Deaft - Mr. Fogarty cf International Research Rn 28m 59 CRU T would like to call to your attention today 9 measure which may well be the most sienificant with respect to the future welfare of our omintey and of the world thet the Congress sould enact in this session. T refer to the "Health for Peace”! Bill =. a oreposal for an international medical research vrorvram. which goes back to the time when _in the Senate last vear, has been quiesened by a messare which T heve received Prom e very nourareous young man, Dr. Thomas A. Dooley. Dr. Dooley, as many of you may know, is the young shysician who has devoted practically alt of his profession the sick in some of the remotest np that the Congress act without delay to tien, Recently, he == like thousands of others each year throu world @-= fell victim te cancer. Follow! cary, be olors te return te Z ef @ 2 northern Tans and continue his heroic battle against disease anong the nopulation there. t. JT ean assure you that Dr. Pooley's plea for passere of the Health for Peace Bill was not a selfish requcst. this youns manta efforts -~- mostly carried ort on the back deorsten of the Chinese Communist stronchold <= have been to provide medical care and health service to those in need. But Dr. Dooley has seen, as he indicated to : ct in er 2 ex 2 Qa 0 et me, that there are many indirect benefit: .ved through health research and the application of new scientific knowledge in improving the health of peoples everywhere and in changing the attitudes of oppressed people in favor of a free society. an internstion medical research effort nrovides an ideal framework to do what Dr. Peeley and meny other eminent wiltn f wwe advocated before anoropriate Committe at both the Hovse and Senate, x opinion derived from much careful thought the metter. It 28 be wy nrivilere to heve the opportunity to kare varticineted in many digcussions, here and abre ahout research: to have visitedowits mefical researchers cvers as from mony nations: and to have been one of your Consressional representatives to several World alth and h Health Organizaticon assemblies wherein b ch were metters cf vrefound import to the delegates of some 90 nations of the world. My considered jiudement is thet we of the United States oneht te embark upon this endeavor of international medical research with new vigor and new ways and increased means. Tast year I introduced into the House its first bill, companion to Senater Hill's, for exnar research through a new Inter= nationsl institute amt as a spoke wheleheartedly for it because T helieved then and T believe now that so mach depends upon it. On January 12 of this vear, T re-introduced this legislation im the House. 7T rese and spoke on the Floor concerning it, recowmendins the declaration of the first truly internationel war uoon disease throuszh use of the tremendous, latent that lie in medical ras je in in the summer IT repeated my endorsement of the provesed bill, th had had the benefit of the careful in an tepreved and refined versi thoucht of wanr brillient nminde, beth in our own bodies of Comrress end 3 ameng eminent seientists. What T seid then, and else in Januery, 2 must 4 ingpired neoole everywhere to be free. America has conti them as a great, free nation. Today we have a varallel idee, a war a 3 tional medical research ay a revolution for freedom from disease. The intern program is, in a sense, an extension of the American Revolution. Let our New let me preseed to some of oF x ep q oS f au mh uy O et 9 ee) er 2 Ss oe ot sx Sade r s 6 3 3 oh revolution, The proposed bill is a sound legislative measure because it provides for a scientific vrogream, administered theeugh selenhific meens, acceptable to and workable within the framework of the international selentific come munity, and valid as e achievine interzational sooperation in research, research training, and the interchang i to-scientist hasis; it is thus o! yeonles of the world. — ® de Odaly enouch, the voint T aust mentioned is one that 4 has nroved to 2] be a sisnificant stumblinz bleck in working out the deteils of this legis=- oS lation in Committee. The increased 1. S. partietpation in international welfare prograr., Tt ie uct comparable to sommendable programs of this nature by which the ™. %. assists others to impreve their economic, defense, or welfare status by ald giv te geogranhic or similer factors oO feb need, Vet, the Administretion pesition has heen for the centre aly © auhhority in the Security funds, and finally, delegation of operating authority -- but largely through the State Penartment. The kind of medical research pregram envisaged by this leeislation etudies stric will provide suprort for ly on the hea only after thevouch and painstakine technical, chjective e review within the selentific community. Only in this wey can true progress Pi scientific ootential, wherever it may hanpen to he. that an institute of internationel medisel research, working within the already established scientific framework Jn the Department of Health, Education, and Welfare, can give outstanding leadershio te TM. &. yarticinetion in «lckal res No other metho’ could setisfy criteria which any oronosal for strenethening internationsl redinal vesearch must meet. This is se for the fa cannot be based upon anything but a methed which not only permits but also requires the particivation of the scientific community in the implementation and administration of research acti The proposed lemislation assures this. It insures also that a focuseé and concerted scientific effort be mounted in many disease and the attention they must have. Th health research fields rot now receivin ha brought to 2s new know} ease problems not row well studied around the world and of basic life processes == and new knowledre here is essential to the greatest ultimate victories over dt in addition te in research studies themselves, the le for research traininz, research planning an? ccerdination, and interchansre of seientifi a wo all, ib should be emphasized, working with os intermationnal scientific bodies concerned with health research. These points lead to a further oroblem thak has been faced by the mele, the level ef suenort. yg ee Committee in considering this Tn testimony thet h heen presented to the Cormittee, the Administration has heen unwilling to offer a definitive bu fisure that would permit oo this presram to get under way. Senator Hill, fn his original proposel and as the bill passed the Senate, called for an annual outlay of €50 million. There is every reason to believe, based on the oninions o! £50 million woul? he more testify on the measure, thet than oadacuate oof the orecranm., Mindful of the fact that th 49 an authorization -- not an sneropriation -=- may T urge thet we cat on with this vital order of businass to avoid defer this move until the next session ef delay a of the Netional 7 Veer after veer, maintained a high stendard of quality for 2.93 in favor of zation ab its present it will allow for a realistic phasing of the initial te ary a > nt and carrying out of long- First, we may review briefly the nature and extent of present act- f the Mational Institutes of Health in international medical }. << fe ce a D ae 2 Lfic categorical ai This is ac it should be, for there must be concerted effort which la for delineable oreblems in discrete, thoush complex, The Institutes, therefore, have heen rightly concerned with develop- research ing, in collaboration with scientists abroad, international, efforts. Yet each effort must be del al ~ & = The record of the National Institutes of Health's participation years shows clearly that, within our present legisletive framework, if is not possible to realize to a desirable degrees the true notential that already exists for the devrelop- ical veasearch endeavors. ment of internationel The Tnetitutes can and should increase their insernationsl research ais appropriate within the framework of their mission and ap- orovriations. The vcronosed legislation does not abrogate, but protects what is most significant, however, is the fact that the legisletion for filling sans, for seizing latent opportunities, es the mea OPoOvie and for establishine a gensrel orosram enabling ASmerican scientific part- nershin and participation in world-wide medical research to an extent and likely te produce new Thus, the new approach, envisaged by the creation of an Institute and a program for the purpose of al ternational cooperation in research, would move us ehead or the road ef scientific general medi progre stemming from my visit abroad as well as from ntry, that the new international medical research fe vcarticipation revresented by the Tnstitute end its program would meet with warm acceptance by these esoncserned with res on the nart of both individual selentists and vrofessional organizations, here and abroed., The expressions of many selentists themselves, and of others con- cerned in research vrograms in this country, certainly indicate a belief in partnershiyn and participation by the United States in internetional medical research on 2 stronver and better basis then is currently pessibic. The attitude of Dr. Docley and other dis se fighters throushout the world were enitomized for me by the remarks of Dr. M. Tonez Herrarte, Minister of Health, & atemala, who in response to my comments on the views of the United States tewerd internstionsl research and health activities mn Oo gol ~ & ae "The words of an Foearty of the Tnited States America bring uz hope, and we are sure that all our countries wlll receive as a blessing any help that may be ven to us in & * Pp 7 thie respect." T Le an wite clear, also, that we in the United States have 2 great, deal to receive from international research activities as well as a great deal to give. I am completely confident that the neecs for working together in international health are urement end well resognized by the nations of the world, that the potential mechanisms for collaheration are well established and that much more productive activity conld be undertaken through our vassazte of the legislation fer exnanced international medical. ~wesearch, - 10 « As Te, Doclev nas said, it would be a wity indeed if the world should have to wait anether vear for a vrorram that could hold the key to an assured peace and to the ultimsete cortrel of disease. Dr. Dooley is " time eount. We, as a nation, should meke the time a man whe ic makine ‘he time to act is now, JT am sure that all of us will agree comnt, And 3 that medical research is one of the most affirmative internetionel efforts that the United States could take. Tt is a goal which is not only practi- eal and achievable, but symbolic of the highest aspiration of man to be at neace with his fellow man. Jt is, therefore, my firm feeling that we ought to enact the proposed legislation and make possible this new endeavor that will bring so many benefits to our own veople and to neonle everywhere.