We are therefore writing to request that the Institute of Medicine undertake a study of whether HHS is ideally organized to meet the public health and health care cost challenges that our nation faces. What are the missions of the Department and its individual agencies, and how do those missions relate to the challenges confronting us? How effectively are the agencies organized to achieve their missions? Could the missions of individual HHS agencies be consolidated or realigned to make them more effective? What recommendations would the IOM make to the Congress and HHS to improve the focus of individual agencies, enhance their accountability, and improve their efficiency? What recommendations would IOM make to more effectively integrate promotion of public health and control of health care costs across the Department?

To be of the most benefit, this study should be concluded within the next year and a half and should produce recommendations that are administratively feasible, can be implemented in a relatively short time frame, and will not require substantial new resources. Thank you for your consideration of this request.


Henry A. Waxman


Tom Davis

Ranking Minority Member

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