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1、“FosteringInnovationinMedicineandResearch”EveE.Slater,M.D.,F.A.C.C.AssistantSecretaryofHealthDepartmentofHealthandHumanServices2002CharlesC.Leighton,M.D.,MemorialLectureFriday,October18,2002LeonardDavisInstituteofHealthEconomicsUniversityofPennsylvania_______________________________________
2、______________________ItisagreatpleasuretobeheretodayamongmymanyfriendsandformercolleaguesatMerckResearchLaboratoriesandtheLeonardDavisInstituteofHealthEconomicsoftheUniversityofPennsylvania.WhileattendingeachandeverypriorCharlesLeightonMemoriallecture,littledidIeverimaginethattodayIwouldbe
3、appearingbeforeyou,representingtheU.S.DepartmentofHealthandHumanServices.Ithasbeenanexhilarating,ifnotsomewhatdaunting,timetojoingovernment,andofcourseatremendoushonortobeservinginthisAdministration.IhavelearnedmorethispastyearthanIeverthoughtpossible.Notwithstandinganoccasionalfrustrationo
4、fthetransitionfromprivatetopublicsector,eachdayIamremarkablyinvigoratedbySecretaryTommyThompsonandhisdedicatedteam,whoarecommittedtoimprovinghealthforallAmericansandtotacklingthebigproblemsthatfaceus,includingtheneedtoimprovehealthcareatatimeofcostescalationbeyondavailableresources.Thustoda
5、y,ratherthanfocusingondrugcosts,whichIgatheristhethemeofyourlectureseries,Ihaveelectedtofocusoninnovation:howitcanbefosteredbygovernmentandhowitcanbeusedtoimprovehealthcareandmitigaterisingcosts.Innovationhasbeenathemeformanypresentationsbymanydistinguishedspeakers,includingseveralbyMerckCE
6、ORaymondGilmartin.IespeciallyrememberonethatIhelpedtoorganizeattheRoyalAcademyofMedicineinLondonin1998(Gilmartin,1998).Thetopicisessentialtoourcoreactivities,anditisallthemoregermanetoday.Myremarkswillbeselective,buthopefullynotmyopic.Ingettingtoknowmynewcity,Irecentlyvisitedtheawe-inspirin
7、gLibraryofCongress,whosecollectionbeganin1815withthepurchaseofthe6,500booksbelongingtoPresidentThomasJefferson.Manyofthosebooksremainondisplaythere.Jeffersonhadorganizedhiscollectionintothreecategories:Memory,bywhichhemeantbooksonhistory;Reason,whichincl
