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funding needs of a segment of the population which is expected to reach one-third of the total population in the year 2000.

In an

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supports the establishment of a goal of providing 3% of total NIH

funding to minority related research within 5 years and 5% in 10

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The RCMI program is critical to our institutions ability to

develop research infrastructures, train minority professionals in research capacities, compete for research dollars and most

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significant increase for these three landmark programs. It is imperative that Congress increase the funding for these programs.

For example, the Morehouse School of Medicine will be using their

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Institutions of emerging excellence have been described as recipients

the report accompanying last years



authorization bill that passed the Senate.

Unfortunately, last

year the NIH bill fell short in the last days of Congress.

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greater strides


these improved





particularly in studying diseases and health conditions disproportionately affect blacks and other minorities.

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programs, four of which are members of AMHPS (Morehouse, Meharry,

Tuskegee, and Charles R. Drew).

Congress should be very proud of

this program.

It has been a tremendous success.

For example, as

a direct result of support from this section, Morehouse has been

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faculty and programs in the basic medical sciences, expand their

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Southern University (TSU) College of Pharmacy currently does not

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expanding the pharmacy program at TSU is the lack of


Title III will allow the college the opportunity to establish its

own development office.

This will facilitate the development of

the infrastructure that will be vital to raising and maintaining

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documented need for more pharmacists in the State of Texas.

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addition of new institutions to the program should not jeopardize

the funding that exists for currently participating schools.


this way,

no institution would be forced to reduce its budget or

cancel obligations already incurred.

Black Hospitals

Historically black hospitals have traditionally played


major role in serving the health care needs of underserved Blacks

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Mr. Chairman, thank you for the opportunity to discuss the

views of the Association of Minority Health Professions Schools.

And again, thank you for your outstanding support.


Senator BUMPERS. Mr. Gemmell.
Mr. GEMMELL. Yes, Mr. Chairman.

Mr. Chairman, with your permission, let the record show that the Association of Schools of Public Health of Dr. Satcher's testimony.

Mr. Chairman, I am grateful for the opportunity to testify on the contributions of academic public health toward promoting health, preventing disease, and cutting medical costs, and to present the association's position on the Federal role in public health professional education assistance and prevention.

As an aside, Mr. Chairman, we would like to applaud your efforts, sir, on behalf of immunizations and your championing that cause in Congress.

Every study and report dating back to 1979 has warned of the shortages of public health professionals. With your permission, I will let Dr. Sullivan state our case for Federal support. Secretary Sullivan, in his March 1990 report to Congress and to the President on the status of health personnel states that:

Shortages of public and community health personnel currently exist in the following specialties: epidemiologists, biostatisticians, several environmental health and occupational health specialties, public health nutritionists, public health nurses, physicians trained in public health and preventive medicine.

Mr. Chairman, they are trained in schools of public health.

Compounding the problem of shortages of public health personnel is that a declining number of physicians, scientists, and engineers are obtaining education in public health.

These professionals are needed to attain the year 2000 national health objectives.

An HHS advisory committee has projected a shortage of some 1,500 public health and preventive medicine physicians needed in the 1990's.

According to the Institute of Medicine in its study entitled “The Future of Public Health,” the IOM reported that the public health activities in the United States have been taken for granted and that there is a need for well-trained public health professionals.

State health officers are particularly alarmed about the low number of nurses trained at the graduate level in public health.

The limited but vital Federal support for public health training has been declining slowly since the 1980's. Ever since 1958, the Congress has recognized that specialized training of public health professionals is a Federal responsibility to be shared with the universities with accredited schools of public health. The 11 schools of public health then and the 24 schools of public health now are essentially national schools since students come from the 50 States, Puerto Rico, and from the U.S. related territories. Graduates of these schools then and now serve primarily in the public, nonprofit sector. Over 80 percent of the graduates work in Government agencies, universities, or for nonprofit health organizations. Mr. Chairman, there is no other source of comprehensive training and organization, policy development and management of health services, prevention programs, and promotion of health for whole population groups.

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