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11 Legacies
Pages 65-71

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From page 65...
... Cooper organized the first one as a sounding board for those who felt the swine flu program to have been at once desirable and problematical, problematic because unprecedented, hence underprepared. The whole influenza cast of characters turned out and more besides: CDC and NIAID and BoB staffs, with advisers, public health professionals, pediatricians, laboratory chiefs and some executives from the drug companies, epidemiologists from state health departments, even the likes of Leslie Cheek, and better still, insurance company vice presidents, together with a scattering from voluntary agencies, public interest groups, congressional staffs, and press.
From page 66...
... This was an adaptation of the Kennedy idea. Its authors meant to substitute for both the old ACIP and Califano-like ad hoc-ery a permanent body at the apex of decision-making: The commission should have the responsibility for reviewing and advising the Sec retary on all matters concerning immunization policies, priorities, and practices as they may affect the public health of the United States.
From page 67...
... As Dull had done in 1976 and others earlier, the National Immunization Conference and its work group on the subject naturally put immunization first: to preserve options and facilitate development of Federal programs, the private sector ought to have its way. Whether this meant tort claims procedure as with swine flu, or indemnification, or some way of compensating victims, was subsidiary.
From page 68...
... In late July his draft report from the Secretary to Congress reached Rick Cotton of the HEW Executive Secretariat. Cotton considered it unsatisfactory.
From page 69...
... . CDC lives by a web of intricate relationships between its human cadres of epidemiologists and public health advisers, and the money it dispenses to the states for special projects.
From page 70...
... Russian flu would be competing with and might replace the current strains of Texas and Victoria flu. Part of the consensus, as reported to the Secretary, was a Federal program funding state procurement for some 30 million doses of trivalent vaccine.
From page 71...
... This was agreed, Congress willing. OMB examiners assumed that Congress would be only too willing to undo the absorption scheme (trade-offs in public health were no more usual at the top of Capitol Hill than at the bottom)


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