges; and Federico Welsch, M.D., Ph. D., vice president and executive director, Worcester Foundation for Experimental Biology, a panel Prepared statement Cochran, Hon. Thad, a U.S. Senator from the State of Missouri, prepared Eckstein, Dr. John, president, American Heart Association; Dr. Frank Raucher, Hamburg, Dr. David A., President, Institute of Medicine, accompanied by Sarah Prepared statement 254 274 362 311 320 231 239 301 Hoagland, Mahlon B., president and scientific director, Worcester Foundation Javits, Hon. Jacob K., a U.S. Senator from the State of New York Prepared statement. Upton, Arthur C., M.D., Director, National Cancer Institute; Jay Moskowitz, Ph. D., Director, Program Planning and Evaluation, National Heart, Lung and Blood Institute; G. Donald Whedon, M.D., Director, National Institute of Arthritis, Metabolism, and Digestive Diseases; Ruth Kirschstein, M.D., Director, National Institute of General Medical Sciences; Carl Kupfer, M.D., Director, National Eye Institute; Herbert Pardes, M.D., Director, National Institute of Mental Health, a panel Articles, publications, etc.: ADDITIONAL INFORMATION An Experiment in Grant Administration, by George Pilarinos... Institute of Medicine's Review of HEW's Research Planning Principles...... Blumenthal, Dr. David, professional staff member, Subcommittee on 326 100 101 127 150 339 120 160 335 Cooper, Theodore, M.D., Ph. D., dean, Cornell University, Medical 367 Hess, Eugene L., executive director, Federation of American Societies 330 337 Questions and answers: Selected charts: Questions submitted by Senator Cranston with answers from the Department of Health, Education, and Welfare 111 NIH health research support fiscal year 1980 and proposed increments. Science base, applications, transfer, training (SATT) as applied to NIH health research support. 146 145 Selected tables: Research grants-research projects, fiscal years 1972-79 109 HEALTH SCIENCE PROMOTION ACT OF 1979 THURSDAY, APRIL 26, 1979 U.S. SENATE, SUBCOMMITTEE ON HEALTH AND SCIENTIFIC RESEARCH, COMMITTEE ON LABOR AND HUMAN RESOURCES, Washington, D.C. The committee met, pursuant to notice, at 10:15 a.m., in room 4232, Dirksen Senate Office Building, Senator Edward M. Kennedy (chairman of the subcommittee) presiding. Present: Senators Kennedy, Schweiker, Williams, and Javits. OPENING STATEMENT OF SENATOR KENNEDY Senator KENNEDY. We will come to order. Today the Subcommittee on Health and Scientific Research convenes for its first day of hearings on the Health Science Promotion Act of 1979, which I introduced on Monday, together with Senators Schweiker, Williams, and Javits. As the title clearly indicates, this legislation has the primary purpose of promoting the effectiveness and productivity of this country's substantial investment in research related to health and the delivery of health care. Over the last 2 years, the Subcommittee on Health and Scientific Research has held 10 days of hearings as part of a continuing program of oversight of our Federal investment in the health sciences. During that same period, I have personally visited not only the National Institutes of Health, but also Houston, Denver, San Francisco, Los Angeles, and Salt Lake City. This has been a fascinating experience for myself and the other members of the subcommittee. It was an exercise that, in my opinion, was long overdue. When we began our intensive program of oversight, it had been a full 10 years since comparable hearings were held by a committee of this Congress. What we have learned is that the health sciences in this country have made and continue to make valuable progress in providing the tools necessary to improve the health of Americans. We have found that, as a result of the work of health science researchers, our country's physicians and hospitals have accomplished therapeutic triumphs which would have been impossible, perhaps inconceivable, 25 years ago. We have been convinced anew that our country's investment in the health sciences is the bedrock upon which our health care system rests, and that a strong, stable, and continuing commitment to the health sciences must remain a fundamental tenet of national health policy. It is because we value our investment in the health sciences that we must be continually alert to ways in which the Federal Government can improve its role in supporting health-related research. (1) |