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Herbert Pardes, MD

JAMA. 2000;283:2427-2429.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Tragically, one of the nation's most remarkable accomplishments is in jeopardy. The United States has the world's finest fabric of medical research, education, and quality care. This collective enterprise, which consists of the National Institutes of Health (NIH) and 125 academic health centers (AHCs)—medical schools, teaching hospitals, and other health sciences schools—along with the pharmaceutical and biotechnology industries, provides the nation and the world with an extraordinary medical complex. Collectively, they successfully study and treat the major diseases, which inflict pain, suffering, and economic damage on the American public.

Dramatic advances in the control of infectious diseases, treatment of heart disease, and care of patients with psychiatric illness are examples of this success. Savings to society include more than $145 billion in treatment costs from the introduction of lithium for treatment of manic depressive disease and more than $30 billion annually attributable to introduction of polio vaccine.¹ . . . [Full Text of this Article]

Author Affiliation: New York-Presbyterian Hospital, New York, NY.

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