Medicine, Public Policy and the Private Sector

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Abstract
The development of a sound public policy for medicine requires awareness not only of the internal needs of the profession, but also of the economic and social pressures in areas of medical research, training and practice. Progress in correcting deficiencies in these areas has been halting and fragmentary; improvements have been urged, but their substantive nature not defined. Private organizations (the AMA, Association of American Medical Colleges, specialty groups) tend to have a limited outlook; whereas the instruments of government are subject to political pressures and the need for compromise. To provide the capability needed to deal with the broad problems of medicine and its interface with society, a new institution, a National Academy of Medicine, should be established. Such an Academy, independent but also associated with the National Academies of Science and Engineering, should serve effectively to guide policy and action in matters involving medical sciences, education and services.

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