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APPENDIX A Study of the Organizational Structure of the National Institutes of Health MEETINGS Committee for the Study of the Organizational Structure _ . . Of the ~es of Health June 28-29, 1983, Washington, D. C. August 31, 1983, Washington, D. C. December 15-16, 1983, Washington, D.C. February 28-29, 1984, Washington, D. C. May 18-19, 1984, Washington, 1). C. July 20~21, 1984, Woods Hole, Massachusetts Panel ~ - Historical Issues . October 12, 1983, Washington, D. C. January 19, 1983, Washington, 1). C March 12, 1984, Washington, D. C. Pane 1 2 _ Current Organization , ~ October 17, 1983, Washington, D. C. November 28-29, 1983, Washington, D. C. February 10, 1984, New York, New York Panel 3 - Alternatives October 3l, 1983, Washington, D. C. January 13, 1984, Washington, D. G. Other Meetings August 17, 1983, Woods Hole, Massachusetts September 26-27, 1983, Washington, D.C.--Public meeting March 14, 1984, Houston, Texas

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People Interviewed by Committee or Staff or Providing Writ ten Material (Title and Affiliation at Time of Interview or Receipt of Material) Adrian, Marlene, Director, Biomechanica Reaearch Laboratory, Univeraity of Illinois at Urbana-Champaign Alford, Charles A., Jr., Professor of Pediatrics, School of Medicine, Univeraity of Alabama, Birmingham Amdur, Mary O., Associate Professor of Toxicology, Department of Nutrition and Food Science, Maaaachusetts Inatitute of Technology Andreoli, Kathleen G., Executive Director of Academic Services, University of Texas Health Science Center at Houston Auatein, Cheryl, Office of Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services Bagley, Shirley L., Acting Deputy Director, National Inatitute on Aging, NIH Baldwin, Calvin B., Jr., Associate Director for Administration, NIH Baldwin, Wendy, Chief, Social and Behavioral Sciences Branch, Center for Population Reaearch, National Inatitute of Child Health and Human Development, NIH Bardin, Clyde W., Vice President and Director, Center for Biomedical Reaearch, Population Council, Rockefeller Univeraity Barkley, W. Emmett, Director, Division of Safety, Office of Reaearch Services, NIH Beaubien, Mark S., Acting Director, Fogarty International Center; Acting Associate Director for International Research, NIH Becker, Edwin D., Director, Office of Reaearch Services; Associate Director for Research Services, NIH Bennett, J. Claude, Chairman, Department of Medicine, Univeraity of Alabama at Birmingham Berne, Robert M., Chairman, Department of Physiology, Univeraity of Virginia School of Medicine Beveridge, Betty J., Committee Management Officer, NIH Bilea, Brian, Staff Member, Office of U.S. Representative Henry Waxman Blagg, Christopher, Director, Northwest Kidney Center; Professor, Univeraity of Washington Blum' Alan, Editor, New York State Journal of Medicine Blumenthal, David, Executive Director, Center for Health Policy and Management, J.F. Kennedy School of Government, Harvard Univeraity Bowery, Thomas G., Chief, Biomedical Research Support Program Branch, Division of Research Resources, NIH Bayer, Paul D., Professor of Biochemistry, Molecular Biology Inatitute, Univeraity of California Loo Angelea Brandt, Edward N., Jr., Assistant Secretary for Health, Department of Health and Human Services Brealow, Lester, Director for Cancer Control Research, Univeraity of Calif ornia Los Ange lea

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45 Bridge, Peter, Scientific Director, Office for Planning, Policy Analysis, and Legislation; Alcohol, Drug Abuse, and Mental Health Administration Brodie, H. Keith H., Chancellor, Duke University Brooks, Frank P., Professor, School of Medicine, University of - Pennsylvania Brooks, Harvey, Professor, J.F. Kennedy School of Government, Harvard University Brown, Carolyn P., Chief, Library Branch, Division of Research Services, NIH Buchwald, Jennifer S., Professor, Department of Physiology, School of Medicine, University of California Los Angeles Bulkley, Bernadine, Deputy Director, Office of Science and Technology Policy - Burger, Max, President, National Medical and Biology Research Council, Swiss National Science Foundation, Basel Butcher, R.W., Professor of Biochemistry, University of Texas Health Science Center at Houston Butler, Robert N., Chairman, Department of Geriatrics and Adult Development, Mount Sinai Medical Center, New York (Former Director, National Institute on Aging, NIH) Califano, Joseph A.; Califano, Ross and Heineman, Washington, DC (Former Secretary, U.S. Department of Health, Education, ant Welfare) Carlos, James P., Associate Director, National Caries Program, National Institute of Dental Research, NIH - Carrese, Louis M., Director, Office of Program Planning and Analysis, National Cancer Institute; Associate Director for Program Planning and Analysis, NCI, NIH Cavarocchi, Nicholas, Attorney, Washington, DC Chalk, Rosemary, Program Head, Committee on Scientific Freedom and Responsibility, American Association for the Advancement of Science Chalmers, Thomas, Visiting Professor, Department of Health Policy and Management, School of Public Health, Harvard University Chicchirichi, David L., Executive Officer, National Institute on Aging, NIH Clark, Wesley, Staff Member, Office of U.S. Senator Edward M. Kennedy Clemente, Carmine D., Director, Brain Research Institute, School of Medicine, University of California Los Angeles Cohen, Lois K., Planning Officer, National Institute of Dental Research, NIH Cohen, Stanley N., Associate Professor, Department of Psychiatry, Univers ity of Oregon Collier, Betty J., Medical Arts and Photography Branch, Division of Research Service a, NIH Condliffe, Peter G., Chief , Scholars-in-Residence Branch, Fogarty Internat ions 1 Center, NIH Cooper, Franklin S., Associate Research Director, Haskins Laboratories, New Haven, CT Cooper, William G., Associate Director for Planning, National Library of Medicine, NIH

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46 Cowan, Maxwell, Professor and Vice President, Salk Institute for Biological Studies Crane, Frederick L., Department of Biological Sciences, Purdue University Crooks, Glenna M., Deputy Assistant Secretary for Health Planning and Evalua t ion, DHHS Crout, J. Richard, Director, Office for Medical Applications of Reaearch; Associate Director for Medical Applications of Reaearch, NIH Cummings, Martin M., Director, National Library of Medicine, NIH Curl, Bonnie A., Office of Governmental Affairs, American Association of Colleges of Osteopathic Medicine Danielsson, Henry, Secretary, Medical Research Council of Sweden Darby, William J., Department of Biochemistry, School of Medicine, Vanderbilt University Darnell, James E., Professor, Department of Molecular Cell Biology, Rockefel ler Univers ity De Cesare, William R., Chief, General Clinical Reaearch Centers Program Branch, Division of Research Resources, NIH de Tornyay, Rheba, Dean ant Professor, School of Nursing, University of Washington DeVita, Vincent T., Jr., Director, National Cancer Institute, NIH Decker, John L., Director, Clinical Center; and Associate Director for Clinical Care, NIH Demmerle, Alan, Chief, Computer Systems Laboratory, Division of Computer Research and Technology, NIH Doak, William, Executive Officer, Fogarty International Center, NIH Douglass, Carl D., Director, Division of Research Grants, NIH Ducker, Otis, Director, Division of Administrative Services, Office of Research Services, NIH Edelman, Isidore S., Professor, Department of Biochemistry, College of Physicians and Surgeons, Columbia University Eden, Murray, Chief, Biomedical Engineering and Instrumentation Branch, Division of Research Services, NIH Eichorn, Dorothy H., Associate Director, Institute of Human Development, University of California Berkeley Eigler, Patricia A., Chief, Procurement Branch, Office of Research Services, NIH Endicott, Kenneth, Federation of American Societies for Experimental Biology, Bethesda, MD (Former Director, National Cancer Institute, NIH) Fanning, J.C., Professor of Chemistry, Clemson University Fariee, Coralie, Assistant Director for Program Operations, Fogarty International Center, NIH Feinlieb, Manning, Director, National Center for Health Statistics Felix, Robert H., Former Director, National Institute of Mental Health Fender son, Douglas A., Director, National Institute of Handicapped Research, U. S. Department of Education Fenninger, Leonard D., Consultant, American Medical Association, Chicago, IL Field, James B., Professor of Medicine, St. Luke's Episcopal Hospital, Houston

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47 Fishman, Alfred P., Director, Cardiovascular-Pulmonary Division, Department of Medicine, Hospital of the University of Pennsylvania Fletcher, John, Chief, Laboratory of Applied Studies, Division of Computer Research and Technology, NIH Foege, William, Director, Centers for Disease Control Forbush, Wilford J., Deputy Assistant Secretary for Health Operations, DHHS Fredrickson, Donald S., Vice President, Howard Hughes Medical Institute Bethesda, MD (Former Director, NIH) Freedman, Daniel Xe ~ Director, Division of Adult Psychiatry, Neuropsychiatric Institute, University of California Los Angeles Fretts, Carl A., Director, Division of Contracts and Grants, NIH Friedman, Kenneth, Associate Professor, Physiology, University of Medicine and Dentistry of New Jersey Frommer, Peter L., Deputy Director, National Heart, Lung, and Blood Institute, NIH Gay, William I., Chief, Animal Resources Program Branch, Division of Research Resources, NIH Gazes, Peter C., Professor, College of Medicine, Medical University of South Carolina Gee, Helen H., Chief, Program Evaluation Branch, Office of Program Planning and Evaluation, NIH Gemmell, Michael K. Executive Director, Association of Schools of Public Health George, Samuel W., Assistant Director for Finance, Division of Financial Management, NIH Gibson, Don C., Associate Director for Planning and Extramural Affairs, National Institute on Aging, NIH Glaudemans, John, Budget Examiner, U.S. Office of Management and Budget Goggins, John F., Deputy Director, National.Institute of Dental Research, NIH ~ , Goldberg, Michael I., Director, Office of Program Planning and Evaluation; and Associate Director for Program Planning and Evaluation, NIH Goldman, Letoy G., Chief, Office of Planning and Analysis, National Institute of Neurological and Communicative Disorders and Stroke, NIH Goldstein, Murray, Director, National Institute of Neurological and Communicative Disorders and Stroke, NIH Goldstone, Donald, Associate Deputy Director for Medical and Scientific Affairs, National Center for Health Services Research Gonzales, Ciriaco, Chief, Minority Biomedical Research Support Program Branch, Division of Research Resources, NIH Gordon, Robert Se ~ Special Assistant to the Director, NIH Gordon, Stephen L., Director, Musculoskeletal Diseases Program, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH Green, Jerome G., Director, Division of Extramural Affairs, National Heart, Lung, and Blood Institute, NIH Greenlick, Merwyn R., Vice President for Research, Kaiser Foundation Hospitals ; Director, Health Services Research Center, Portland

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48 GreenwalL, Tibor J., Director, Hoxworth Blood Center, University of Cincinnati Medical Center Habel, Kurt C., Chief, Program Planning Branch, Division of Program Analysis, Office of Program Planning and Evaluation, NIH Hackerman, Norman, President, Rice University, Houston Handler, Evelyn, President, Brandeis University Hatch, Orrin G., Member, U.S. Senate Hedley-Whyte, John, Professor of Anesthesia and Respiratory Therapy, Department of Anesthesia, Beth Israel Hospital, Boston Hein, John W., Director, Foreyth Dental Center, Boston Held, Joe R., Director, Division of Research Services, NIH Hickey, Robert C., Executive Vice President and Professor of Surgery, The University of Texas System Cancer Center, Houston Hirsch, Henry, Professor, College of Medicine, University of Kentucky Holton, Gerald, Professor, Professor of Physics and History of Science, Harvard University . Hommes,-Frits A., Professor, School of Medicine, Medical College of Georgia Huang, Ru Chih C., Professor, Department of Biology, The Johns Hopkins University - Hughes, Phillip S., Under Secretary, Smithsonian Institution Hupp, Robert P., Executive Director, Father Flanagan' ~ Boys' Home, Boys Town, NE Hyatt, Howard, Director, Division of Management Survey and Review, NIH Inouye, Daniel K., Member, U.S. Senate Jarvis, Paul A., Director, Division of Engineering Services, Office of Research Services, NIH Johns, Richard J., Professor, Department of Biomedical Engineering, The Johns Hopkins University Johnson, Ernest W., Acting Associate Director, Division of Diabetes, Endocrinology and Metabolic Diseases, National -Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH Jones, Mary E., Chair, Department of Biochemistry and Nutrition, School of Medicine, University of North Carolina Jones, Stanley B., Principal, Health Policy Alternatives, Inc., Washington, DC Kadane, Joseph 8., Professor, Department of Statistics, Carnegie-Mellon University Kalberer, John T., Jr., Coordinator for Disease Prevention and Health Promotion, NIH Karle, Jerome, Naval Research Laboratory, Washington Karnovsky, Manfred L., Professor of Biological Chemistry, Harvard Medical School Kelso, John H., Deputy Administrator, Health Resources and Services Administration Kennedy, Thomas J., Director, Department of Planning and Policy, Association of American Medical Colleges Kidd, Charles V., George Washington University Kieffer. Jarold A. ! Policy and Management Consultant, Fairfax, VA

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49 Kiely, Mary L., Division of Health Policy Research ant Education, Harvard University Kingman, George M., Director, Office of Program Planning and Evaluation, National Institute of Environmental Health Sciences, NIH Kirchenmann, Henry, Deputy Assistant Secretary for Contracts and Grants, ' [)HHS Kirschstein, Ruth L., Director, National Institute of General Medical Sciences, NIH Klerman, Gerald L., Professor of Psychiatry, Massachusetts General Hospital (Former Administrator, ADAMHA) Koprowski, Hilary, Director, The Wistar Institute, Philadelphia, PA Korper, Samuel P., Director, Division of Legislative Affairs, NIH Krause, Richard M., Director, National Institute of Allergy and Infectious Diseases, NIH Kupfer, Carl, Director, National Eye Institute, NIH LaVeck, Gerald D., Medical Consultant for Handicapped Children, Public Health Service (Former Director, National Institute of Child Health and Human Development) Lamont-Havers, Ronald W., Director for Research Policy and Administration, Massachusetts General Hospital (Former Deputy Director, NIH) Laosa, Luis M., Senior Research Scientist, Division of Educational Research and Evaluat ion, Educat tonal Test ing Service, Princeton, NJ Lash, James W., Professor, Department of Anatomy, School of Medicine, University of Pennsylvania Laurence, L. Earl, Director, Office of Administrative Management, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH Lawrence, Ann M., Professor of Medicine, Stritch School of Medicine, Loyola University of Chicago, Maywood Lawrence, Paul, Professor, Graduate School of Business Administration, Harvard University Leder, Philip, Chairman, Department of Genetics, Harvard Medical School Lederberg, Joshua, President, The Rockefeller University Lenfant, Claude, Director, National Heart, Lung, and Blood Institute, NIH Levinson, Rachel E., Office of Program Planning and Evaluation, NIH Levy, Robert I., Vice President for Health Sciences, Columbia University (Former Director, National Heart and Lung Institute, NIH) Lewandowski, Leon J., Director of Laboratory Medicine and Special Assistant for Medical Affairs, New York State Department of Health, Albany Ling, Gilbert N., Director, Department of Molecular Biology, Pennsylvania Hospital, Philadelphia Lipsett, Mortimer B., Director, National Institute of Child Health and Human Development, NIH Little, John B., Professor, School of Public Health, Harvard University Loe, Harald, Director, National Institute of Dental Research, NIH

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50 Long, J. P., Profesaor, Department of Pharmacology, College of Medicine, Univeraity of Iowa Loweth, Hugh, Energy and Science Division, U.S. Office of Management and Budget Lynch, Edward J., Office of Program Planning and Evaluation, NIH MacNichol, Edward F., Director, Laboratory of Sensory Physiology, Marine Biological Laboratory, Woods Hole, MA (Former Director, National Inatitute of Neurological Diseases ant Stroke) Maickel, Roger P., Profesaor of Pharmacology ant Toxicology, Purdue University Malone, Thomas E., Deputy Director, NIH Mansfield, Norman D., Director, Division of Financial Management, NIH Hanson, Jeanne M., Assistant Professor, Department of Environmental Health, Univeraity of Cincinnati Manuel, L. Lee, Executive Officer, Division of Computer Reaearch and Technology, NIH Margulies, Harold, Director, Office of Health Assessment Technology, National Center for Health Services Reaearch Marks, Paul A., President, Memorial Sloan-Kettering Cancer Center Marshall, John E., Director, National Center for Health Services Reaearch Marston, Robert Q., President and Profesaor of Medicine, Univeraity of Florida (Former Director, NIH) Maaland, Richard L., Former Director, National Inatitute of Neurological Diseases ant Blindness Matsunaga, Spark M., Member, U.S. Senate Maumenee, A. Edward, Professor of Ophthalmology, School of Medicine, The Johns Hopkins Univeraity McCarthy, Charles R., Director, Office of Protection from Research Risks, NIH McDuffie, Frederic C., Senior Vice President, Medical Affairs, Arthritis Foundation McFee, Thomas, Assistant Secretary for Personnel, DHHS McGinnis, Michael, Deputy Assistant Secretary for Disease Prevention and Health Promotion, DHHS McManua, Edward H., Deputy Director, National Eye Institute, NIH McNevin, Anthony J., American Association of Colleges of Osteopathic Medicine Michelson, Robin P., Clinical Profesaor of Otolaryngology, University of California San Franciaco Millar, Donald, Director, National Inatitute of Occupational Safety and Health Miller, Charles, Executive Officer, Institute of Medicine Miller, Elizabeth C., Professor, McArdle Laboratory for Cancer Reaearch, Univeraity of Wiaconain, Madison Miller, Richard, Assistant Director for Budget, Division of Financial Management, NIH Millatein, Richard A., Associate Administrator for Planning, Policy Analysis, and Legislation; Alcohol, Drug Abuse, and Mental Health Administration

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51 Monie r, Rage r, Sc tent i f ic D irec tor f or the Li fe Sc fence 8, Na ~ ions 1 Center for Sc lent i f ic Re search, Paris Monroe, Edwin W., Associate Dean, School of Medicine, East Carolina Univers ity, Greenville, NC Moore, Mark, Professor of Public Management, J.F. Kennedy School of Government, Harvard University Morris, Julian, Chief, Office of Program Planning and Evaluation, Nat tonal Eye Inst itute, NIH Moskowitz, Jay, Director, Of f ice of Program Planning and Evaluation, National Heart, Lung, and Blood Institute, NIH Mosteller, Frederick, Chairman, Department of Health Policy and Management, School of Public Health, Harvard University Naughton, Joseph D., Chief, Computer Center Branch, Division of Computer Research and Technology, NIH Neale, Terrylin, Juvenile Diabetes Foundation Nelson, Norton, Professor, Institute of Environmental Medicine, New York University Medical Center ~ Nicholas, Edward E., Jr., Director, Division of Personnel Management, NIH Nickles, Don, Member, U.S. Senate Nossal, Gustav, Walter and Eliza Hall Institute of Medical Research, Royal Melbourne Hospital, Australia O'Donnell, James F., Deputy Director, Division of Research Resources, NIH O'Hare, Michael, Lecturer in Public Policy, J.F. Kennedy School of Government, Harvard University Oberhelman, Harry A., Department of Surgery, School of Medicine, Stanford Univers ity Olson, Robert E., Professor, School of Medicine, University of Pittsburgh Pardes, Herbert, Director, Office of Mental Health, New York State Psychiatric Institute ~ Former Director ~ National Institute of Mental Health) Patton, Larry, Staff Member, Office of U.S. Senator William Proxmire Peterson, Robert, U. S. General Accounting Office Pickett, Betty H., Director, Division of Research Resources, NIH Pincus, Harold, Special Assistant to the Director, National Institute of Mental Health Pitot, Henry C., Director, McArdle Laboratory for Cancer Research, University of Wisconsin, Madison Pratt, Arnold W., Director, Division of Computer Research and Technology, NIH Quave, Robert, Acting Associate Director, Management, National Center for Health Statistics Rall, David P., Director, National Institute of Environmental Health Sciences, NIH Rall, Joseph E., Deputy Director for Intramural Research, NIH Raub, William E., Deputy Director for Extramural Research and Training, NIH Reinisch, Carol L., Chairman, Department of Comparative Medicine, School of Veterinary Medicine, Tufts University

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52 Renault, Pierre F., Director, Program Planning and Analysis, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH Rice, Dorothy, Regent's Lecturer, Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco Richmond, Julius, Professor ant Director, Division of Health Policy Research and Education, Harvard University (Former Assistant Secretary for Health, DHHS) Riecken, Henry, Professor of Behavioral Sciences, University of Pennsylvania School of Medicine Riker, Ellen, Minority Staff Associate, Energy and Commerce Committee, U. S. House of Representat ives Robbins, Anthony, Majority Professional Staff Member, Energy and Commerce Committee, U.S. House of Representatives Roberts, Eugene, Director, Divis ion of Neuro~ciences, City of Hope Research Inst itute, Duarte, CA Rogers, Paul G., Partner, Hogan & Hartson (Former Member, U.S. House of Representatives) Rosenberg, Roger N., Professor and Chair, Department of Neurology, Southwestern Medical School, University of Texas Health Science Center, Dallas Rosoff, Jeannie 1., President, Alan Guttmacher Institute Ross, John, Jr., Director, Cardiovascular Division, Department of Medicine, School of Medicine, University of California San Diego Ross, Russell, Professor of Pathology, University of Washington Russell, Elizabeth S., Senior Scientist Emeritus, The Jackson Laboratory Russell, George F. , Jr., Director, Division of Management Policy, NIH Saha, Subrata, Associate Professor and Coordinator of Biomedical Engineering, Louisiana State University Medical Center, Shreveport Salans, Lester B., Director, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH Saunders, J. Palmer, Dean, Graduate School of Biomedical Sciences, University of Texas, Galveston Schachman, Howard K., Professor, Department of Molecular Biology, University of California Berkeley Schmidt, Benno C., Managing Partner, J.H. Whitney and Company, New York, NY Schoolman, Harold M., Deputy Director for Research and Education, Nat tonal Library of Medic ine, NIH Schweiker, Richard S., President , American Council of Life Insurance ( Fonder Secretary, U. S . Department of Heal th and Human Services ) Schweizer, Malvina, National Heart, Lung, and Blood Institute, NIH Scribner, gelding H., Professor of Medicine, University of Washington Seggel, Richard L., Director, Robert Wood Johnson Health Policy Fellowship Program, Institute of Medicine Segre, Diego, Professor, College of Veterinary Medicine, University of Illinois at Urbana-Champaign Shannon, James A., Former Director, NIH Sherman, John F., Vice President, Association of American Medical Colleges

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53 Shock, Nathan W., Gerontology Research Center, Baltimore City Hospitals (Scientist Emeritus, NIH) Shoe, Thomas, Director of Contracts and Grants, Public Health Service Silver, Larry B., Acting Director, National Institute of Mental Health; Alcohol, Drug Abuse, and Mental Health Administration Skipper, Howard, President Emeritus, Southern Research Institute, B irmingham, AL Smart, John O., Executive Officer, Division of Research Services, NIH Smith, Kent A., Deputy Director, National Library of Medicine, NIH Snow, James B., Jr., Chairman, Department of Otorhinolaryngology/Human Communication, Schoo1 of Medicine, University of Pennsylvania Sobel , Burton E., Professor, School of Medicine, Washington University Sparber, Sheldon B. , Professor, Department of Pharmacology, Medical School, University of Minnesota SpelLacy, William, N., Professor, Department of Obstetrics and Gynecology , College of Medicine, University of Illinois, Chicago Starfield, Barbara, Professor, Health Care Policy, School of Hygiene and Public Health, The Johns Hopkins University Stein, Bernard, National Sc fence Foundat ion - Sterling, Theodor D., Professor, Department of Computing Science, Simon Fraser University Stetten, DeWitt, Jr., Senior Scientific Advisor, Office of the Director, NIH Stever, Guyford, Former Director, National Science Foundation; Former Sc fence Advisor to President Ford Stimler, Suzanne S., Chief, Biotechnology Resources Program Branch, Division of Research Resources, NIH Stoiber, Susanne A., Executive Officer, Clinical Center, NIH Stone, Robert S., Dean, College of Medicine, Texas A & M University ~ Former Director, NIH) Sundwall, David N., Ma jority Professional Staff Member, Committee on Labor and Human Resources, U. S. Senate Swartwout, Joseph R., Associate Dean for Institutional and Administrative Affairs, Mercer University, Macon, Georgia Tan, Eng M., Head, W.M. Keck Foundation Autoi~une Disease Center, Scripps Clinic and Research Foundat ion Terry, Robert J., Professor of Biological Sciences, Department of Biology, Texas Southern University Thibodeau , Kenneth F ., Divis ion o f Management Pal icy , NIH Tosteson, Daniel C., Dean, Harvard Medical School Tulcin, Doris F., President, Cystic Fibrosis Foundation Upton, Arthur C., Professor and Chairman, Department of Environmental Medicine, New York University School of Medicine (Former Director, National Cancer Institute, NIH) Vogt, Thomas M., Senior Investigator, Epidemiology, Kaiser Pe``uanente Medical Care Program Voorhess, Mary L., Professor, Department of Pediatrics, School of Medicine, State University of New York, Buffalo Wallace, Craig K., Director, Fogarty International Center, NIH

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54 Ward, J. Emmett, Chief, Data Management Branch, Division of Computer Research and Technology, NIH Warriner, Thomas E., Assistant Attorney General of California Watkins, Robert, American Society for Microbiology Watson, William, Deputy Director, Centers for Disease Control Weicker, Lowell P., Jr., Member, U.S. Senate Weiss, George, Chief, Physical Sciences Laboratory, Division of Computer Research and Technology, NIH Whaley, Storm, Associate Director for Communications, NIH Whitney, Robert A., Chief, Veterinary Resources Branch, Divis ion of Research Services, NIH Williams, Lindsley, Director of Planning and Policy Analysis, National Institute of Mental Health Williams, T. Franklin, Director, National Institute on Aging, NIH Wilson, Mar jorie P., Senior Associate Dean, School of Medicine, Un iver ~ i ty o f Mary 1 and Wins ten, Jay A., Director of Office of Health Policy Information, School of Public Health, Harvard University Wyngaarden, James, Director, National Institutes of Health Yanofsky, Charles, Professor of Biology, Department of Biological Sciences, Stanford University Yolles, Stanley F., Professor of Psychiatry, State University of New York at Stony Brook (Former Director, NINTH) Yordy, Karl D., Director, Division of Health Care Services, institute of Medicine Young, John, Assistant Professor, Center for Technology and Administration, American University Young, Leo, Director, Office of Research and Laboratory Management, U.S. Department of Defense Zelen, Marvin, Chairman, Biostatistics Department, School of Public Health, Harvard Univers ity Zobris t, Stephanie, Attache for Sc fence and Technology, Embassy of Switzerland, Washington, DC Zukel, William J., Associate Director for Scientific Programs, Division of Heart and Vascular Diseases, National Heart, Lung, and Blood Ins t itute, NIH

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~ Partial List of People Attending Meetings of the Committee (Title and Affiliation at Time of Meeting) *Afford, Bobby R., Professor and Chairman, Department of Ot orb inolaryugo logy and Co~m~unicat ive Sc fence s, Bay lor Co 1 lege 0 f Medicine (Representing Association of Academic Departments of Otolaryngology ) Andreoli, Kathleen G., Executive Director of Academic Services, University of Texas Health Science Center at Houston Austein, Cheryl, Office of Assistant Secretary for Planning and Evaluation, Department of Health and Human Services Baime, David ~ Association of American Medical Colleges Baldwin, Calvin B., Jr., Associate Director for Administration, NIH *Berne, Robert, University of Virginia School of Medicine (Representing Association of American Medical Colleges) Bishop, H. Eames, President, Amyotrophic Lateral Sclerosis Society of America Borja, Audrey, U.S. Public Health Service Bridge, Peter, Scientific Director, Office for Planning, Policy Analysis, and Legislation; Alcohol, Drug Abuse, and Mental Health Adminis t rat ion *Bridgers, William F., Dean and Professor, School of Public Health, University of Alabama in Birmingham (Representing Association of Schools of Public Health) Budiansky, Stephen, Nature Bulkley, Bernadine H., President, American Federation for Clinical Research Butcher, R.W., Dean, Graduate School of Biomedical Sciences, University of Texas Health Science Center at Houston Butler, Barbara D., Member of Board of Directors, Lupus Foundation of America But ler, hi 11 lam, Pres ident, Bay lor Co liege of Medic ine Carrese, Louis M., Director, Office of Program Planning National Cancer Institute; and Associate Director for and Analysis, NCI, NIH Crooks, Glenna M., Deputy Assistant Secretary for Health Evaluation, Department of Health and Human Services Cuca, Janet M., Research Analysis and Evaluation Branch, Research Grants, NIH Culliton, Barbara J., Science Dambach, Chic, Epilepsy Foundation of America Davidson, Martha, Division of Financial Management, NIH Dirks, Harley M., Association of Minority Health Professions Schools and Ana ly ~ i s, Program P fanning P 1 ann ing and Division of - * Discuss ion Leader

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56 Dubl inske, Stan, Director, American Speech-Language-Hearing Assoc fat ion Elliott, Jerry M., National Cancer Institute, NIH Fasano, Nancy, School of Nursing, University of Texas Health Science Center at Houston Feazel, Sue, University of Texas Health Sc fence Center at Houston Fenninger, Leonard D., American Medical Association Gemmell, }Michael K., Executive Director, Association of Schools of Public Health Gershenow, Rochelle, American Association of Colleges of Osteopathic Medic ine Goldberg, Michael 1., Director, Office of Program Planning and Evaluation; and Associate Director for Program Planning and Evaluat ion, NIH Goldman, Leroy G., Chief, Office of Planning and Analysis, National Institute of Neurological and Communicat ive Disorders and Stroke, NIH Goldstein, J., American Academy of Otolaryugology Goldwater, Collaborative Programs Policy Officer, Office of Extramural Research and Training, NIH Gordon, Michelle, Association of American Universities Gowan~, Sir James L., Secretary, Medical Research Council, London Gray, John A., American Association for Dental Research Greathouse, Darlene M., Office of Program Planning and Evaluation, NIH *Green, Gareth M., Chairman, Department of Environmental Health, School of Hygiene and Public Health, The Johns Hopkins University (Representing American Lung Association/hmerican Thoracic Society) Gumpert, Rick, National Reye's Syndrome Foundation Habel, Kurt C., Chief, Program Planning Branch, Division of Program Analysis, Office of Program Planning and Evaluation, NIH Haggerty, James F., American Red Cross Blood Services Hatley, Cindy, American Association of Blood Banks Haughton, James, Hous ton, TX *Hirsch, Henry, Profes ~or, Co 1 lege o f Medic i ne, Univers ity o f Kentucky Hodges, Alton, Special Assistant to the President for Health Policy Development, University of Texas Health Science Center at Houston Housewright, Riley D., Executive Director, American Society for Microb iology Humphreys , Robert R., Humphreys and Mitchell , Washington, OC ~ Re present ing Arthr i t is Foundat ion) Jackson, Portia M., Office of Assistant Secretary for Health, DHHS *Jesse, Mary Jane, President, American Heart Association *Jollie , William P., Professor and Chairman, Department of Anatomy, Medical College of Virginia (Representing American Association of Anatomists) Kalser, Sarah C., Director, Liver and Biliary Diseases Program, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, NIH * Discuss ion Leader

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57 Kennedy , Thomas J., Director, Department of Planning and Policy , Association of American Medical Colleges Kershner, Lorraine, Planning Office, U.S. Public Health Service Kessler, Bonnie, Epilepsy Foundation of America Kessler, John D., Vice President, Office of Public Affairs, American Heart Assoc fat ion Kir~ch~tein, Ruth L., Director, National I stitute of General Medical Sc ienc e a, N IH Knobil, Ernst, Dean, Medical School, University of Texas Health Science Center at Hous ton Kohut , Robert 1., Bowman Gray School of Medicine, Otolaryngology, Jinston-Salem, NC (Representing American Academy of Otolaryngology and Society of University Otolaryngologists) Kusinitz, Marc, New York State Journal of Medicine Lenfant, Claude, Director, National Heart, Lung, and Blood Institute, NIH Levine, Laura, American Association of Colleges of Osteopathic Medicine Lipsett, Mortimer B., Director, National Institute of Child Health and Human Development, NIH Long, Janice, Chemica 1 and Eng ineer ing News Lynch , Edward J ., Of f ice o f Program P fanning and Evaluat ion, NIH Malone, Thomas E., Deputy Director, NIH McCurdy, Harry, Executive Vice President, American Academy of Otolaryngology McCurdy, Paul, American Society of Hematology *McDuffie, Frederick C., Senior Vice President, Medical Affairs, Arthritis Foundation *McHugh, Will tam ~ ., Eastman Dental Center, Rochester, NY (Represent ing American Association for Dental Research, American Association for Dental Schools, American Dental Associations McManus, Edward H., Deputy Director, National Eye Institute , NIH *Minifie, Fred 1)., Department of Speech and Hearing Sciences, University of Washington, Seattle (Representing American Speech-Language-Hearing As sac fat ion ~ Moore, Frank, Associate Dean, School of Public Health, University of Texas Health Science Center at Houston Morrison, Lynn, Staff Associate, Association of Professors of Medicine Mullins, Charles B., Vice Chancellor for Health Affairs, The University of Texas System, Austin ~ Naunton, Ralph F., Director, Communicative Disorders Program, National Institute of Neurological and Communicative Disorders and Stroke, NIH Null, Cynthia H., Federation of Behavioral, Psychological, and Cognitive Sciences O'Connor, Kevin, Federation of American Societies for Experimental Biology Palmer, Craig, American Dental Association Pearson, Greg, The Blue Sheet - *Preston, Samuel, Population Studies Center, University of Pennsylvania (Representing Population Association of America) * Discuss ion Leader

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58 Punch, Jerry, American Speech-Language-Hearing Association Reiser, Stanley, University of Texas Health Science Center at Houston Rich, Clayton, Provost, University of Oklahoma Health Science Center, Oklahoma City ~ *Rosenzweig, Robert M., President, Association of American Universities Russell, Yvonne, Asaaciate Dean for Community Affairs, University of Texas Medical Branch, Galveston *Catcher, David, President, Meharry Medical College (Representing - A880CiaLiOn of Minority Health Professions Schools) *Saunders, J. Palmer, Dean, Graduate School of Biomedical Sciences, University of Texas, Galveston Scheman, Carol, Association of American Universities Schuell, David, U.S. Department of Health and H ~ n Services Short, Elizabeth, Association of American Medical Colleges, American Federat ion for C 1 inica 1 Research Spahr, Frederick T., Executive Director, American Speech-Language-Hearing Association Spencer, William A., President, Texas Institute of Rehabilitation and Research, Houston Sprague, Charles C., President, University of Texas Health Science Center at Dallas Stallones , Reuel , Dean, Schoo1 of Public Health, University of Texas Health Science Center at Houston Stein, Bernard, National Science Foundation Stone, Robert S., Dean, College of. Medicine, Texas A & M University Swisher, Scott, Department of Medicine, Michigan State University ~ Represent ing American Red Cros 8 ~ Tate, Curtis D., Deputy Director, Division of Contracts ant Grants, NIH Theilheimer, Lucy, American Federation for Clinical Research *Van Woert, Melvin A., Professor, Departments of Neurology and Pharmacology, Mount Sinai School of Medicine, New York (Representing National Organization for Rare Disordera) Waters, Harold, Assistant Chief, Special Review Section, Scientific Review Branch, Division of Research Grants, NIH Wey~ueller, Robert G., American Lung As~ociation/American Thoracic Society Willson, Peters D., Associate for Policy Development, Alan Guttmacher Ins t i Cute * Discuss ion Leader

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Organizations That Submitted Material to the Committee Academy of Pharmaceutical Sciences Ambulatory Pediatric ~ American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American American ~ . . ., ~ _ Association Academy of Dermatology Academy of Neurology Academy of Ophthalmology Academy of Orthopaedic Surgeons Academy of Ot01aryngology Academy of Pediatrics Assoc fat ion for C1 inica 1 Chemistry, Inc . Assoc iation for Dental Research Association for Respiratory Therapy Association for the Advancement of Science Assoc ration of Anatomists Association of Blood Banks Association of Colleges of Nursing Association of Colleges of Osteopathic Medicine Association of Colleges of Pharmacy Association of Colleges of Podiatric Medicine Assoc fat ion of Gynecologic Laparoscopis ts Assoc iation of Neuropathologists, Inc. Assoc iation of State Colleges and Universities Assoc iation on Mental Deficiency Board of Medical Specialties Board of Psychiatry and Neurology, Inc. Cal lege 0 f Card lo logy College of Epidemiology College of Obstetricians and Gynecologists College of Physicians Col lege of Prevent ive Medic ine College of Radiology Col lege of Surgeons Denta 1 As sac fat ion DenDato log ic a 1 As sac ia t ion Federation for Clinical Research Federat ion of Aging Research Fertility Society Gastroenterological Association Geriatrics Society Heart Assoc fat ion Institute of Biological Sc fences Laryngological, Rhinological and Otological Society L iver Founda t ion Lung As soc ia t ion Medical Association Nurse s ' Assoc fat ion Pediatric Society

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60 American American American American Amer ican American American American Amer ican American American American American American Amer ican American American American American American American Veterinary Medical Association Amyotrophic, Lateral Sclerosis Society of America Arthritis Foundation Arthritis Health Professions Association Association for Gerontology in Higher Education Associa e ion of - ~ ' _ ~ ~ -, --_ Association of American Cancer Institutes Association of American Medical Colleges Association of American Universities Association of Departments of Family Medicine Assoc fat ion of Independent Research Institutes Association of Medical School Microbiology Chairmen Association of Minority Health Professions Schools Association of Professors of Medicine Association of Program Directors in Internal Medicine Association of Schools of Public Health Association of Teachers of Preventive Medicine Association of University Anesthetists Association of University Professors of Neurology Breast Cancer Advisory Center College of American Pathologists Consortium of Social Science Associations Cystic Fibrosis Foundation Delegation for Basic Biomedical Research Down' ~ Syndrome Congress Endocrine Soc iety Epi lepsy Foundat ion o f Americ a Federation of American Societies for Experimental Biology Federation of Behavioral, Psychological, and Cognitive Sciences Pharmac eu t ic a 1 As ~ oc is t ion Psychological Assoc iation Psychological Association/Division on Developmental Psychology Society for Clinical Investigation Soc iety for Cl inical Nutrit ion Society for Clinical Pharmacology and Therapeutics Soc iety for Microbiology Society for Neurochemistry Soc iety of Andrology Society of Anesthes iologists Soc iety of Animal Science Society of Clinical Pathologists Soc iety of Hematology Society of Human Genetics Soc iety of Nephrology Society of Transplant Surgeons Soc iological Assoc fat ion Speech-Language-Hear ing As sac ia t ion Thoracic Soc iety Academic DeDartments of Otolar~nzolo~

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61 The Alan Guttmacher Institute International Cystic Fibrosis Association Joalin Diabetes Foundation, Inc. Liaison Committee for Obstetrics and Gynecology Lupus Foundat ion of America, Inc . Muscu tar Dys t rophy Assoc fat ion, Inc . Nat tonal ALS Foundat ion, Inc . National Association for Visually Handicapped National Black Association for Speech, Language, ant Hearing National Council for International Health National Easter Seal Soc iety National Foundation for Infectious Diseases Nat iona 1 Kidney Foundation National Lupus Erythematosis Foundation National Multiple Sc leros is Soc iety National Organization for Rare Disorders National Reye's Syndrome Foundation National Society for Medical Research National Tuberous Sclerosis Association, Inc. Nutrition Foundation Orthopaedic Research Society Population Association of America Renal Physicians Association The Rockefe ller Foundation Society for Experimental Biology and Medicine Society for Gynecologic Investigation Soc iety for Inves t igat ive Dermato logy, Inc . Society for Pediatric Research Soc iety for Research in Child Development Society for the Study of Reproduction Society of Chairmen of Academic Radiology Departments Society of Inves tigative Dermatology Soc iety of Toxicology Society o f Univers ity Urologis ts Spina Bif Ida Assoc fat ion of America Tri-Council on Nursing United Cerebral Palsy Association, Inc. Washington Commit tee for Neurosurgery /

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