Biomedical Issues In U S Public Policy

Reviews the history of four broad-based federal bioethics initiatives and discusses the need for a new commission to address these issues.

On February 26, 2020, the Board on Health Sciences Policy of the National Academies of Sciences, Engineering, and Medicine hosted a 1-day public workshop in Washington, DC, to examine current and emerging bioethical issues that might arise in the context of biomedical research and to consider research topics in bioethics that could benefit from further attention. The scope of bioethical issues in research is broad, but this workshop focused on issues related to the development and use of digital technologies, artificial intelligence, and machine learning in research and clinical practice; issues emerging as nontraditional approaches to health research become more widespread; the role of bioethics in addressing racial and structural inequalities in health; and enhancing the capacity and diversity of the bioethics workforce. This publication summarizes the presentations and discussions from the workshop.

This volume brings together the views of authors involved in many aspects of biomedicine-from research on basic biology to clinical invest igation of the causes and treatment of human disease to hospital adminis tration ·to health care planning on the state and Federal levels to Con gressionallegislation covering biomedical research, medical education, the development of medical technology, and the delivery of health care. The purpose is not to present a "party line" representing a consensus of these often divergent viewpoints, and we do not suggest that we have found solutions to the many problems encountered in the interaction of scientists, administrators, legislators, and the recipients of health care. These articles are intended primarily to communicate to both biomedical scientists and intelligent laymen the processes, social and political as well as scientific, whereby biomedical science advances, and the need for biomedical scientists to take an interest and initiative not only in scientific research but also in research on health care delivery and in related public issues before the legislative and administrative branches of government.

Explores the interactions between science and government in making biomedical and environmental policy decisions, illustrated by case studies of such topics as the Human Genome Project, assisted reproductive technology, the approval process for AIDS drugs.

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.