• The university hospitals in which medical students receive their clinical training house a matchless spirit of research, and their valuable facilities must be preserved to work for the generations to come. At present they are caught between fast-rising operating costs and diminishing collectible charges to patients.
An important difficulty arises from the difference between the "hard" money that pays overhead and is essential for permanence and the "soft" money that is received for short-term projects and fails to provide for the heavy indirect expenses involved.
The problem must be solved by making sure that grants from federal agencies, funds, foundations, and industries apportion a sufficient fraction for overhead expenses. The larger the grant, the more important is repeated scrutiny to make sure that it does not threaten the stability of the recipient institution.
Cutler R. LET'S SAVE THE GOOSE THAT LAYS THE GOLDEN EGGS. JAMA. 1956;160(4):282-284. doi:10.1001/jama.1956.02960390032009