Abstract
MEDICINE FOR THE 21st Century is emblazoned over the entrance of the Annenberg Center in Rancho Mirage, Calif, making the palmy high-tech oasis an apt location for a recent conference on that theme. More than 100 leaders of medicine, industry, and government were invited to consider how future health care needs of the American people will be met, given a present state of affairs many see as threatening the very foundation of the system—biomedical research and technological innovation and development. At the conference, cosponsored by the American Medical Association (AMA), the Annenberg Center for Health Sciences at Eisenhower, and Pfizer, Inc, a major concern was that diminished financial support for basic research is driving prospective scientists into other careers and is making the United States less competitive internationally. At the same time, intensive challenges to long-held US supremacy in biotechnology and medicine are starting to come from western Europe and
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