Institute of Medicien - CALLING THE SHOTS: Immunization Finance Policies and Practices
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CALLING THE SHOTS
Immunization Finance Policies and Practices
Committee on Immunization Finance Policies and Practices
Division of Health Care Services
and
Division of Health Promotion and Disease Prevention
INSTITUTE OF MEDICINE
NATIONAL ACADEMY PRESS
Washington, D.C.
NATIONAL ACADEMY PRESS
2101 Constitution Avenue, N.W.
Washington, D.C.20418
NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
Support for this project was provided by the Centers for Disease Control and Prevention (Award No. 200199900023). The views presented are those of the Institute of Medicines Committee on Immunization Finance Policies and Practices and are not necessarily those of the funding organization.
Library of Congress Cataloging-in-Publication Data
Calling the shots: immunization finance policies and practices/Committee on Immunization Finance Policies and Practices, Division of Health Care Services and Division of Health Promotion and Disease Prevention, Institute of Medicine,
p. cm.
Includes bibliographical references and index.
ISBN 0-309-17195-4 e-pub ISBN
ISBN 0-309-07029-5
1. ImmunizationGovernment policyUnited States. 2. Immunization of childrenGovernment policyUnited States. 3. ImmunizationUnited StatesFinance. 4. ImmunizationUnited StatesPlanning. 5. Medicine, PreventiveUnited States. I. Committee on Immunization Finance Policies and Practices (U.S.). II. Institute of Medicine (U.S.). Division of Health Care Services. III. Institute of Medicine (U.S.). Division of Health Promotion and Disease Prevention.
RA638 .C35 2000
614.470973dc21
00046277
The full text of this report is available on line at www.nap.edu.
Additional information about this report and Americas vaccine safety net is available online at www.nationalacademies.org/includes/shots.htm.
For more information about the Institute of Medicine, visit the IOM home page at www.iom.edu.
The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
Knowing is not enough; we must apply. Willing is not enough; we must do.
Goethe
INSTITUTE OF MEDICINE
Shaping the Future for Health
National Academy of Sciences
National Academy of Engineering
Institute of Medicine
National Research Council
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M.Alberts is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. William A.Wulf is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Kenneth I.Shine is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academys purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M.Alberts and Dr. William A.Wulf are chairman and vice chairman, respectively, of the National Research Council.
BERNARD GUYER, M.D., M.P.H. (Chair), Professor and Chair,
Department of Population and Family Health Sciences, Johns Hopkins School of Hygiene and Public Health
DAVID R.SMITH, M.D. (Vice Chair), President,
Texas Tech University Health Sciences Center, Lubbock
E.RUSSELL ALEXANDER, M.D., Professor Emeritus,
Department of Epidemiology, University of Washington
GORDON BERLIN, M.A., Senior Vice President,
Manpower Demonstration Research Corporation, New York City
STEVE BLACK, M.D., Codirector,
Vaccine Study Center, Kaiser Permanente, Oakland, CA
SHEILA BURKE, M.P.A., R.N., F.A.A.N., Executive Dean,
John F. Kennedy School of Government, Harvard University
BARBARA DeBUONO, M.D., M.P.H., Health Care Consultant,
New York City
GORDON H.DeFRIESE, Ph.D., Professor of Social Medicine, Epidemiology, Health Policy, and Administration,
University of North Carolina at Chapel Hill
R.GORDON DOUGLAS, JR., M.D., Former President,
Merck Vaccines (retired), Princeton, NJ
WALTER FAGGETT, M.D., Pediatric Consultant,
Medlink Hospital, Washington, DC
SAMUEL L.KATZ, M.D., Wilburt C.Davison Professor Emeritus,
Department of Pediatrics, Duke University Medical Center
SARA ROSENBAUM, J.D., Hirsh Professor,
Health Law and Policy, Center for Health Services Research and Policy, School of Public Health and Health Services, George Washington University Medical Center
CATHY SCHOEN, M.A., Vice President,
Research and Evaluation, The Commonwealth Fund, New York City
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