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May 10, 2000

The Perilous State of Academic Medicine

Author Affiliations

Author Affiliation: New York-Presbyterian Hospital, New York, NY.

JAMA. 2000;283(18):2427-2429. doi:10.1001/jama.283.18.2427

Tragically, one of the nation's most remarkable accomplishments is in jeopardy. The United States has the world's finest fabric of medical research, education, and quality care. This collective enterprise, which consists of the National Institutes of Health (NIH) and 125 academic health centers (AHCs)—medical schools, teaching hospitals, and other health sciences schools—along with the pharmaceutical and biotechnology industries, provides the nation and the world with an extraordinary medical complex. Collectively, they successfully study and treat the major diseases, which inflict pain, suffering, and economic damage on the American public.