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Wednesday, June 19, 2013
 

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The Fitness of the Republic (Page 2 of 3)

A passion for discovery seems to be a core American value. But America's celebration of science is also very practical, based on anticipated benefits to people and the nation. Patent awards for innovations like the cotton gin or the electric light bulb came because they were useful to society. The Morrill Act of 1862 created state universities with a mission to pursue practical work in areas like military tactics and agriculture. In 1942, President Franklin Roosevelt oversaw the start of the highly secret Manhattan Project to build the atomic bomb. With a strategy of amassing the best private scientists of the day, the project moved at breakneck speed to unlock the secrets of the atom before Adolf Hitler's scientists could do so. The bomb that would end World War II also revealed the dark side of science.


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National lab. President Roosevelt undoubtedly had defense research and the looming war in mind when he made the trek out to the rolling hills of Bethesda, Md. There he dedicated the newly donated campus for what had been a hygienic laboratory renamed the National Institute of Health. In his speech on Oct. 31, 1940, from the portico of what is still NIH's headquarters building, FDR pledged that America would devote great effort to "life conservation, rather than life destruction." Suffering himself with high blood pressure and paralyzed legs from polio, he spoke to the need for physical fitness by applying science to the prevention and treatment of disease. He described NIH and its new National Cancer Institute as a "universal language of peace and humanitarianism" to benefit people here and everywhere. And he laid out a plan. "We cannot be a strong nation unless we are a healthy nation. And so we must recruit not only men and materials but also knowledge and science in the service of national strength." On that day he declared a manifesto for government support of medical science as keen and forward looking as Jefferson's call for the expedition of Lewis and Clark. Drawing on the model that was working so well in the defense arena, he outlined a similar path for medicine. The government, based on national need, would make grants to researchers working in private universities and research labs. Sensitive to fears in the medical community that government money would threaten medicine's independence, he affirmed his own personal respect for the doctor-patient relationship and declared there were no plans to "socialize medical practice any more than [a] plan to socialize industry." His vision was both practical and romantic: "I voice for America, and for the stricken world, our hopes, our prayers, our faith in the power of man's humanity to man."

Four years later, with our nation deeply embroiled in war, Roosevelt sent instructions to Vannevar Bush, his science adviser, to plan for research in the days of peace to come. The goals: improved health and a better national standard of living. He declared a "war of science against disease," noting that deaths from one or two diseases exceeded those lost in battle. By then Roosevelt was a wan and wasted man, too weak to manage his heavy leg braces. His blood pressure was out of control, his heart failing. Barely four months after his message to Bush, he collapsed with a massive stroke and died; four weeks later victory was declared in Europe.

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