The rush to shrink the federal government and reduce its costs,propelled by the Republican-controlled Congress with the reluctantacquiescence of the Clinton administration, has begun to changethe Public Health Service and other federal health agenciesin important ways. The Republicans have begun to dismantle theoffices of the assistant secretary for health and the surgeongeneral, as well as the Office of Technology Assessment (OTA);reduce funding for substance-abuse treatment, mental healthservices, and health services research; and consolidate manyother public health programs. However, the House of Representativeshas voted to continue Congress's long-standing commitment tothe . . . [Full Text of this Article]
The Public Health Service
Reforming an Unwieldy Structure
The Power of the Purse
Biomedical Research
Disease Surveillance and Control
Health Services Research
The Changing Committee Leadership
Conclusions
References
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