Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Musings on genome medicine: the slow but inexorable process of medical care reform in the United States | Genome Medicine Musings Musings on genome medicine the slow but inexorable process of medical care reform in the United States David G Nathan and Stuart H Orkin Address Dana-Farber Cancer Institute 44 Binney Street Boston MA 02115 USA. Correspondence David G Nathan. Email david_nathan@ Abstract The current healthcare system in the United States is unsustainable but any attempts at improvement must be carefully managed to avoid weakening the country s contribution to biomedical science research and the future of genome medicine. The current struggle to achieve a rational healthcare system in the United States US may well have a profound effect upon the future of genome medicine and all advanced biomedical science. The current system is all but unsustainable but if in a poorly conceived attempt to improve it the budgets of academic teaching and research hospitals are damaged advances in medicine of any kind will be slowed to a crawl. Worldwide discoveries in medicine depend on the biomedical research productivity of Western Europe Great Britain Australia Japan and North America with growing contributions from Southeast Asia China and India. The US effort is the largest in that group. A budget crisis in clinical care within leading US academic hospitals will imperil their capacity to do research because it is impossible to do meaningful research and break even financially in the process. It is axiomatic that institutions will lose at least 10 of research budgets because grantors either cannot or will not support the infrastructure that enables research activity. The gap between cost and revenue is made up by donations and or by a surplus on the clinical side of the budget. If the clinical budget enters a red zone donations will necessarily be directed to shore up that vital function. Unless donations can be markedly increased this shift will inexorably weaken the research program and force it into mediocrity. This says nothing about the teaching and .
