For the Public Good Highlights from the Institute of Medicine, 1970-1995 (1995) / Chapter Skim
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INTRODUCTION
INTRODUCTION
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In the year of the Institute's founding, 1970, hopes were high that some form of national health insurance might address the nation's health care needs. Twenty-five years later, we have just completed a painful experience in which efforts to reform the health care system through a coherent plan failed, and reform has been left instead to the marketplace.
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In the first type, the Institute would "speak from within the medical profession concerning problems that involve medicine." According to the second, the Institute would "speak to the issues from the position of all-around competency rather than one that would speak from within medicine." He went on to say, "I am deeply convinced that what is needed is a institution based on Concept IT." The Institute has been quite faithfi~l to this latter concept, as reflected in the breadth and diversity of expenence, outlook and expertise represented by our committee members and in the objectivity of our reports. This volume seeks to identify a few of the major themes that have interested the Institute and its members over the past 25 years.
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to studies of the structure of NIH itself. The TOM has participated in studies of clinical investigators and doctoral trainees, as well as in scores of projects on specific research issues ranging from brain imaging and brain mapping to the development of an artificial heart.
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