Council for Tobacco Research
News and Comment National Cancer Act: Deciding on People, Policies, and Plans [Discusses Changes in Leadership and Direction at National Cancer Institute]
Fields
- Type
- ARTICLE
- Master ID
- 10416133-6138
Related Documents:- 10416136-6136 Nsf Official Resigns As Job Sinks [Describes Staff Changes]
- 10416137-6137 Point of View Cancer Research: Youth and Superstars [Explains Need for Younger Researchers]
- 10416138-6138 Great Lakes Water Treaty Signed [Reports International Cooperation in Maintaining Water Quality of the Great Lakes]
- Request
- 135
- Depository Date
- 28 Jun 1996
- Named Person
- Us Congress
- Nih
- Minute Maid
- Sloan Kettering Inst
- Rutgers Univ
- Science
- Acs
- Hew
- Natl Cancer Panel
- Bureau, O.F. St Services
- Natl Advisory Cancer Council
- Baker, C., Nci
- Carrese, L., Nci
- Cavanaugh, J.
- Clark, R.L., M.D. Anderson Hospital And Tumor Inst Univ, T.X.
- Cole, K.
- Endicott, K., Nci
- Flood, D., U.S. House Appropriations Comm
- Good, R.A., Univ, M.N. School, O.F. Medicine
- Groupe, V.
- Nixon, R.
- Rauscher, F.J., Nci
- Rhoads, J.E., Natl Cancer Advisory Board
- Rogers, P., U.S. House, O.F. Representatives
- Sabin, A.
- Schmidt, B.C., J.H. Whitney
- Watson, J.D., Harvard Univ
- Wescoe, W.C., Winthrop Laboratories
- Nih
- Author
- Culliton, B.J.
- Box
- 195
- UCSF Legacy ID
- okr4aa00
Document Images
. ..'M ~ . . S. f
research Is a complex operation. involv-
ing eontinuing interaction and feedback,
and is not a simple, orderly process of
transmitting infonmatlon from one place
to another.
Nev York 109D). IAe netmnat ror rataA
weat~tad. D.Q, f9Tq) ateo eeub arot onb
ndnesees md Nohr
1. US. Deparunent of Commeroe. TeeJwelogroal
rnnoraNon: Ju Eovtronmter mW Mmwrtes<nr
(Govemm6nt PrintWa ONoe. warLinaton.
D.C., 1967)
2 National Arademy of bdenxs, .(ppaed Re-
atarb aed Teebnologkd Progrere (tiovero-
rneat PrinUng o111t e, wasLiugtoo. D.C., 1967).
1 H. Genhinowas, Seleen 172. 514 (1971).
4. -. Amer. Sd. 45. 24 (19Sa).
3. Ib1s (c, of ovurse, a very almpthdc ptcoue.
To a oomaidetable esuot, tsoaexr, the 9ea
point of view Is held by the Bdvocates of
garden eities, such as the Brttfsh "new ,osas;'
oed permeates 1. Mcl(ag's Deeyn with No-
ooe (American Muxom of Natural tTlstory.
NBW8 AND OOMMHNT
dmtlry of po{hdmhn /o dtla ond tovas b eLe, tpW>k 9odtbaM aui !p more aIDrral
von presented pT w. H WbTn t>~ ~ . troblem of bow to m rtdeareh ft Volots
t-drcope (DoubkAq, New Yortc, t966)). A oot: "7Ue tdea of (k1d teadna sodsl odenoe
oomprebn!asive and laramtrae rxttlqne of mwt t~T(othere+ 8 amt ya atdslT atneptod br
or ux acLooL of ttt0~ eodolop b ahm by dtqa at~n or polHy matee. Yet
L. nelmmn, The urb'mn Prnorn (Pree Pters, there ts a m>ilaon trtembn of aaoeesdut
New Yora, 1964). apDtled soklal adema «ewes an a rarge
6 6. Hardin, Sdena lat, 1243 (1969). em)e, eod the oasbog of-eooid typothaa, to
7. Teo rxomt raporo aamfae and ewloatc ooma mame (t tanposs8le b dsaY ttts po0eodal %aiue
apedac easnap1es of dpptled reuare3 /a else or aorb w6rk" (p. 29). Amott+er NAS ropon
aodsl ademw. tbe Arst (pofkr end hosrmrr to Ee publWd to 1971 b t>se "btaW wnfer.
Rasmoq6 pi a VrtaMeAPY Stamg, A Cm mqe on eeseareb etrauda to lba beeaNoral
Srudr (Nauout Asademy of Fdmoet, wasb aad oodat edaoa on oo.Loammtd prot*
iagtoo. D.C. 1971)) eRamicw eLe wottr daos . lenh aod 6olldn "'Ibb aordteraae was held
(or the O®ce of Feona®le OppornmltT py onder tlse )olot awydaa of tae bbldm of
rae InssUnue for Reseerch on Po.ertr at the BeLa.lorN ndenaes of 1lre rylaneoal ilesearea
!ld.atity or wbwqtie. It emWden pat caused iad ee 6a.feoameaW stndier
onlr ua spedae Issu¢, tme dtsames, mare - BoMrd of 1te Nationat Aeademl of tidrates-
tuoadly tLro I have !n thb ntletq the prob. Nattonal AKademr of Botdooatog.
kms Invot.ed In asina emlrennribated tmtl- S. A. wdn0ecg, BeiL At. Sd. sd4(t966).
emes as ireaavlorat ~ esaeanch aaou.rm L Eor a mme oompkta dteiesslm of tLe oom
for missSon arendes. 'rbe eecoad teport t8r pksity of , aaviroameotal (~tol1lt~, tet H
hantnrd m,d Sodd S'ctrnct RettarrA Ar Uu aenhlnosra; fa FattroarmNUrt Qrmtl4 d
Dtparm,~eor o) D.Jmr.ke: A Femet.ork Jot So1tq (Aiadrmte Pwrs, Nav Yottt, 1972),
)uo,wgement (National Aadtav ot Sdeaeer rol. 1. OP. 14k.
>
:3.-;. ,
--
, . .'Y . ~:-_}.... ~~~~ 4..
ever, all the key playera 6ave been east
--or will be as 'aoon as the appoint-
ment of Frank J. Rauachbr, lr., as Ba
ker's anaccssior ih ot8oialky announced.
The gaipt; In the for® of the Na
tlonal Cancer Pltut, -whit:h will detail
the ways to apead We masey, is tneariy
completed ~ ;. . ;,,1.. . ;+s.tr%
An essential feature of tlte tmw can
car act Is the direct tie it crteates teWeen
National Can. er Act: Deciding
on People, Policies, and Plans
During the last year and a half, ari-
enNats and politicians have been busy
fightia'g over and bragging about the
new, official U.S. commitment to the
conquest of cancer. On 23 December
1971, President Nixon signed iato law
th: National Cancer Act, which en-
dows the National Cancer Institute
(NCI) with privileged status and $1.6
billion to spend in the course of the
next 5 years.
Intermingled with lavish and optimis-
tic words of praise for this new enter-
prise is the often repeated caveat that
biortedical research is a notoriously un-
certain undertaking, that even the im-
primatur of the White House and all
that money cannot guarantee success.
Be that as it may, no one, ir.cluding the
most sophisticated scientist, is going in-
to this without some expectation of tan-
gible results, and, among the public,
expectations are great indeed. Consider,
for example, an exchange between B,ep-
resentative Daniel Flood (D-Pa.),
chairman of the House Committee on
Appropriations' subcommittee on la-
bor, health, education, and welfare, and
Carl Baker, outgoing director of the
NCI.
Pl.ooD: Every time the phone riogs,
I expect to pick it up ac ' have you tell
me that we have broken through in
cancer virus [research).
lsb
Baena: I don't think It happens as a- the NCI end the )iYhite d*ottsa 7he
breakthrough like that. law provides for a strtlcttlral rnolgani
or again ration that makea tLs director of the
ta.oon: What day are you going to NCI raspostisible to the PtesIdent-nol
tell us, what month and year, "Hete, to the Secretarg of Health, Educetion,
Hallelujah," as you have done with and Welfare (HEW) or to lhe head of
polio and measles? slte National Insti.`utes of 1liealth (NIH),
nAKna: I don't think it is going to as before. ,BotL the Seaxetaty of HEW
come that way and the NIH director have thus lost
To be sure, Flood's questions reflect control of the NCI budget Under the
a simplistic view of the cancer prob- new provision, they may comment on
1em, but, just as surely, they represent the budget; but neither IIday change It
the thinking of many members of Con- by so mtr:h as a comaia. It will go
gress and the public. His notion that straight from Rauscher's desk to the
we are on the verge of a breakttiro ugb Psesident. .';,, ,. ;#~
in cancer research is, one must admit, Another direct line to the White
not something be made up out of whole Hotlse has been opened by the creation
cloth. It is logically derived from the of the National Cancer I'aael, a ttittm-
special pleading and hoo-ha that has viraus of one la)imn and hwo scientists,
attended the passage of what was billed to ov" ahe csotitu dopetetion of the
earlier as a "cancer cure program " NCI, reporting any bureaucratic quag.
Cure or not, everyone is impatient for mires to preaident3al advisers Ken Cole
something to happen. and James Cavanaugh, and, if need be,
In this atmosphere of great expecta- to Nixon himself. "The Paesident," says
tions, the cancer effort must get off the Cavanaugh, "wants to be sure that this
ground-soon. In December, Nixoa cancer effort dooa not bcoo®e tangled
declared, "With the enactment of the in red tape. We - plan to follow its ac-
National Cancer Act, the major com- /ivities fairly closely." (Tbfs being so,
ponents for our campaign against can-' a number of itleeatCheis have
cer atr in place and ready to move catptesmd fear tbs~ V*Mam may be
fotward." The President was a bit pre- .too eatrxfttlly, On high,
mature. What he had was an outline, '; but, as yet; 'It ~ia say ttdttther
but neither the characters nor the ccdpt this wlll.>be'IDreti~~t~'-L,
for the anticaacer drama. Now, bow :mF 43enno C1 Scbmidte who Whinall,}r sd-
,~.., .

managembnt, Is potentially well auiteA
to measuring the effleeta of innovation.
Third, within the city council (or
equivalent body) and within the admin-
istrative structure of the mayor's office,
there am frequent opportunities for
those whose intercsts or responsibilities
are affected by innovations to converse
with each other.
A public authority ch as the New
York Port Authority o e Tennesseis
Valley Authority is niso to lana
~~ation, but in a different w frotn a
municipality. It has clearly a
area of rssponsibility, but usually
broad powers to maece changes in oon=
tingent areas: These powets are some
times usecl brutally, but it is p~siblc
to have wise and intelligent oooperation
between the authority and the citizens
who ate affected by Its activities. The
freedom of many public authorities
from political pressures and the large
funds available to them enable tdtem to
be dramatically innovative on ooca-
sion.
A P{lot Piroblent-0ttented lLaboratory
I have implied that one result of
applied research might be a change in
t4.e planning agency's mode of opera-
tion or even in its organization, in
order to use effectively the results of
research. This is atlother reason that
the first institutions for the application
of sesearch to society's problems should
be small. What I am proposing is in
itself an experiment. It should be re-
garded as a pilot plant for the design
of bigger efforts. The success of one
or more of a series of small ex-
periments could even bring about the,
creation of political and sociologic
environments or institutions
would bring problems which t
acend municipal or regional bo ries
uc~der centralized or oootdinated Ian-
ning and control, thus maiking ssible
the application of research such
problems. Even in industry e most
successful research lab~rato es started
as experiments. They did no spring full
grown from the head of whatever god
represents corporate mauagemmit. They
grew in size and developed in structure
in response to the demands on them
and as the organizations sponsoring the
research were tllomxlves reshaped in
response to their responsibilities.
One of the most Important results
of a program to apply research to pub-
lic problems may be the clear de.flni-
tion of what modifications of laws and
20 APRIL 10r2
institutions are essential to progresa. In undetfakea to asz ii t~e cdpks and
oider to achieve this kinrd of t=dt, organizations that have prtwen eo suc-
the Interaction among stgplied research, oeasfut ib indusMal md'imMiasy edi-
administration, and pobcy-tnaldng etux and tecL'nology .:ae usefiul for the
should be ciose and oont(ouous. 'Ibis
is a relationship difficult to maintain
when the applied research is doae In
a university or in a think tank. There
ls still another reason, perhaps mea
moro important, for having the applied
nesearch an integral part of the organi-
zation that is to use the research. A
sigr.ificant element in the motivation of
an applied research group i$ the realita-
tion of achievement. The Wnds of re-
search needed to provide the &nowledge
r probiemrsolving are not always
that are in vogue in mmcademic c3r
findividual engagetd in teaeatch
yersity looks to his peers tor
and their acceptance of
iScantly oontribnting
is an important
um
mm
wa/ia .[an aw.vu-
has a audi-
e t, partlou-
yi~n9-
audienoe
audi-
the
ate pa his way
to benefit m his~
that what he oiog
is being
is important to the
search wo
er. Workers in iindustrial
ratories who have a sllb-
atnount of freedom of choice
projects, as well as ample facili-
often feel uneasy and out of place
if they cannot see the relevance of
at they are doing to the objectives
the organization that employs them.
In spite of a tendency to regard ioduu-
trial research workers as mercenaries, a
very high peroentage of them are in-
spired by the commercial activities and
stated objectives of their employers-
there are geologists sincerely interested
in finding more oil; organic chemists
in developicg better plastim, fibers or
antibiotics; and biologists in increasing
yields of crops. When a commercial ob-
jective is coupled with a problem that
poses a real scientific challenge, the re-
sult Is highly motivated research. When
he is a member o: the team, the re-
searcher realizes that good results in
his own activity willl be recognized and
used and will benefit hial. If he is a
member of a consulting 8am or of a
university faculty, he will not usually
have that kind of feeling.
If there is eny merit in the argumenta
I have put fortb, it seems to me that
one or more experiments dlould be
~
0
~
e
. ; ~:
~ 4
1~'
also
as
th
des.
in a
approval;
work as
their ICnowi
tive.
The individ
otiented inatitutt
ence. To a oorsider
larly If his work Is
search, be still has
of academia. But h
ence of tirose w,
and who ex
worlw The f~
searcb
stanti
in
t?re+mss.
f-oriientcd re-
al,libd to
tod witbM t1re re-
the grpblam
part of tiho {moibiem.
srtep, it would be de-
ttp a Sudy teatn to
$ites and problems. The
of the team sporold dbpend
of the aroa to be sdMied.
sho,uld probably be aompe.
industnial research meoagabdcnt,
reting, political aoteaoq, eaoatlwn-
sociology. psycbology, and eooiogy.
This tearid would be ehatged with re-.
formulating the problems foasa common
language,into professional jargon. A
team wonking with a oamoeon ob3ective
finds little di116culty in oommttnication.
Faa:-torface discussion gtoatly Qadii.-
tetes mutual uadeistandiog 'ibe func-
tion of the industrial rsaearrh director
would be to provide dtddanoe that
would permit the team to design pro-
grams afiplicable to more than one
situation or geographical atm and, in
addition, to design .the orgaoiza-
tion in such a way that continuity of
effort over a tong tlme ootlid be as-
suted. This continuity would require a
balance edf ehott-range ttttd long-range
ems, In order to give both re-
and users of research a sense
allebge and an early sense of
L
Tbe teeW
oped for the
science to
standiosiy su
applying them or
both the ghysical
in order to bene8t
this, it will bo a
irther po]itidans,
research workers in a maro'ar that en-
caurages their interaction and mopera-
tion. Thero Is no magic formula for
accomplishing this. 'Ibe aaeibods that
have been successful at+o ate divetse as
the coqporations or ~on-oniestted
agendes In which they hava ibeen nsed.
The successful methods altt gtrobably
be as diverse as the gav tc and
other soclepolltical t~ea
use of tbem. T'he
the reoogtdti'.oRa that tie mpplicallan W
that have been devel-
on of physieal
ogy have been out-
It seems worth
their , analogts to
social sciences
To do
to bring to-
rs, and

' vocarted taking the NCI out of NIH
and building the cancer attack around
an independent agency, heads the panel.
He is managing partner of J. H. VVbit-
ney and Company, a New York pri-
vate venture capital firm that backs de-
veloping, high risk businesses with
money put up by the partners. (A aum-
ber mf years ago, for example, the com-
pany gambled-and won-on an inves-
meat in the Minute Maid Corporation.)
Schtriidt, who has told NCI ofiiciels
that when he comes to Washingtan be
wants to hear about what is wrong, not
about what is going swimmingly, aided
in the selection of R. Lee Clark and
RobPrt A. Good as the scientific repre-
sentatives on the panel of three. Clark,
president of the University of Texas
M. D. Anderson Hospital and Tumor
Institut.e, is a surgeon better knowm for
his ptactice of administrative medicine.
Under his tenure, M. D. Anderson
emer$ed as a cancer center in this
country. Good, on the other hand,
is a scientist (immunologist) and doc-
tor (pediatrician) from the Universty
of Minnesota Medical School, who is
just now trying his hand at big-time ad-
ministration. Last month he accepted
the directorship of the Sloan-Kettering
Institute for Cancer Research in New
York, an outfit that is reputedly much
in need of administrative ironing out.
(Notorious for his habit of canceling
out of meetings at the last minute, Good
promised a better attendance record
when he accepted the position on the
panel.)
While the panel advises the President,
the National Cancer Advisory Board
will advise the chief of the NCI. Cut-
rently, the board is a 26member body
that will be whittled down to 18 as the
terms of persons who are serving out
their appointments to the old Cancer
Advisory Council expire.` Everybody
in this cancer hierarchy was selected
by the Whitc House.
It is already clear that the panel will
have a major say in what goes on. By
law, it must meet once a month at a
session that is to be transcribed and
made part of the public record. It may
'rhe new board contius or t?rank J, Dison,
)ohn R. Hogness, Jonathan E. Rhoads, Hoa-
atd E. Skippet, Lauranre S. Rockerevet, W.
Clarke Wescoe (6year termsl: Harold Amos.
Elmee sobs4 Sidney Farbet, Donald E. lohnton.
irvinr Af. London, (ierald P. Murphv (4-year
terms); and Mary t.aaker, Harold P. Rusch,
Wendell O. Seott. Fetderick Selu, Sol Spleael-
man, lanua D, Waaon (2year terms).
Council enembers MAo will aerve on ahe board
untll theit eurrent apDbintmellta eaplte are:
Arnnld L. arown, James S. Ollmore, Jr., lohn
R. ttanmann, Leon O. Jacobson, Kcnncth i.
Krablxnhort, William W. Stdngletoa, Ptillippc
Shubik. Danny 7Totnas
26 APRIL 1972
~z-
J~
e
f
meet more often. The baard must otm- Then, thmattetlVCI dire!ctorsbip
vene four times a year to advise the bad to be. resolved. From the begin-
director. Board members are still ning, it was widely assumed that t;ooaer
unclear about what their futtction will or later Carf Bakes; would be replaced.
be. Most observets betted on llnter, even
Their first meeting in mid-March though lists of potential candidates for
has been charaeteiuted as °an intvo- his job were dreuiatiag among White
ductory, getting acquainted session," a House aRiciala at least as eaciy as last
"circus," and an "outright disaster." In fall. $ut by winter, most eantxk scientists
the first place, a consentws of members had come to the conclusion tilpt Baker
is that they themselves think the board' would' remain in office tlkrougttout the
a bit large as it stands. Add to that the first year of the prrogratn. 3'he White
fact that at the Srst meeting t3t:ey tried House, however, has dbcidedl It wants
to conduct business ia a room jammed _ a change now.
with more than 10D observers, and Carl Baker, itead of the NCI for the
you have what one member oalled last 3 yeats, and a long4ime, NCI ad-
"chaos." "How we can be expected to ministrator, has not endeared himself to
carry on frank discussions in a cotkvea- White House figures and ba$ slowly
tioa-like atmosphere is beyond me," he been losing ground with the scientific
said. W. Ciarke Wescoe, president of community, which never adqniped him
Winthrop Laboratories in New York, as an investigator but found bim ac-
proposed that the cancer board clear ceptable as an administrator. Baker, an
the room and meet in executive session. unpolished man who projects a poor
Finally, it did. image, has lately been criticizdd for his
What many members describe as an failure to liaten; be sometimeE speaks
endless string of reports from NCI in non sequiturs because he has not
staff members touting the activities of beard what was aaid to him. His a1-
ahe institute was anniher source of con- leged railroading tactics with his ad-
siderable irritation. Clearly, the mem- visory council have come under attack,
bers of this board, headed by Philadel- 'a well as bis attitude that ft ie best to
phia surgeon Jonathan Rhoads. who get on with the show and not dawdle
was named its chairman by the Presi- around getting advice from e11 tddes, He
dent, do not intend to be talked at; nor admits he finds the peer review system
do they plan to be a rubber atamp of a waste of time, an Inconvenience that
the NCI management as the former delays grant giving and takes the en-
Cancer Advisotry Council has been ac- etgies of "a lot of senior people who
cust,d of being. But just how they will should be doing other t3tings." And yet
go about the business of effectively in- this aame man says. "We have been
fluencing policy remains uncetta.in. acxused. I understand, ol; too much
They next assemble during the third planning and too iitfie Implementing.
week in June. We think ft wUte to ftl _" wbat It is
-
The panel appointments were oom- dtat ae are trying to ,f1o:
t pleted by the end of January; tlhose to launch oa 3be spendiaig."
the board were made by early #tanch. , stalted Qa»grest for.-$430Q~WII1inn fe;r

.t . :a, r' ~C a .='.~f".~.~ ~ I T' :
i
fiscal year 1973, e~ien though the can-
cer act itself places the oeilung for the
fiscal year at $53r) million. Asked
whether the additional $100 million
could be wise!y spent if alloc.ated, Baker
told a House appnopriations dteating that
it could. Why, tLen, he didn't ask for It in
the first place is something of a mystery.
In a sense, a host of things, many of
them txntering around matters of per-
sonality, have conspired to force Baker's
ouster. It appears that there is no sin-
gle, fatal faux pas that can be held
against him.
By iate March it was known among
members of the inner circle that Frank
Rauscher had been tapped for Baker's
job, and by mid-April it was fairly
widely known, although the White
House has yet to make an official an-
nouncement Meanwhile, the cancer
community is half-functioning in limbo
while waiting for the change of com-
mand, and Rauseher is trying to estab-
fish the new order as best he can in
the a>9sence of the authority that has
`
.. _i. 'i,..~"
atill to be transfemed. The selection of taien who $guted iri-titc 6ho of whst
Rauscher was made by the VVhite would everitually.:~beoonae ;dho multi-
House and Schmidt. Clark and Good million dollar Spec3al Vjjkua Cancer
concurred. Nobody else's approval drea
formally sought although a few board
me+nbers were polled privately.
Rauseber. 41, Is a native of Helier-
, town, Pennsylvania. A Ph.D. graduate
of Rutgers, he ia one of a long line of
tumor vImlogists who ntudied under
Vincent C3roupr, one of the piotteers In
that field. He came to the NCI in 19,59,
secured his soienttflc reputation in 1962
with the discovery of the Rauscher
virus, which induces tumors in anini.als
(he says the discovery was a combi¢ia-
tion of "what I like to think was good
virology plus a good deal of luck"),
and moved into administration in 1964.
It was then that Congress appropriarted
$10 million for research on ean=
viruses-the first large sum so ear-
marked--ar+d Kenneth Endioott, who
was then the head of NCI, asked
Rauscher to help in drawing up the
initial research plan. The other two
NSF Official Resigns as Job Sinks
The Administration policy of reducing the national output of scientists
has squeezed an assistant director of the National Science Foundation
(NSF) out of office, the second to resign within the last 8 months. Louis
Levin, NSF assistant director for Institutional programs, said in a letter
last week to President Nixon that the program he headed had been
substantially phased out and he thought it proper to resign.
The NSF assistant director for education, Uoyd Ci. Hurcphreys, quit
lost Sept.-mber in protest against a decision by the Office of Management
and Budget to withhold $30 million from the funds appropriated by
Congress for the NSF's education support programs (Science, 17 Sep-
tember 1971). Levin, who has been with the NSF for 20 years, told
Science he is not resigning in pique, but ximply because of the shrinkage
of the programs under him, from a high point of 380 million in 1967
to $12 million tcquested in next years budget. The decline, Levin notes,
started during the previous Administration.
The institutional support programs of the NSF were used, in part, as
a kind of slush fund to fill the chinks between more categorical programs.
Some funds could be used at the discretion of the institutions concerned,
while others were assigned to building and improving the quality of
instruction and research. The program was particularly important during
the period of university expansion.
Levin is remaining with the NSF as an assistant to the director. Hie
duties will include "sponsoring of research on the ethical and human
value implications of science." The NSF will not attempt to lay down
guidelines, but simpi;r to encourage research that `illuminates the issues"
and provides a basis for Cecision-making, Levin said.
The assistant directorship Levin vacates will presumably be allocated
to some more fashionable NSF activity than institutional support, such
as the fast arowing RANN (research applied to national needs) program,
for which there is $80 million in next years budget, or the experimental
R & D incentives program, a new S22-million venture designed to en-
courage industrial investanent in R& D.--N.W.
L!8B
Pmgram (SVCP) were 'Bairer and
Louis Carreae, now'vits id Baioer'a top
aides. "Witbin 6 moatbm," Bauscber
neca116, ''thd program trag off and rua
tning, and I had to 'deddle vrheether to
stay with it or retunn to the /ab. It wa,s
then that I dhose to go inAo admirtistre,-
tion:' The SVCP has beea off and run-
ning ever since. Today it iaahe financial
and organi:ational backbone of cancer
virus reseaech in this eoAmtry, one af
the few examples of a pmgrammed,
targeted research ei#ort, and one of the
mote oontroversisl pnograms around
(tst+e Scienee, 24 Dea, g9'71).=
Rattscher;, Itvnically:'wadt on to fo1,
low in Baitex'a ~a footsteps,
becoming sdeati@c dirs+etdr for etiobo
in 1969, wben Bater succeeded F.ndi-
cott. Both Itadioott and Iitaloer are aai$
to have ptedicted that Rauscher would
oaa day head the insudtDt". ~~°+ °
Ilttle kabwn vattde trhb'IVortd af
r,anoer etioldegy, Rattscher, is widely re-
gatded by his pews as a fair and intelfi-
geat man. By and lnrge, tmord of his
promotion has been warmly received
within the P1CI, where even those staff
' scientists who ats lese tbaa vnthus{aatip
about the choice say tDstltlte.ie "tial-
anoed." "eerteinly closer to science
than Baker," and '®n esrcntially boaeat
person." From the outside, tbere has
been Iktle tttspoase. Baker has received
some calls frotn physicians protesting
the fact that Rauscher is not an M.L:,
but they reportedly have come fnom
individunls, not g<+ottpsi and qnyway it
is generally thought that the objection
6as no valid basia. ' ' ' -
Many members of ti:e board, wben
asked for their teaction, pointed out
that they knesv 8atreeber only slightly
but, as one aomnaented, "Y like what
ive ta:ea." I;is performance at the first
board msedng impsessed Mnet of Its
members. (A few months ago, he made
a ®imdle:ly tiavo.mbte ,ita>pzagon on
Richard Nixon during ceremonies
markiog the oonveta3on of +Maryland's
Fort Detrick from a chemical and bio-
logicat warfate VeMer 4!%,et,dantxr-
researeh facility.) ,x. . , .
Rauscber hns tbe' tacit approval of
many board tmmbeta and the active
astpport of otben. Of those'oontected by
Selence, ~Ty pteon of
Hatvard t~nioe8 '~ teegatto~ti opinion,
saying, "it Is a very ~tpgoittt-
tatent, a very, tad ani<, ve tto
further eomment" of itatucbar"a~~~ ~r a
..rj.~~.
t

0
~ spokesmaa for Representative Paul
Rogery (D-Fla.) who was instru-
mental in teeing the cancer legislation
through the House in its present form.
"Usually." he said, "once a rumor of
an appointment is as widespread as this
now is, we begin to bear from a man's
enemies. They seem to come crawling
out of the woodwork. On this one, we
haven't heard a thing."
One of Rauscher's toughest jobs dur-
ing the next few months will be to clean
house at the NCI itself. Inevitably, that
means he will have to get rid of some
of his friends who have worked with
him for years at the administrative
levels of the institute. Such bloodletting
won't be easy but is seen by both board
members and persons close to the White
House as an important test of his ability
to lead well. "The NCI is full of people
who are not up to running a program
of this magnitude," one board member
says. "The issue is whether Rauscher Is
up to rooting them out."
In spite of his ties to cancer virology,
Rauscher is not as singlee-minded an
advocate of this approach as many
people assume. "I think I may surprise
some of my friends in basic research: '
.he said recently, while talking about
the areas he feels need new emphasis
in the cancer war. He noted, as he has
often in the past, that too little atten-
tion Is being paid to environmental
carcinogens, particularly in light of
demographic data that suggest that a
significant percentage of human can-
cers are caused or triggered by environ-
mental factors. Immunology, in his
view (which he says is shared by
Good), is "ripe for exploitation, but
not for wide application In man."
While fundamental cancer. research
plows ahead, Rauscher would like to
see more action in the area of cancer
control, a catch-all phrase that refers to
programs for early diagnosis (Pap
stnears, mammography for bneast can-
cer, and so forth), new techniques for
early detection (identification of anti-
bodies to cancer antigenr, for example),
and education of both the public and
thL medical community.
Here. Rauscher and Baker disagree
on just what cancer control means. Al-
though throughout his tenure as direc-
tor, Baker argued tenaciously that re-
search should be geared to solving the
human cancer problem, and talked
about putting new tools in the hands
of the physician, he balked at the idea
of liberally interpreting the section of
the National Canccr Act that deals with
cancer control programs. The act does
enjoin the NCI from spending funds
for routine pt'tieat care, and Baker has
contended that cancer control can be
equated with patient cpre. Others
strcwgly disagree. They want cancer
control jprograms because they see them
as a way of doing something about
cancer now. "They," in this case, is a
mixed group of persons that includes
Rogers, who insisted that eanoer con
trol be written into the legislation, the
Presidemt and his aides, the American
Cancer Society, and Frank Rauscher.
(Let it be said in all fairness that
Rauscher consistently has wanted more
programis aimed at doing what we can
about cancer right away. Cancer con-
trol is not something he has just dis-
oovered)
Cancer
control was originally a
POtNr oP vIsiW
. Eirnction of NCL ZLe pnogra;n was
dropped in 1964, and tranafertod to the
Bureau of State Services. Them Is some
e teluctanoe within NIH -to t3ce tt n.in-
atated because of its implications to
other iostitutes. , ...
Nevert2seless, cancer control is com-
ing back into operation. The act puts
a eeiling of $30 million on cancer eon-
trol programs for 6scal 1973, raising
the upper limit tm $40 million bjr 6scal
1974. (dn the appropriations tequests
Baker submitted for fiscal 1973, he asks
only 54 million for control.)
Rauscher, however, says he Is deter-
mined to get some useful cancer control
programs going. By way of example,
he points out that defunct pmgrnms to
aereea lr,rge numbers of women for
cervic9l cancer should be rejuvenated-
Cancer Research: Youth and Superstars
Younk btology researdiers should hasten to grub a diare oJ tIu new ntoney
being poured into cancer n,manc6 and the 1Vattonal Caneer IttatUrtte (NCl),
which o'rherwise wUl serve only to bolsrer still gnore tAte egoa of tlse fksrrrent
superstars on the cancer scene." Tbfs ta the word set forth by James D. iYataon,
proJessor of btology at Harvard and author of The Double HeliY, in a provoeative
essay on, ~vtrcer research strategy pttblfshed in the New Republic (Z6 Febraary
1972). Wctson warns agotnat the ereattoa of 9ntgr establfsl»xetus wJtli all tJte
power closely controlled by superstars wJw daily direct their Ph.D. ndntmsa to do
this or that pta-Ncular experitnent.' Anaread, Jre advaaates J.re-atyle irtaraidt groups
in which younger arfentists shouid play a dominaea role. Walson fs a number o;
the nswly created National Cancer Advisory Boanrf.
Even if tbe NCI bureaucracy upon the advice of its advisory committees
decides to back the formation of exciting new labs for fundamental entmai oell
biology, they are unlikely to know how to move. We must semember that until
very recently most creative scientists avoided "cancer rest:arch" as if it were the
plague. They smelled an imposgible task and did not want to enter an intellectual
graveyard. Now there does not exist a confident body of senior canoer workers
who; armed by p.=.,st sutxess have much feeling for what the fntune may bring.
The scientists who probably have the best ideas as to which experiments make
sense and how they should be accomplished are individuals in their late twenties
or early thirties. But on the whole, they have been brought up to face a world
not only where the real power is held by their eldets, but where common sense
says to stick closely to the lab beneh and grind out enough real science so that
tenure will come; then they can stop worrying whether they can do science. At
their age it is all too easy to equate committee membership with pnm,atur+e
stuftiness and a secret desire to let one's stuc.ents and postdocs do all the n6ght
work. . . .
They must realize, however, that at this critical moment, there is no organir.ed
or even disorganized group of wise dtdsionmakers who will map vut their
science. The only predictable object above them is the bag of free money that
our nation's people want well spent. It is much too big to sit unused for any
period and very likely will fall upon those who ask for it 8tst. So if our better
younger biologists get together and quickly ask to set up eaxible-tmd i8oitbitghori.
tarian new departments (institutes) the financial wherewithal can be found.wi)Wn
the NCI and eventually the universities to let such bodies tiom0~t4 en~e:
But if they timorously sit back, the current superstars on the ~
get even nsore rtoncy to bolster titki* egos.
2a APwu. tott

1
)C
_ ., ,..._.
Great Lakes Water Treaty Signed
President Nixon and Canadian Prime Minister Pierre Trudeau on 15
April signed the Great Lakes Water Quality Agrceenent, the 8rat pact
between two nations designed to protect and resuscitate a shared en-
vironmental resource. The agreement follows 6 years of study by the
lnternational Joint Corhnvssiod (IJC), a body set up in 1909 to deSne
the two cwuntries' rights and iesponsibilities over the Great I.akes, aad
2 years of detailed negotiations over mutual water quality goals.
The signing of the agreement coincides with the beginning of the
International Field Year for the Great Lakes, which features a detailed
analysis of Lake Ontario being conducted by the National Oceanic and
Atmospheric Administratnon.
The Great Lakes c.atnprise the world's most extensive bodies of fresh
water and account for 20 percent of the fresh water In the lakes and
rivers of the earth. Same 37 million people inhabit their shoraa, and
this number is expected to double by the end of the century.
The agreement calls for dramatic reductions in the pollution of Lake
Erie, Lake Ontario, add the internatlonal portion of the St. Laatienoe
Seaway, as well as for preventive maintenance to forestall the decline
of Lakes Huron and Superior. Lake Michigan, which is encompassed by
U.S. land, is omitted from the agreement.
El:olbglcal Fr+eedoms Defined
The pact holds that the lakes have a right to five freedoms: from
toxic substances, nutrient overloading, oil, sludge, and noxious colors
and odors. It spells out in tortuous detail the exact levels of filth and
poison that will ultimalely be deemed acceptable and calls for a Joint
Contingency Plan to deal with oil spills. All the programs must be
cither implemented or n route to implementation by the end of 1975.
The agreemeot calls or no new money or legislation from the United
States, although its faic~]itatioa will rely heavily on the new water
quality bill, which is dew wallowing in House-.Senate conference with
no compromise version in sight. The United States is expected to put
about $3 billion into (areat Lakes water quality over tite' next 5 years.
Some $2 billion will come from federal, state, and local sources for
municipal waste treatment; $700 million to $1 billion is what indusrry
is expected to put inUb waste treatment and reeycting facilities. The
Canadian expenditure over the same period will be around $400 miWon.
'Ibe only controversisll part ot the agreemenc seems to be the matter
of detergent phosphater,, which contribute heavily to eutropbication, the
chief pollution problem in the two lower lakes. Canada has ordered the
proportion of phosphates in detergents down from 20 percent to 5 per-
cent by the end of the year. and ultimately to 2.2 percent. Tfte United
States. In view o4 the j`act that no viable alternative to phosphates has
been found. is leaving the matter to local discretion and is concenurating
on the construction of treatment plants. The agreement envisages that
phosphorous loadings into Lake Erie should go down from 32.000 tons
this year to 16,000 in 1976, but conservationists say that eliminating
phosphates could bring the 1976 iaput down to 11,000 tons.
The IJC has been irostructed to form a Great Lakes Water Quality
Board which will have tept+esentatives from all the eight states and two
provinces affected by the agreement. The commission will be given money
to set up a new office somewhere in the Great Lakes Basin, and has
been assigned the tasks bf monitoring the cleanup, issuing annual reports
on progress, and recommending adjustments En the agteement. It will
have no enforcement powers, but the high-level nature of the pact is
expected to supply motiwation Sesides, Environmental Protection Agency
Director William Ruckelshaus says the United States now has a"sofemn
commitment" to keeping the lakes alive and pure.--C.H.
sso
fi6,000 - women wM i11B10~ t~at tumor
J this year. aU lntiodlewulyy--and that
g!sater eNorts shotdld be lntuIttrted to
f
get lnformat<on abbut the benefits o
aggressive chemotherapy in certain
aanoers. enrat as ledtkemia, out of the
major centers and iaoo the .practioe of
medicine at large.
How the Nattonal Gtsncer Ac,t, which
became effective only last Feb:uary, will
ultimately be implamented, how that
$1.6 billion plus srill eventually be de-
ployed, is something that, In theory at
least, will be decided in dstail, soon.
Whether the program can be conducted
efficiently, whether jt can be effectively
coordinated to get results, remains to
be seen. ,
An exerrise in raelonal planning was
initiated last winter by Baker, who con-
tracted with a local management firm
to atl4emb2e tbe Nai3oaal Cancer Plan.
The NCI appointed eame 2$0 investi-
gators to 41 panels, seut them at vari-
ous times to Airiie E',iottse, a conference
center outside Washington, to review
their fields and draw up plans for future
teseately and t6etoiy got for ttqelf
massive quantities of data emd a;900;
000 btll. Haker, many 41ose to the
project say. first saw fLe undertaking
, as a ploy to satiafy the gdenti8c com-
munity's desire to be heard. Ttie results
of their labors, howrever, .aerR in the
words of one NCI etaffer, "far more
valuable than any of us anticipated."
Said attother, "It showed that the in-
vestigauors broadly agree on what is
needed, and, by laying the problew out,
we've been able to see gaps in our
knowledge that have to be filled in
before we can ptvo®ed."
Copies of the teugh draft of the
National Qanoer Flan have beea circu-
labed among tbe matfon't scientists. The
plan is now being h+ened into shape by
the NCI nteff lnd by the chairmen of
-the 41 panels. An executive report of
the plan ahorold be available by late
May.
T6e challenge facing Rausctrer, the
panel, and the board is oue of taking
what, evenn in final form, will be a mass
of data reflecting thousends of indi-
vidual pieces of research and nzaking
some coherent sens,e of tt. Z4tey wW
have to lookk at all the bits and pieces
of knowledge we have about the malig-
>tant cell and, as Albert Sabin said not
4bag ago, 'boordinate them and attempt
either to derive meaningful pannns or
to delineate the gaps In onrc laowledge
which pravent. dbowyadwdsi rof inean-
ingful patterns." That Is noo mean tash.
~ana,to~ 1:~i~.troN
... =r~:.,~. ...._._..^- .~
0
