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1 Introduction
Pages 25-31

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From page 25...
... The prescient words of Vannevar Bush 45 years ago helped establish a policy for government investment in science. Bush recognized both the need for governmental support of basic research in academic settings and the need for federally supported science training programs.
From page 26...
... Indeed, in this time the United States produced the world's preeminent health research enterprise. Beginning in the 1970s, however, slower budgetary growth combined with a dramatic inflation rate both reduced the buying power of research dollars and increased the competition for available resources, which then prompted wide fluctuations in the annual number of new and competing grants awarded by NIH and the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA)
From page 27...
... The answers to this question are complex and based, in part, on certain misperceptions of the present status of health sciences research funding. Although the stabilization policy was important in maintaining a minimum annual number of new and competing awards, the administration's budget requests, as well as congressional appropriations for NIH and ADAMHA never were adequate to fund the required number of awards fully.
From page 28...
... Additionally, changes in federal regulations concerning the handling of animals and hazardous waste, although decidedly important, are costly and will consume increasing amounts of research dollars. At a time of great scientific opportunity, our nation's ability to invest in health sciences research is being limited by large federal deficits, and although appropriations for NIH and ADAMHA have been growing slowly over the past decade, they are subject to the same fiscal constraints as other federal programs during this time of federal deficit reduction.
From page 29...
... The committee was asked both to analyze the funding sources for research projects, training, facilities, and equipment by federal and nonfederal sources, and then to develop a coordinated set of funding policies to restore balance among these components of the research enterprise in order to ensure optimal use of research dollars for sustaining a vigorous health research enterprise. The committee was not asked to review the allocation of research support among specific scientific disciplines or disease areas, nor was the policy study intended to be a justification for increasing research funds.
From page 30...
... . And that therefore the following goals must be considered when developing anv new policies to allocate research funds: ~ a , · advancing the fundamental knowledge base of the health sciences; translating fundamental knowledge into improved diagnostic, treatment, and preventive interventions and thereby helping to alleviate suffering, improve the quality of life, and enhance survival; · providing the basis for regulatory actions designed to promote safety and health; and · providing the basis for informed decision making on health policy matters, including the organization, delivery, and financing of health care.
From page 31...
... In light of the magnitude of the current U.S. investment in health sciences research, as well as recent economic, demographic, and political developments that affect funding and administration of research programs, the committee felt that better mechanisms for long-range planning and coordination of research support could improve the use of research dollars.


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