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Previous Volume 360:1482-1483 April 9, 2009 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Medical schools and teaching hospitals in the United States are essential producers of basic scientific and clinical knowledge that drives our supply of new medicines, devices, and other health care innovations. Today, the funding for this work is dwindling, rendering the current structure of the biomedical research enterprise unsustainable. Given the economic crisis, the fiscal and operational models of this enterprise must be restructured if the stability of academic institutions is to be maintained and our growing health care needs are to be met.

The federal government is the single largest source of financial support for academic life-sciences research in . . . [Full Text of this Article]

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Dr. Campbell is an associate professor at the Institute for Health Policy at Massachusetts General Hospital and Harvard Medical School — both in Boston.

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