Still Needed: A National Academy of Medicine

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Abstract
Whether Irvine Page is correct in his view that the Institute of Medicine (IOM) was set up improperly at the beginning1and was thus unlikely ever to work well or whether Sam Thier is correct in his view that the postadolescent IOM is beginning to get it together,2the fact remains that as of 1988 the United States needs, and has not had, a national academy of medicine that works. In the preceding article, Dr Page summarizes the nine functions that he and Dr James Shannon believed would be central to the mission of a national academy of medicine. They included making optimal technological choices in public policy, addressing problems through collegial efforts with other organizations, providing information on complicated issues to the press and public, restoring self-respect and public trust in medicine, conveying information between the public and the profession, explaining needs of medical education and research

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