For the Public Good Highlights from the Institute of Medicine, 1970-1995 (1995) / Chapter Skim
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COMMENTARIES
COMMENTARIES
Pages 156-166
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From page 156... ...
So! C Chaikin Professor of National Health Policy and Former Dean of the Helter School for Social Policy, Brandeis University In my travels to other countries and in discussions with experts on various health care systems around the world, it has become clear that one of the many differences between the United States and other countries is the role and importance of the so-called outside expert in the development of U.S.
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From page 157... ...
Here, too, T have been guilty of believing that professional training in how to perform complicated open-heart surgery does little to provide any special insight into~how to restructure the tax code to finance health services for the poor, or into what role the federal government should play in revamping the health care delivery system. Yet, despite these admittedly self-interested misgivings of my youth, T have come to appreciate the fact that the United States could truly benefit from the expertise of individuals who understand both how health services are delivered and how health policy is made.
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From page 158... ...
Alumni of the program also have taken leadership roles in state health care reform efforts and in operating state health programs. A newer, but no less important, program administered by the TOM is the Pew Health Policy Program, financed by the Pew Charitable Trusts.
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From page 160... ...
~ would be less than candid if ~ failed to indicate my sadness at learning that the Pew Charitable Trusts had decided to discontinue funding this fellowship program. The Trusts were generous in providing a last grant to assist host institutions in developing self-sustaining funding for these programs, but ~ am not optimistic.
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From page 161... ...
By contrast, fellowship programs are an investment in the fixture, and health policy fellowships focus on the health policy process rather than on a discrete knowledge base. As such, of course, the fellowship programs fall outside the National Academy of Sci .
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From page 162... ...
The RW] Health Policy Fellowship Program raises an additional question, namely, how to keep the necessarily partisan activities of the congressional offices in which the fellows work separate from the explicitly nonpartisan TOM?
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From page 164... ...
Until recently, the steady growth of available funds at the federal Agency for Health Care Policy and Research seemed to favor such growth, but the likely cutbacks planned this year may discourage investment in health policy programs. Certainly, the Pew program can claim success in having trained an impressive number of skilled health policy researchers.
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From page 165... ...
Finally, a word of admiration and gratitude: Marion Ein Lewin's concise description understates her own critical role in providing the personal glue that holds together these two labor-intensive fellowship programs. Highly trained professionals who chose unusual career paths such as the interdisciplinary experiences of health policy fellowships-commonly suffer pangs .
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From page 166... ...
FOR THE PUBLIC GOOD of doubt and insecurity. Tensions between breadth and depth, rigor and relevance, and short- versus long-term impact gnaw at many fellows, and they frequently wrestle with issues of career stability and direction.
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