The analysis of costs of National Institutes of Health (NIH) bio-medical research demonstrates that the increased expenditures for research project grants are due to such factors as real growth in the program, artifacts of the calculation method, and the extent to which project periods of awards have lengthened. (Author/DB)

The scientific community's expectations for biomedical research exceed funding capacity. Despite national social and economic problems, funding for biomedical research is already high. Additional funds will not solve the problem entirely. The biomedical community must set priorities and allocate money accordingly. New policies for allocating funds…

An autobiographical account by the army's chief logistical adviser to the surgeon general during World War II calls attention to the challenges of medical service planning and three postwar changes in medicine: demand for access to care; bigger federal biomedical research expenditures; and the rise of specialization. (Author/MSE)

Discussion of academic medical centers (AMCs) looks at: change due to heavy federal funding in recent decades; adverse consequences, including deemphasis on education in favor of research and clinical service delivery, and discrepancies between AMC internal and external labor markets; and challenges to medical education in research, education, and…