Monthly Archives: January 2011

New Report States Smoking and Obesity Shrink U.S. Lifespans

A new report released Tuesday says that the nation’s history of heavy smoking is a major reason why lifespans in the U.S. fall short of those in many other high-income nations, and evidence suggests that current obesity levels also play a substantial part. According to Explaining Divergent Levels of Longevity in High-Income Countries, three to five decades ago smoking was much more widespread in the U.S. than in Europe or Japan, and the health consequences are still playing out in today’s mortality rates. Smoking appears to be responsible for a good deal of the differences in life expectancy, especially for women. Obesity’s contribution to lagging life expectancies in the U.S. also appears to be significant. It may account for a fifth to a third of the shortfall in longevity in the U.S. compared to other nations. And if the obesity trend in the U.S. continues, it may offset the longevity improvements expected from reductions in smoking.

The Institute of Medicine has published a number of books that address the problem of smoking in our nation. The most recent, Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence addresses health effects of secondhand smoke. This book assesses the relationship between secondhand smoke exposure and acute coronary events. It also surveys critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events.

The health and well-being of children in the United States are threatened by the ever-increasing number and percentage who are overweight and obese—now at one in four children. Childhood and adolescent obesity has increased dramatically in just three decades. Obese children and adolescents are more likely to have hypertension, high cholesterol, and type 2 diabetes when they are young, and they also are more likely to be obese when they are adults. Local Government Actions to Prevent Childhood Obesity serves as a tool for local government officials and those who work in partnership with them to help in tackling the prevention of childhood obesity in their jurisdictions.

These books and others from the Institute of Medicine provide information, recommendations, and analysis to assist decision-makers.

Explaining Divergent Levels of Longevity in High-Income Countries Explaining Divergent Levels of Longevity in High-Income Countries

Over the last 25 years, life expectancy at age 50 in the U.S. has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the U.S. spends more on health care…
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Secondhand Smoke Exposure and Cardiovascular Effects Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence

Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other…
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Local Government Actions to Prevent Childhood Obesity Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…
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Combating Tobacco Use in Military and Veteran Populations Combating Tobacco Use in Military and Veteran Populations

The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to…
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Ending the Tobacco Problem Ending the Tobacco Problem: A Blueprint for the Nation

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a…
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Bridging the Evidence Gap in Obesity Prevention Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…
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Progress in Preventing Childhood Obesity Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…
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State of the Union Highlights

In Tuesday’s State of the Union address, the President touched on many important issues facing our country. To learn more about those issues, we are pleased to offer authoritative resources from the National Academies in the areas of public policy, science, engineering, and medicine.

Remarks of President Barack Obama in State of the Union Address

Mr. Speaker, Mr. Vice President, Members of Congress, distinguished guests, and fellow Americans:

Tonight I want to begin by congratulating the men and women of the 112th Congress, as well as your new Speaker, John Boehner. And as we mark this occasion, we are also mindful of the empty chair in this Chamber, and pray for the health of our colleague – and our friend – Gabby Giffords.

It’s no secret that those of us here tonight have had our differences over the last two years. The debates have been contentious; we have fought fiercely for our beliefs. And that’s a good thing. That’s what a robust democracy demands. That’s what helps set us apart as a nation.

But there’s a reason the tragedy in Tucson gave us pause. Amid all the noise and passions and rancor of our public debate, Tucson reminded us that no matter who we are or where we come from, each of us is a part of something greater – something more consequential than party or political preference.

We are part of the American family. We believe that in a country where every race and faith and point of view can be found, we are still bound together as one people; that we share common hopes and a common creed; that the dreams of a little girl in Tucson are not so different than those of our own children, and that they all deserve the chance to be fulfilled.

That, too, is what sets us apart as a nation.

Now, by itself, this simple recognition won’t usher in a new era of cooperation. What comes of this moment is up to us. What comes of this moment will be determined not by whether we can sit together tonight, but whether we can work together tomorrow.

I believe we can. I believe we must. That’s what the people who sent us here expect of us. With their votes, they’ve determined that governing will now be a shared responsibility between parties. New laws will only pass with support from Democrats and Republicans. We will move forward together, or not at all – for the challenges we face are bigger than party, and bigger than politics.

At stake right now is not who wins the next election – after all, we just had an election. At stake is whether new jobs and industries take root in this country, or somewhere else. It’s whether the hard work and industry of our people is rewarded. It’s whether we sustain the leadership that has made America not just a place on a map, but a light to the world.

Read about global competitiveness in…
Rising Above the Gathering Storm Rising Above the Gathering Storm, Revisited

We are poised for progress. Two years after the worst recession most of us have ever known, the stock market has come roaring back. Corporate profits are up. The economy is growing again.

But we have never measured progress by these yardsticks alone. We measure progress by the success of our people. By the jobs they can find and the quality of life those jobs offer. By the prospects of a small business owner who dreams of turning a good idea into a thriving enterprise. By the opportunities for a better life that we pass on to our children.

That’s the project the American people want us to work on. Together.

We did that in December. Thanks to the tax cuts we passed, Americans’ paychecks are a little bigger today. Every business can write off the full cost of the new investments they make this year. These steps, taken by Democrats and Republicans, will grow the economy and add to the more than one million private sector jobs created last year.

But we have more work to do. The steps we’ve taken over the last two years may have broken the back of this recession – but to win the future, we’ll need to take on challenges that have been decades in the making.

Many people watching tonight can probably remember a time when finding a good job meant showing up at a nearby factory or a business downtown. You didn’t always need a degree, and your competition was pretty much limited to your neighbors. If you worked hard, chances are you’d have a job for life, with a decent paycheck, good benefits, and the occasional promotion. Maybe you’d even have the pride of seeing your kids work at the same company.

That world has changed. And for many, the change has been painful. I’ve seen it in the shuttered windows of once booming factories, and the vacant storefronts of once busy Main Streets. I’ve heard it in the frustrations of Americans who’ve seen their paychecks dwindle or their jobs disappear – proud men and women who feel like the rules have been changed in the middle of the game.

They’re right. The rules have changed. In a single generation, revolutions in technology have transformed the way we live, work and do business. Steel mills that once needed 1,000 workers can now do the same work with 100. Today, just about any company can set up shop, hire workers, and sell their products wherever there’s an internet connection.

Meanwhile, nations like China and India realized that with some changes of their own, they could compete in this new world. And so they started educating their children earlier and longer, with greater emphasis on math and science. They’re investing in research and new technologies. Just recently, China became home to the world’s largest private solar research facility, and the world’s fastest computer.

Read about innovation in China and India in…
The Power of Renewables: Opportunities and Challenges for China and the United States The Dragon and the Elephant: Understanding the Development of Innovation Capacity in China and India

So yes, the world has changed. The competition for jobs is real. But this shouldn’t discourage us. It should challenge us. Remember – for all the hits we’ve taken these last few years, for all the naysayers predicting our decline, America still has the largest, most prosperous economy in the world. No workers are more productive than ours. No country has more successful companies, or grants more patents to inventors and entrepreneurs. We are home to the world’s best colleges and universities, where more students come to study than any other place on Earth.

What’s more, we are the first nation to be founded for the sake of an idea – the idea that each of us deserves the chance to shape our own destiny. That is why centuries of pioneers and immigrants have risked everything to come here. It’s why our students don’t just memorize equations, but answer questions like “What do you think of that idea? What would you change about the world? What do you want to be when you grow up?”

The future is ours to win. But to get there, we can’t just stand still. As Robert Kennedy told us, “The future is not a gift. It is an achievement.” Sustaining the American Dream has never been about standing pat. It has required each generation to sacrifice, and struggle, and meet the demands of a new age.

Now it’s our turn. We know what it takes to compete for the jobs and industries of our time. We need to out-innovate, out-educate, and out-build the rest of the world. We have to make America the best place on Earth to do business. We need to take responsibility for our deficit, and reform our government. That’s how our people will prosper. That’s how we’ll win the future. And tonight, I’d like to talk about how we get there.

The first step in winning the future is encouraging American innovation.

Read about encouraging American innovation in…
Innovation in Global Industries
Changing the Conversation

Rebuilding a Real Economy: Unleashing Engineering Innovation

None of us can predict with certainty what the next big industry will be, or where the new jobs will come from. Thirty years ago, we couldn’t know that something called the Internet would lead to an economic revolution. What we can do – what America does better than anyone – is spark the creativity and imagination of our people. We are the nation that put cars in driveways and computers in offices; the nation of Edison and the Wright brothers; of Google and Facebook. In America, innovation doesn’t just change our lives. It’s how we make a living.

Our free enterprise system is what drives innovation. But because it’s not always profitable for companies to invest in basic research, throughout history our government has provided cutting-edge scientists and inventors with the support that they need. That’s what planted the seeds for the Internet. That’s what helped make possible things like computer chips and GPS.

Just think of all the good jobs – from manufacturing to retail – that have come from those breakthroughs.

Half a century ago, when the Soviets beat us into space with the launch of a satellite called Sputnik¸ we had no idea how we’d beat them to the moon. The science wasn’t there yet. NASA didn’t even exist. But after investing in better research and education, we didn’t just surpass the Soviets; we unleashed a wave of innovation that created new industries and millions of new jobs.

Read about today’s priorities for NASA in…
New Worlds, New Horizons in Astronomy and Astrophysics

This is our generation’s Sputnik moment. Two years ago, I said that we needed to reach a level of research and development we haven’t seen since the height of the Space Race. In a few weeks, I will be sending a budget to Congress that helps us meet that goal. We’ll invest in biomedical research, information technology, and especially clean energy technology – an investment that will strengthen our security, protect our planet, and create countless new jobs for our people.

Read about investing in biomedical research, information technology, and clean energy technology in…
Funding Biomedical Research Programs
Assessing the Impacts of Changes in the Information Technology R&D Ecosystem: Retaining Leadership in an Increasingly Global Environment

Hidden Costs of Energy: Unpriced Consequences of Energy Production and Use

Already, we are seeing the promise of renewable energy. Robert and Gary Allen are brothers who run a small Michigan roofing company. After September 11th, they volunteered their best roofers to help repair the Pentagon. But half of their factory went unused, and the recession hit them hard.

Today, with the help of a government loan, that empty space is being used to manufacture solar shingles that are being sold all across the country. In Robert’s words, “We reinvented ourselves.”

That’s what Americans have done for over two hundred years: reinvented ourselves. And to spur on more success stories like the Allen Brothers, we’ve begun to reinvent our energy policy. We’re not just handing out money. We’re issuing a challenge. We’re telling America’s scientists and engineers that if they assemble teams of the best minds in their fields, and focus on the hardest problems in clean energy, we’ll fund the Apollo Projects of our time.

Read about reinventing our energy policy in…
America’s Energy Future

At the California Institute of Technology, they’re developing a way to turn sunlight and water into fuel for our cars. At Oak Ridge National Laboratory, they’re using supercomputers to get a lot more power out of our nuclear facilities. With more research and incentives, we can break our dependence on oil with biofuels, and become the first country to have 1 million electric vehicles on the road by 2015.

Read about biofuels and electric vehicles in…
Liquid Transportation Fuels from Coal and Biomass Transitions to Alternative Transportation Technologies–Plug-in Hybrid Electric Vehicles

We need to get behind this innovation. And to help pay for it, I’m asking Congress to eliminate the billions in taxpayer dollars we currently give to oil companies. I don’t know if you’ve noticed, but they’re doing just fine on their own. So instead of subsidizing yesterday’s energy, let’s invest in tomorrow’s.

Now, clean energy breakthroughs will only translate into clean energy jobs if businesses know there will be a market for what they’re selling. So tonight, I challenge you to join me in setting a new goal: by 2035, 80% of America’s electricity will come from clean energy sources. Some folks want wind and solar. Others want nuclear, clean coal, and natural gas. To meet this goal, we will need them all – and I urge Democrats and Republicans to work together to make it happen.

Read about our energy options in…

Real Prospects for Energy Efficiency in the United States

Electricity from Renewable Resources

Limiting the Magnitude of Future Climate Change

Maintaining our leadership in research and technology is crucial to America’s success. But if we want to win the future – if we want innovation to produce jobs in America and not overseas – then we also have to win the race to educate our kids.

Read about innovation in teaching in…

Surrounded by Science

Learning Science in Informal Environments

Learning Science Through Computer Games and Simulations (Prepublication)

Think about it. Over the next ten years, nearly half of all new jobs will require education that goes beyond a high school degree. And yet, as many as a quarter of our students aren’t even finishing high school. The quality of our math and science education lags behind many other nations. America has fallen to 9th in the proportion of young people with a college degree. And so the question is whether all of us – as citizens, and as parents – are willing to do what’s necessary to give every child a chance to succeed.

Read about the methods and importance of science and math education in…
Taking Science to School Ready, Set, SCIENCE!
Science Professionals: Master’s Education for a Competitive World Expanding Under-represented Minority Participation: America’s Science and Technology Talent at the Crossroads
(Prepublication)
How Students Learn Mathematics Learning in Early Childhood
Adding It Up: Helping Children Learn Mathematics

That responsibility begins not in our classrooms, but in our homes and communities. It’s family that first instills the love of learning in a child. Only parents can make sure the TV is turned off and homework gets done. We need to teach our kids that it’s not just the winner of the Super Bowl who deserves to be celebrated, but the winner of the science fair; that success is not a function of fame or PR, but of hard work and discipline.

Our schools share this responsibility. When a child walks into a classroom, it should be a place of high expectations and high performance. But too many schools don’t meet this test. That’s why instead of just pouring money into a system that’s not working, we launched a competition called Race to the Top. To all fifty states, we said, “If you show us the most innovative plans to improve teacher quality and student achievement, we’ll show you the money.”

Race to the Top is the most meaningful reform of our public schools in a generation. For less than one percent of what we spend on education each year, it has led over 40 states to raise their standards for teaching and learning. These standards were developed, not by Washington, but by Republican and Democratic governors throughout the country. And Race to the Top should be the approach we follow this year as we replace No Child Left Behind with a law that is more flexible and focused on what’s best for our kids.

You see, we know what’s possible for our children when reform isn’t just a top-down mandate, but the work of local teachers and principals; school boards and communities.

Take a school like Bruce Randolph in Denver. Three years ago, it was rated one of the worst schools in Colorado; located on turf between two rival gangs. But last May, 97% of the seniors received their diploma. Most will be the first in their family to go to college. And after the first year of the school’s transformation, the principal who made it possible wiped away tears when a student said “Thank you, Mrs. Waters, for showing… that we are smart and we can make it.”

Let’s also remember that after parents, the biggest impact on a child’s success comes from the man or woman at the front of the classroom. In South Korea, teachers are known as “nation builders.” Here in America, it’s time we treated the people who educate our children with the same level of respect. We want to reward good teachers and stop making excuses for bad ones. And over the next ten years, with so many Baby Boomers retiring from our classrooms, we want to prepare 100,000 new teachers in the fields of science, technology, engineering, and math.

Read about preparing and evaluating teachers in…
Preparing Teachers Assessing Accomplished Teaching

In fact, to every young person listening tonight who’s contemplating their career choice: If you want to make a difference in the life of our nation; if you want to make a difference in the life of a child – become a teacher. Your country needs you.

Of course, the education race doesn’t end with a high school diploma. To compete, higher education must be within reach of every American. That’s why we’ve ended the unwarranted taxpayer subsidies that went to banks, and used the savings to make college affordable for millions of students. And this year, I ask Congress to go further, and make permanent our tuition tax credit – worth $10,000 for four years of college.

Because people need to be able to train for new jobs and careers in today’s fast-changing economy, we are also revitalizing America’s community colleges. Last month, I saw the promise of these schools at Forsyth Tech in North Carolina. Many of the students there used to work in the surrounding factories that have since left town. One mother of two, a woman named Kathy Proctor, had worked in the furniture industry since she was 18 years old. And she told me she’s earning her degree in biotechnology now, at 55 years old, not just because the furniture jobs are gone, but because she wants to inspire her children to pursue their dreams too. As Kathy said, “I hope it tells them to never give up.”

If we take these steps – if we raise expectations for every child, and give them the best possible chance at an education, from the day they’re born until the last job they take – we will reach the goal I set two years ago: by the end of the decade, America will once again have the highest proportion of college graduates in the world.

One last point about education. Today, there are hundreds of thousands of students excelling in our schools who are not American citizens. Some are the children of undocumented workers, who had nothing to do with the actions of their parents. They grew up as Americans and pledge allegiance to our flag, and yet live every day with the threat of deportation. Others come here from abroad to study in our colleges and universities. But as soon as they obtain advanced degrees, we send them back home to compete against us. It makes no sense.

Now, I strongly believe that we should take on, once and for all, the issue of illegal immigration. I am prepared to work with Republicans and Democrats to protect our borders, enforce our laws and address the millions of undocumented workers who are now living in the shadows. I know that debate will be difficult and take time. But tonight, let’s agree to make that effort. And let’s stop expelling talented, responsible young people who can staff our research labs, start new businesses, and further enrich this nation.

Read about immigrants’ role in our future prosperity in…
Multiple Origins, Uncertain Destinies: Hispanics and the American Future

The third step in winning the future is rebuilding America. To attract new businesses to our shores, we need the fastest, most reliable ways to move people, goods, and information – from high-speed rail to high-speed internet.

Our infrastructure used to be the best – but our lead has slipped. South Korean homes now have greater internet access than we do. Countries in Europe and Russia invest more in their roads and railways than we do. China is building faster trains and newer airports. Meanwhile, when our own engineers graded our nation’s infrastructure, they gave us a “D.”

Read about our nation’s infrastructure in…

Sustainable Critical Infrastructure Systems: A Framework for Meeting 21st Century Imperatives

Driving and the Built Environment

The Federal Investment in Highway Research, 2006-2009: Strengths and Weaknesses

We have to do better. America is the nation that built the transcontinental railroad, brought electricity to rural communities, and constructed the interstate highway system. The jobs created by these projects didn’t just come from laying down tracks or pavement. They came from businesses that opened near a town’s new train station or the new off-ramp.

Over the last two years, we have begun rebuilding for the 21st century, a project that has meant thousands of good jobs for the hard-hit construction industry. Tonight, I’m proposing that we redouble these efforts.

We will put more Americans to work repairing crumbling roads and bridges. We will make sure this is fully paid for, attract private investment, and pick projects based on what’s best for the economy, not politicians.

Within 25 years, our goal is to give 80% of Americans access to high-speed rail, which could allow you go places in half the time it takes to travel by car. For some trips, it will be faster than flying – without the pat-down. As we speak, routes in California and the Midwest are already underway.

Within the next five years, we will make it possible for business to deploy the next generation of high-speed wireless coverage to 98% of all Americans. This isn’t just about a faster internet and fewer dropped calls. It’s about connecting every part of America to the digital age. It’s about a rural community in Iowa or Alabama where farmers and small business owners will be able to sell their products all over the world. It’s about a firefighter who can download the design of a burning building onto a handheld device; a student who can take classes with a digital textbook; or a patient who can have face-to-face video chats with her doctor.

Read about applying technology to health care in…
Building a Better Delivery System: A New Engineering/Health Care Partnership Computational Technology for Effective Health Care

All these investments – in innovation, education, and infrastructure – will make America a better place to do business and create jobs. But to help our companies compete, we also have to knock down barriers that stand in the way of their success.

Over the years, a parade of lobbyists has rigged the tax code to benefit particular companies and industries. Those with accountants or lawyers to work the system can end up paying no taxes at all. But all the rest are hit with one of the highest corporate tax rates in the world. It makes no sense, and it has to change.

So tonight, I’m asking Democrats and Republicans to simplify the system. Get rid of the loopholes. Level the playing field. And use the savings to lower the corporate tax rate for the first time in 25 years – without adding to our deficit.

To help businesses sell more products abroad, we set a goal of doubling our exports by 2014 – because the more we export, the more jobs we create at home. Already, our exports are up. Recently, we signed agreements with India and China that will support more than 250,000 jobs in the United States. And last month, we finalized a trade agreement with South Korea that will support at least 70,000 American jobs. This agreement has unprecedented support from business and labor; Democrats and Republicans, and I ask this Congress to pass it as soon as possible.

Before I took office, I made it clear that we would enforce our trade agreements, and that I would only sign deals that keep faith with American workers, and promote American jobs. That’s what we did with Korea, and that’s what I intend to do as we pursue agreements with Panama and Colombia, and continue our Asia Pacific and global trade talks.

To reduce barriers to growth and investment, I’ve ordered a review of government regulations. When we find rules that put an unnecessary burden on businesses, we will fix them. But I will not hesitate to create or enforce commonsense safeguards to protect the American people. That’s what we’ve done in this country for more than a century. It’s why our food is safe to eat, our water is safe to drink, and our air is safe to breathe. It’s why we have speed limits and child labor laws. It’s why last year, we put in place consumer protections against hidden fees and penalties by credit card companies, and new rules to prevent another financial crisis. And it’s why we passed reform that finally prevents the health insurance industry from exploiting patients.

Read about regulations for the food industry and financial industry in…
Enhancing Food Safety New Directions for Understanding Systemic Risk

Now, I’ve heard rumors that a few of you have some concerns about the new health care law. So let me be the first to say that anything can be improved. If you have ideas about how to improve this law by making care better or more affordable, I am eager to work with you. We can start right now by correcting a flaw in the legislation that has placed an unnecessary bookkeeping burden on small businesses.

What I’m not willing to do is go back to the days when insurance companies could deny someone coverage because of a pre-existing condition. I’m not willing to tell James Howard, a brain cancer patient from Texas, that his treatment might not be covered. I’m not willing to tell Jim Houser, a small business owner from Oregon, that he has to go back to paying $5,000 more to cover his employees. As we speak, this law is making prescription drugs cheaper for seniors and giving uninsured students a chance to stay on their parents’ coverage. So instead of re-fighting the battles of the last two years, let’s fix what needs fixing and move forward.

Read about health insurance in America in…
America’s Uninsured Crisis

Now, the final step – a critical step – in winning the future is to make sure we aren’t buried under a mountain of debt.

We are living with a legacy of deficit-spending that began almost a decade ago. And in the wake of the financial crisis, some of that was necessary to keep credit flowing, save jobs, and put money in people’s pockets.

But now that the worst of the recession is over, we have to confront the fact that our government spends more than it takes in. That is not sustainable. Every day, families sacrifice to live within their means. They deserve a government that does the same.

Read about our options for fiscal sustainability in…
Choosing the Nation’s Fiscal Future

So tonight, I am proposing that starting this year, we freeze annual domestic spending for the next five years. This would reduce the deficit by more than $400 billion over the next decade, and will bring discretionary spending to the lowest share of our economy since Dwight Eisenhower was president.

This freeze will require painful cuts. Already, we have frozen the salaries of hardworking federal employees for the next two years. I’ve proposed cuts to things I care deeply about, like community action programs. The Secretary of Defense has also agreed to cut tens of billions of dollars in spending that he and his generals believe our military can do without.

I recognize that some in this Chamber have already proposed deeper cuts, and I’m willing to eliminate whatever we can honestly afford to do without. But let’s make sure that we’re not doing it on the backs of our most vulnerable citizens. And let’s make sure what we’re cutting is really excess weight. Cutting the deficit by gutting our investments in innovation and education is like lightening an overloaded airplane by removing its engine. It may feel like you’re flying high at first, but it won’t take long before you’ll feel the impact.

Now, most of the cuts and savings I’ve proposed only address annual domestic spending, which represents a little more than 12% of our budget. To make further progress, we have to stop pretending that cutting this kind of spending alone will be enough. It won’t.

The bipartisan Fiscal Commission I created last year made this crystal clear. I don’t agree with all their proposals, but they made important progress. And their conclusion is that the only way to tackle our deficit is to cut excessive spending wherever we find it – in domestic spending, defense spending, health care spending, and spending through tax breaks and loopholes.

This means further reducing health care costs, including programs like Medicare and Medicaid, which are the single biggest contributor to our long-term deficit. Health insurance reform will slow these rising costs, which is part of why nonpartisan economists have said that repealing the health care law would add a quarter of a trillion dollars to our deficit. Still, I’m willing to look at other ideas to bring down costs, including one that Republicans suggested last year: medical malpractice reform to rein in frivolous lawsuits.

To put us on solid ground, we should also find a bipartisan solution to strengthen Social Security for future generations. And we must do it without putting at risk current retirees, the most vulnerable, or people with disabilities; without slashing benefits for future generations; and without subjecting Americans’ guaranteed retirement income to the whims of the stock market.

And if we truly care about our deficit, we simply cannot afford a permanent extension of the tax cuts for the wealthiest 2% of Americans. Before we take money away from our schools, or scholarships away from our students, we should ask millionaires to give up their tax break.

It’s not a matter of punishing their success. It’s about promoting America’s success.

In fact, the best thing we could do on taxes for all Americans is to simplify the individual tax code. This will be a tough job, but members of both parties have expressed interest in doing this, and I am prepared to join them.

So now is the time to act. Now is the time for both sides and both houses of Congress – Democrats and Republicans – to forge a principled compromise that gets the job done. If we make the hard choices now to rein in our deficits, we can make the investments we need to win the future.

Let me take this one step further. We shouldn’t just give our people a government that’s more affordable. We should give them a government that’s more competent and efficient. We cannot win the future with a government of the past.

We live and do business in the information age, but the last major reorganization of the government happened in the age of black and white TV. There are twelve different agencies that deal with exports. There are at least five different entities that deal with housing policy. Then there’s my favorite example: the Interior Department is in charge of salmon while they’re in fresh water, but the Commerce Department handles them in when they’re in saltwater. And I hear it gets even more complicated once they’re smoked.

Now, we have made great strides over the last two years in using technology and getting rid of waste. Veterans can now download their electronic medical records with a click of the mouse. We’re selling acres of federal office space that hasn’t been used in years, and we will cut through red tape to get rid of more. But we need to think bigger. In the coming months, my administration will develop a proposal to merge, consolidate, and reorganize the federal government in a way that best serves the goal of a more competitive America. I will submit that proposal to Congress for a vote – and we will push to get it passed.

Read about improving government efficiency in…

Strengthening the National Institute of Justice

Improving the Social Security Representative Payee Program

Evaluating Research Efficiency in the U.S. Environmental Protection Agency

Principles and Practices for a Federal Statistical Agency: Fourth Edition

In the coming year, we will also work to rebuild people’s faith in the institution of government. Because you deserve to know exactly how and where your tax dollars are being spent, you will be able to go to a website and get that information for the very first time in history. Because you deserve to know when your elected officials are meeting with lobbyists, I ask Congress to do what the White House has already done: put that information online. And because the American people deserve to know that special interests aren’t larding up legislation with pet projects, both parties in Congress should know this: if a bill comes to my desk with earmarks inside, I will veto it.

A 21st century government that’s open and competent. A government that lives within its means. An economy that’s driven by new skills and ideas. Our success in this new and changing world will require reform, responsibility, and innovation. It will also require us to approach that world with a new level of engagement in our foreign affairs.

Just as jobs and businesses can now race across borders, so can new threats and new challenges. No single wall separates East and West; no one rival superpower is aligned against us.

And so we must defeat determined enemies wherever they are, and build coalitions that cut across lines of region and race and religion. America’s moral example must always shine for all who yearn for freedom, justice, and dignity. And because we have begun this work, tonight we can say that American leadership has been renewed and America’s standing has been restored.

Look to Iraq, where nearly 100,000 of our brave men and women have left with their heads held high; where American combat patrols have ended; violence has come down; and a new government has been formed. This year, our civilians will forge a lasting partnership with the Iraqi people, while we finish the job of bringing our troops out of Iraq. America’s commitment has been kept; the Iraq War is coming to an end.

Of course, as we speak, al Qaeda and their affiliates continue to plan attacks against us. Thanks to our intelligence and law enforcement professionals, we are disrupting plots and securing our cities and skies. And as extremists try to inspire acts of violence within our borders, we are responding with the strength of our communities, with respect for the rule of law, and with the conviction that American Muslims are a part of our American family.

We have also taken the fight to al Qaeda and their allies abroad. In Afghanistan, our troops have taken Taliban strongholds and trained Afghan Security Forces. Our purpose is clear – by preventing the Taliban from reestablishing a stranglehold over the Afghan people, we will deny al Qaeda the safe-haven that served as a launching pad for 9/11.

Thanks to our heroic troops and civilians, fewer Afghans are under the control of the insurgency. There will be tough fighting ahead, and the Afghan government will need to deliver better governance. But we are strengthening the capacity of the Afghan people and building an enduring partnership with them. This year, we will work with nearly 50 countries to begin a transition to an Afghan lead. And this July, we will begin to bring our troops home.

Read about returning troops in…
Returning Home from Iraq and Afghanistan

In Pakistan, al Qaeda’s leadership is under more pressure than at any point since 2001. Their leaders and operatives are being removed from the battlefield. Their safe-havens are shrinking. And we have sent a message from the Afghan border to the Arabian Peninsula to all parts of the globe: we will not relent, we will not waver, and we will defeat you.

American leadership can also be seen in the effort to secure the worst weapons of war. Because Republicans and Democrats approved the New START Treaty, far fewer nuclear weapons and launchers will be deployed. Because we rallied the world, nuclear materials are being locked down on every continent so they never fall into the hands of terrorists.

Read about global cooperation for arms control in…
Strengthening U.S-Russian Cooperation on Nuclear Nonproliferation
Protection, Control, and Accounting of Nuclear Materials:
International Challenges and National Programs

Understanding Biosecurity: Protecting Against the Misuse of Science in Today’s World

Because of a diplomatic effort to insist that Iran meet its obligations, the Iranian government now faces tougher and tighter sanctions than ever before. And on the Korean peninsula, we stand with our ally South Korea, and insist that North Korea keeps its commitment to abandon nuclear weapons.

This is just a part of how we are shaping a world that favors peace and prosperity. With our European allies, we revitalized NATO, and increased our cooperation on everything from counter-terrorism to missile defense. We have reset our relationship with Russia, strengthened Asian alliances, and built new partnerships with nations like India. This March, I will travel to Brazil, Chile, and El Salvador to forge new alliances for progress in the Americas. Around the globe, we are standing with those who take responsibility – helping farmers grow more food; supporting doctors who care for the sick; and combating the corruption that can rot a society and rob people of opportunity.

Read about our global health and nutrition policies in…
The U.S. Commitment to Global Health Mitigating the Nutritional Impacts of the Global Food Price Crisis

Recent events have shown us that what sets us apart must not just be our power – it must be the purpose behind it. In South Sudan – with our assistance – the people were finally able to vote for independence after years of war. Thousands lined up before dawn. People danced in the streets. One man who lost four of his brothers at war summed up the scene around him: “This was a battlefield for most of my life. Now we want to be free.”

We saw that same desire to be free in Tunisia, where the will of the people proved more powerful than the writ of a dictator. And tonight, let us be clear: the United States of America stands with the people of Tunisia, and supports the democratic aspirations of all people.

We must never forget that the things we’ve struggled for, and fought for, live in the hearts of people everywhere. And we must always remember that the Americans who have borne the greatest burden in this struggle are the men and women who serve our country.

Tonight, let us speak with one voice in reaffirming that our nation is united in support of our troops and their families. Let us serve them as well as they have served us – by giving them the equipment they need; by providing them with the care and benefits they have earned; and by enlisting our veterans in the great task of building our own nation.

Our troops come from every corner of this country – they are black, white, Latino, Asian and Native American. They are Christian and Hindu, Jewish and Muslim. And, yes, we know that some of them are gay. Starting this year, no American will be forbidden from serving the country they love because of who they love. And with that change, I call on all of our college campuses to open their doors to our military recruiters and the ROTC. It is time to leave behind the divisive battles of the past. It is time to move forward as one nation.

We should have no illusions about the work ahead of us. Reforming our schools; changing the way we use energy; reducing our deficit – none of this is easy. All of it will take time. And it will be harder because we will argue about everything. The cost. The details. The letter of every law.

Read about the path to American prosperity in…

Rising Above the Gathering Storm, Revisited

America’s Energy Future

Taking Science to School

Choosing the Nation’s Fiscal Future

Of course, some countries don’t have this problem. If the central government wants a railroad, they get a railroad – no matter how many homes are bulldozed. If they don’t want a bad story in the newspaper, it doesn’t get written.

And yet, as contentious and frustrating and messy as our democracy can sometimes be, I know there isn’t a person here who would trade places with any other nation on Earth.

We may have differences in policy, but we all believe in the rights enshrined in our Constitution. We may have different opinions, but we believe in the same promise that says this is a place where you can make it if you try. We may have different backgrounds, but we believe in the same dream that says this is a country where anything’s possible. No matter who you are. No matter where you come from.

That dream is why I can stand here before you tonight. That dream is why a working class kid from Scranton can stand behind me. That dream is why someone who began by sweeping the floors of his father’s Cincinnati bar can preside as Speaker of the House in the greatest nation on Earth.

That dream – that American Dream – is what drove the Allen Brothers to reinvent their roofing company for a new era. It’s what drove those students at Forsyth Tech to learn a new skill and work towards the future. And that dream is the story of a small business owner named Brandon Fisher.

Brandon started a company in Berlin, Pennsylvania that specializes in a new kind of drilling technology. One day last summer, he saw the news that halfway across the world, 33 men were trapped in a Chilean mine, and no one knew how to save them.

But Brandon thought his company could help. And so he designed a rescue that would come to be known as Plan B. His employees worked around the clock to manufacture the necessary drilling equipment. And Brandon left for Chile.

Along with others, he began drilling a 2,000 foot hole into the ground, working three or four days at a time with no sleep. Thirty-seven days later, Plan B succeeded, and the miners were rescued. But because he didn’t want all of the attention, Brandon wasn’t there when the miners emerged. He had already gone home, back to work on his next project.

Later, one of his employees said of the rescue, “We proved that Center Rock is a little company, but we do big things.”

We do big things.

From the earliest days of our founding, America has been the story of ordinary people who dare to dream. That’s how we win the future.

We are a nation that says, “I might not have a lot of money, but I have this great idea for a new company. I might not come from a family of college graduates, but I will be the first to get my degree. I might not know those people in trouble, but I think I can help them, and I need to try. I’m not sure how we’ll reach that better place beyond the horizon, but I know we’ll get there. I know we will.”

We do big things.

The idea of America endures. Our destiny remains our choice. And tonight, more than two centuries later, it is because of our people that our future is hopeful, our journey goes forward, and the state of our union is strong.

Thank you, God Bless You, and may God Bless the United States of America.

Living in a Food Desert: How Lack of Access to Healthy Foods Can Affect Public Health

Need to run to the grocery store? For some of us, this is relatively easy because we probably live fairly close to one. For others, a trip to a grocery store represents a significant transportation challenge. In the United States, “food deserts”, neighborhoods and communities that have limited access to affordable and nutritious foods, tend to be located in urban and rural low-income neighborhoods. People who live in these areas are less likely to have access to supermarkets or grocery stores that provide healthy choices for food. With limited or no access to food retailers or supermarkets that stock fresh produce, low-fat dairy, whole grains, and other healthy foods, these populations may be more likely to suffer from high rates of diabetes, cardiovascular disease, and obesity.

The Public Health Effect of Food Deserts: Workshop Summary discusses the public health effects—including the prevalence of obesity and the incidence of chronic diseases—of food deserts. This book offers insight on the extent of food deserts, their impact on individual behaviors and health outcomes in various populations, and effective ways to increase the availability of fruits and vegetables and to improve the food environment.

One serious health consequence of living in food deserts is, ironically, obesity. Without ready access to nutritious foods, people living in food deserts often have diets that are high in calories but low in nutritional value. To address this particular public health concern, the Institute of Medicine has published a number of reports that examine how we can roll back the obesity epidemic in the United States.

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making examines obesity as a societal problem that affects whole populations, like those living in food deserts. This book features a practical, action-oriented framework to support the use of evidence in decision-making about obesity prevention policies and programs and sets a course for the development of new and relevant research.

The books mentioned above and others from the Institute of Medicine provide information and guidance for decision-makers to respond to the challenges of food deserts and their impact on our society.

The Public Health Effects of Food Deserts

The Public Health Effects of Food Deserts: Workshop Summary

In the United States, people living in low-income neighborhoods frequently do not have access to affordable healthy food venues, such as supermarkets. Instead, those living in “food deserts” must rely on convenience stores and small neighborhood stores that…

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Bridging the Evidence Gap in Obesity Prevention

Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new…

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Local Government Actions to Prevent Childhood Obesity

Local Government Actions to Prevent Childhood Obesity

The prevalence of childhood obesity is so high in the United States that it may reduce the life expectancy of today’s generation of children. While parents and other adult caregivers play a fundamental role in teaching children about healthy behaviors, even…

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Community Perspectives on Obesity Prevention in Children

Community Perspectives on Obesity Prevention in Children: Workshop Summaries

As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in…

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Childhood Obesity Prevention in Texas

Childhood Obesity Prevention in Texas: Workshop Summary

Childhood Obesity Prevention in Texas summarizes the information gathered at a workshop held February 5-6, 2009, in Austin, Texas. At this workshop, committee members met with Texas lawmakers, public officials, and community leaders to exchange ideas…

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Progress in Preventing Childhood Obesity

Progress in Preventing Childhood Obesity: How Do We Measure Up?

The remarkable increase in the prevalence of obesity among children and youth in the United States over a relatively short timespan represents one of the defining public health challenges of the 21st century. The country is beginning to recognize childhood…

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Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention

Perspectives from United Kingdom and United States Policy Makers on Obesity Prevention: Workshop Summary

Both the United Kingdom and the United States are grappling with nationwide epidemics of obesity. Obesity contributes to diabetes, cardiovascular disease, and some cancers, among other diseases. Although many people are aware of obesity’s causes and…

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Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin

Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin: Summary

The Joint U.S.-Mexico Workshop on Preventing Obesity in Children and Youth of Mexican Origin was initiated by a desire to share experiences regarding the problem of obesity in children…

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DNA Testing: From the Doctor’s Office to the Drugstore

The Human Genome Project, completed in 2003, identified the genes that make up human DNA. Major advances in genomic technologies in the early 21st century have helped to increase dramatically the number of genes identified as playing a role in a variety of common disorders. Genetic or genomic testing can be used to guide medical decision-making and treatment, ranging from personalized drug therapy to assessing an individual’s risk of developing common chronic diseases.

New reports from the Institute of Medicine discuss various possibilities for the future and potential issues that could arise from our ever-expanding knowledge of our genetic makeup. The Value of Genetic and Genomic Technologies: Workshop Summary explores the concept of value in regards to genomics and genetics and how that concept affects the ways decisions are made about using tests and technologies. This book brings together diverse perspectives on the value of genetic testing and discusses its use in clinical practice.

Advances in our understanding of genomics, combined with significant reductions in the cost of genetic tests, have spawned new business models in which companies market genetic tests and personalized genetic profiles directly to consumers. For example, it is now possible to purchase a home DNA paternity test at many pharmacies in the United States. Special DNA test kits allow anyone to trace their ancestry. Direct-to-Consumer Genetic Testing: Summary of a Workshop discusses the scientific and ethical foundations for commercial genetic testing, personal and social issues, research and medical issues, and the impact on health care and public health.

These books and others from the Institute of Medicine explore the possibilities and directions for the future for both researchers and private industry.

The Value of Genetic and Genomic Technologies

The Value of Genetic and Genomic Technologies: Workshop Summary

Knowing one’s genetic disposition to a variety of diseases, including common chronic diseases, can benefit both the individual and society at large. The IOM’s Roundtable on Translating Genomic-Based Research for Health held a workshop on March 22, 2010, to…
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Direct-to-Consumer Genetic Testing

Direct-to-Consumer Genetic Testing: Summary of a Workshop

Today, scores of companies, primarily in the United States and Europe, are offering whole genome scanning services directly to the public. The proliferation of these companies and the services they offer demonstrate a public appetite for this information and…
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Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development

Establishing Precompetitive Collaborations to Stimulate Genomics-Driven Drug Development: Workshop Summary

Despite the many basic research discoveries in genetics, relatively few gene-based treatments, drugs, or preventative measures have been developed. One way to bridge this gap may be for industry, academia, and government to develop partnerships that share…
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Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health

Systems for Research and Evaluation for Translating Genome-Based Discoveries for Health: Workshop Summary

With the advent of genome-wide association studies, numerous associations between specific gene loci and complex diseases have been identified–for breast cancer, coronary artery disease, and asthma, for example. This rapidly advancing field of genomics has…
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Innovations in Service Delivery in the Age of Genomics

Innovations in Service Delivery in the Age of Genomics: Workshop Summary

New discoveries in genomics–that is, the study of the entire human genome–are changing how we diagnose and treat diseases. As the trend shifts from genetic testing largely being undertaken for rare genetic disorders to, increasingly, individuals being…
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Diffusion and Use of Genomic Innovations in Health and Medicine

Diffusion and Use of Genomic Innovations in Health and Medicine: Workshop Summary

Until fairly recently, genetic information was used primarily in the diagnosis of relatively rare genetic diseases, such as cystic fibrosis and Huntington’s Disease, but a transformation in the use of genetic and genomic information is underway. While…
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Free PDF Downloads, Audio, Video and More for January 2011

As we begin a new year, the National Academies Press offers you the following selection of books, videos, and podcasts free of charge. Start collecting free resources for your personal STEM (Science, Technology, Engineering and Mathematics) library today.

Implementing the New Biology Implementing the New Biology: Decadal Challenges Linking Food, Energy, and the Environment: Summary of a Workshop, June 3-4, 2010
As the second decade of the 21st century begins, the challenge of how to feed a growing world population and provide sustainable, affordable energy to fulfill daily needs, while also improving human health and protecting the environment, is clear and urgent…
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The Science of Adolescent Risk-Taking The Science of Adolescent Risk-Taking: Workshop Report (Prepublication Available)
Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008…
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Challenges and Opportunities for Education About Dual Use Issues in the Life Sciences Challenges and Opportunities for Education About Dual Use Issues in the Life Sciences
The Challenges and Opportunities for Education About Dual Use Issues in the Life Sciences workshop was held to engage the life sciences community on the particular security issues related to research with dual use potential. More than 60 participants from…
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Report of the Panel on Implementing Recommendations from the New Worlds, New Horizons Decadal Survey Report of the Panel on Implementing Recommendations from the New Worlds, New Horizons Decadal Survey
(Prepublication Available)
The 2010 Astronomy and Astrophysics Decadal Survey report, New Worlds, New Horizons in Astronomy and Astrophysics (NWNH), outlines a scientifically exciting and programmatically integrated plan for both ground- and space-based astronomy and astrophysics in…
Details
Direct-to-Consumer Genetic Testing Direct-to-Consumer Genetic Testing: Summary of a Workshop
Today, scores of companies, primarily in the United States and Europe, are offering whole genome scanning services directly to the public. The proliferation of these companies and the services they offer demonstrate a public appetite for this information and…
Details
Avoiding Technology Surprise for Tomorrow's Warfighter--Symposium 2010 Avoiding Technology Surprise for Tomorrow’s Warfighter–Symposium 2010
The Symposium on Avoiding Technology Surprise for Tomorrow’s Warfighter is a forum for consumers and producers of scientific and technical intelligence to exchange perspectives on the potential sources of emerging or disruptive technologies and behaviors…
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Evaluation of U.S. Air Force Preacquisition Technology Development Evaluation of U.S. Air Force Preacquisition Technology Development
(Prepublication Available)
From the days of biplanes and open cockpits, the air forces of the United States have relied on the mastery of technology. From design to operation, a project can stretch to 20 years and more, with continuous increases in cost. Much of the delay and cost…
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The Prevention and Treatment of Missing Data in Clinical Trials The Prevention and Treatment of Missing Data in Clinical Trials
Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the…
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Sex Differences and Implications for Translational Neuroscience Research Sex Differences and Implications for Translational Neuroscience Research: Workshop Summary (Prepublication Available)
Biological differences between the sexes influence not only individual health but also public health, biomedical research, and health care. The Institute of Medicine held a workshop March 8-9, 2010, to discuss sex differences and their implications for…
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State Assessment Systems State Assessment Systems: Exploring Best Practices and Innovations: Summary of Two Workshops
Educators and policy makers in the United States have relied on tests to measure educational progress for more than 150 years, and have used the results for many purposes. They have tried minimum competency testing; portfolios; multiple-choice items, brief…
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Preparing for the Future of HIV/AIDS in Africa Preparing for the Future of HIV/AIDS in Africa: A Shared Responsibility
(Prepublication Available)
HIV/AIDS is a catastrophe globally but nowhere more so than in sub-Saharan Africa, which in 2008 accounted for 67 percent of cases worldwide and 91 percent of new infections. The Institute of Medicine recommends that the United States and African nations move toward a strategy…
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Measuring the Group Quarters Population in the American Community Survey Measuring the Group Quarters Population in the American Community Survey: Interim Report
Following several years of testing and evaluation, the American Community Survey (ACS) was launched in 2005 as a replacement for the census “long form,” used to collect detailed social, economic, and housing data from a sample of the U.S. population as part…
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FREE VIDEO

lights at night Lights at Night
Explore images of Earth at night and compare images from 1993, 1997 and 2003 to infer changes in population, energy consumption, energy efficiency and economic activity. 
 
landscapes on the edge Landscapes on the Edge: New Horizons for Research on Earth’s Surface
Chemical, physical, biotic, and human processes constantly reshape Earth’s surface from particles to continents, over timescales from nanoseconds to millions of years. In this video, Dr. Dorothy Merritts describes the research agenda laid out in this recent National Research Council book.
 
Adolescent Health Services Adolescent Health Services: Missing Opportunities
Adolescence is a time when youth establish health habits, both good and bad, that often last a lifetime, yet the U.S. health care system today is not designed to help young people develop healthy routines, behaviors, and relationships to prepare them for adulthood. Learn more in this video.
 
bone detective The Bone Detective
Diane France loves bones. Why? Because they talk to her. Every skeleton she meets whispers secrets about the life and death of its owner. Diane France can hear those secrets because she’s a forensic anthropologist, a bone detective. Watch this video to learn about the work of this world-renowned bone detective.

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Understanding Biosecurity Understanding Biosecurity: Protecting Against the Misuse of Science in Today’s World
Drawing on the work of the National Academies, this booklet introduces some of the issues at the intersection of science and security. The life sciences offer tremendous promise for meeting many 21st century challenges. Read more
 
What You Need to Know About Infectious Disease What You Need To Know About Infectious Disease
This publication from the Institute of Medicine examines the relationship between humans and microbes. The booklet discusses how infection works, identifies disease threats, and explores global challenges. Learn more
Engineer Your Life Engineer Your Life
This web site, designed for high school girls, promotes engineering as a career choice.  It features tips on preparing for an engineering career and includes profiles of women engineers, as well as resources for teachers and counselors.
evolution res Evolution Resources
The Evolution Resources web site explains the methods of science, documents the overwhelming evidence in support of biological evolution, and evaluates the alternative perspectives offered by advocates of various kinds of creationism, including “intelligent design.” The site includes reports, publications, and resources for teaching evolution.

The Ripple Effect of the Oil Spill: Prevention, Human Health, and More

Tuesday the presidential panel investigating the Gulf of Mexico oil spill released its final report, analyzing problems that led to the incident and making recommendations for new regulations to prevent a similar disaster. The National Research Council, National Academy of Engineering, and the Institute of Medicine have produced a number of reports that discuss causes of the oil spill and its effects on human health.

Interim Report on Causes of the Deepwater Horizon Oil Rig Blowout and Ways to Prevent Such Events examines the probable causes of the Deepwater Horizon explosion, fire, and oil spill and identifies measures for preventing similar harm in the future. The book addresses the performance of technologies and practices involved in the probable causes of the Macondo well blowout and explosion on the Deepwater Horizon. It also explores industry best practices and standards, and identifies and recommends available technologies and measures that can ensure a higher level of safety in deepwater exploratory drilling and well completion.

Assessing the Effects of the Gulf of Mexico Oil Spill on Human Health: A Summary of the June 2010 Workshop identifies populations at increased risks for adverse health effects and explores effective communication strategies to convey health information to these populations. The book also discusses the need for appropriate surveillance systems to monitor the spill’s potential short- and long-term health effects on communities and individuals.

These books and others that focus on the disaster and environmental valuation in general serve as a resource to guide policy and decision making.

Interim Report on Causes of the Deepwater Horizon Oil Rig Blowout and Ways to Prevent Such Events Interim Report on Causes of the Deepwater Horizon Oil Rig Blowout and Ways to Prevent Such Events

The National Academy of Engineering and the National Research Council have released the interim report of the Committee on the Analysis of Causes of the Deepwater Horizon Explosion, Fire, and Oil Spill to Identify Measures to Prevent Similar Accidents in the…
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Assessing the Effects of the Gulf of Mexico Oil Spill on Human Health Assessing the Effects of the Gulf of Mexico Oil Spill on Human Health: A Summary of the June 2010 Workshop

From the origin of the leak, to the amount of oil released into the environment, to the spill’s duration, the 2010 Gulf of Mexico oil spill poses unique challenges to human health. The risks associated with extensive, prolonged use of dispersants, with oil…
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Review of the Proposal for the Gulf Long-Term Follow-Up Study Review of the Proposal for the Gulf Long-Term Follow-Up Study: Highlights from the September 2010 Workshop: Workshop Report

The Gulf of Mexico oil spill is unprecedented not only in its size but also in the use of chemical dispersants and controlled burns to remove the oil. The National Institute of Environmental Health Sciences (NIEHS) is designing a study to investigate the…
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Research Priorities for Assessing Health Effects from the Gulf of Mexico Oil Spill Research Priorities for Assessing Health Effects from the Gulf of Mexico Oil Spill: A Letter Report

It is as yet uncertain how the Gulf of Mexico oil spill will affect the health of clean-up workers and volunteers, residents, and visitors in the Gulf. The IOM recommends that the U.S. Department of Health and Human Services focus on researching psychological…
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Risk of Vessel Accidents and Spills in the Aleutian Islands Risk of Vessel Accidents and Spills in the Aleutian Islands: Designing a Comprehensive Risk Assessment – Special Report 293

TRB Special Report 293, Risk of Vessel Accidents and Spills in the Aleutian Islands: Designing a Comprehensive Risk Assessment, provides guidance for a comprehensive risk assessment of vessel accidents and spills in the Aleutian Islands. The report…
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Public Participation in Environmental Assessment and Decision Making Public Participation in Environmental Assessment and Decision Making

Federal agencies have taken steps to include the public in a wide range of environmental decisions. Although some form of public participation is often required by law, agencies usually have broad discretion about the extent of that involvement. Approaches vary…
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A Review of the Ocean Research Priorities Plan and Implementation Strategy A Review of the Ocean Research Priorities Plan and Implementation Strategy

Ocean research offers countless benefits, from improving fisheries management to discovering new drugs to enabling early detection of tsunamis and hurricanes. At the request of the Joint Subcommittee on Ocean Science and Technology (JSOST), the National Research…
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Improving Disaster Management Improving Disaster Management: The Role of IT in Mitigation, Preparedness, Response, and Recovery

Information technology (IT) has the potential to play a critical role in managing natural and human made disasters. Damage to communications infrastructure, along with other communications problems exacerbated the difficulties in carrying out response and…
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Drawing Louisiana's New Map Drawing Louisiana’s New Map: Addressing Land Loss in Coastal Louisiana

During the past 50 years, coastal Louisiana has suffered catastrophic land loss due to both natural and human causes. This loss has increased storm vulnerability and amplified risks to lives, property, and economies–a fact underscored by Hurricanes Katrina…
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Oil Spill Dispersants Oil Spill Dispersants: Efficacy and Effects

Approximately 3 million gallons of oil or refined petroleum products are spilled into U.S. waters every year. Oil dispersants (chemical agents such as surfactants, solvents, and other compounds) are used to reduce the effect of oil spills by changing…
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Valuing Ecosystem Services Valuing Ecosystem Services: Toward Better Environmental Decision-Making

Nutrient recycling, habitat for plants and animals, flood control, and water supply are among the many beneficial services provided by aquatic ecosystems. In making decisions about human activities, such as draining a wetland for a housing development, it is…
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New Planets, New Possibilities in Space Research

On Monday a team of NASA astronomers announced the discovery of the first rocky planet orbiting a star outside our solar system. The discovery of the planet, named Kepler-10b, was the result of data collected by the Kepler spacecraft, launched by NASA in March 2009.

Remember when grade school astronomy consisted mainly of knowing the names of the nine planets in order from the sun? We have come a long way from the astronomy taught to us even 10 years ago. In recent decades, significant progress in the fields of astronomy and astrophysics has brought about a revolution in understanding of the origins and nature of our universe. Hundreds of planets of startling diversity have been discovered orbiting distant suns. Black holes, once viewed as exotic theoretical possibilities, are now known to be present at the center of most galaxies, including our own. Precision measurements of the primordial radiation left by the big bang have enabled astronomers to determine the age, size, and shape of the universe. Recent discoveries, powerful new ways to observe the universe, and bold new ideas to understand it have created unprecedented scientific opportunities.

So how can we make the most of these opportunities to better understand our universe? New Worlds, New Horizons in Astronomy and Astrophysics, a new book from the National Research Council, outlines a plan for ground- and space- based astronomy and astrophysics for the coming decade. This book, based on comprehensive input from the astronomy and astrophysics community, presents exciting yet realistic recommendations.

A companion volume, Panel Reports–New Worlds, New Horizons in Astronomy and Astrophysics features a collection of reports on various sub-areas of astronomy and astrophysics. Each of these reports played an important role in setting overall priorities.

These titles and others can guide future research and decision making.

New Worlds, New Horizons in Astronomy and Astrophysics New Worlds, New Horizons in Astronomy and Astrophysics

Driven by discoveries, and enabled by leaps in technology and imagination, our understanding of the universe has changed dramatically over the course of the last few decades.  The fields of astronomy and astrophysics are making new connections to…
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Panel Reports--New Worlds, New Horizons in Astronomy and Astrophysics Panel Reports–New Worlds, New Horizons in Astronomy and Astrophysics

Every ten years the National Research Council releases a survey of astronomy and astrophysics outlining priorities for the coming decade. The most recent survey, entitled New Worlds, New Horizons in Astronomy and Astrophysics, provides overall…
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Report of the Panel on Implementing Recommendations from the New Worlds, New Horizons Decadal Survey Report of the Panel on Implementing Recommendations from the New Worlds, New Horizons Decadal Survey

The 2010 Astronomy and Astrophysics Decadal Survey report, New Worlds, New Horizons in Astronomy and Astrophysics (NWNH), outlines a scientifically exciting and programmatically integrated plan for both ground- and space-based astronomy and astrophysics in…
Details

Life and Physical Sciences Research for a New Era of Space Exploration Life and Physical Sciences Research for a New Era of Space Exploration: An Interim Report

In response to requests from Congress, NASA asked the National Research Council to undertake a decadal survey of life and physical sciences in microgravity. Developed in consultation with members of the life and physical sciences communities, the guiding…
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Defending Planet Earth Defending Planet Earth: Near-Earth Object Surveys and Hazard Mitigation Strategies

The United States spends approximately $4 million each year searching for near-Earth objects (NEOs). The objective is to detect those that may collide with Earth. The majority of this funding supports the operation of several observatories that scan the sky…
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An Enabling Foundation for NASA's Space and Earth Science Missions An Enabling Foundation for NASA’s Space and Earth Science Missions

NASA’s space and Earth science program is composed of two principal components: spaceflight projects and mission-enabling activities. Most of the budget of NASA’s Science Mission Directorate (SMD) is applied to spaceflight missions, but NASA identifies nearly…
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Revitalizing NASA's Suborbital Program Revitalizing NASA’s Suborbital Program: Advancing Science, Driving Innovation, and Developing a Workforce

Suborbital flight activities, including the use of sounding rockets, aircraft, and high-altitude balloons, and suborbital reusable launch vehicles, offer valuable opportunities to advance science, train the next generation of scientists and engineers, and…
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America's Future in Space America’s Future in Space: Aligning the Civil Space Program with National Needs

As civil space policies and programs have evolved, the geopolitical environment has changed dramatically. Although the U.S. space program was originally driven in large part by competition with the Soviet Union, the nation now finds itself in a post-Cold War…
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Radioisotope Power Systems Radioisotope Power Systems: An Imperative for Maintaining U.S. Leadership in Space Exploration

Spacecraft require electrical energy. This energy must be available in the outer reaches of the solar system where sunlight is very faint. It must be available through lunar nights that last for 14 days, through long periods of dark and cold at the higher…
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Approaches to Future Space Cooperation and Competition in a Globalizing World Approaches to Future Space Cooperation and Competition in a Globalizing World: Summary of a Workshop

Numerous countries and regions now have very active space programs, and the number is increasing. These maturing capabilities around the world create a plethora of potential partners for cooperative space endeavors, while at the same time heightening…
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America’s Energy Future Wins 2010 Choice Magazine Outstanding Academic Titles Award

Americas Energy FutureAmerica’s Energy Future: Technology and Transformation was selected by Choice Magazine as one of 2010’s Outstanding Academic Titles. The book is a joint effort of the National Academy of Sciences, National Academy of Engineering, and National Research Council, and represents the culmination of the first phase of the America’s Energy Future Project. The authoring committee, chaired by Harold Shapiro of Princeton University, features the leading experts in energy today, including Steven Chu, current United States Secretary of Energy.

Every year Choice, a magazine published by the American Library Association, announces a list of Outstanding Academic Titles that were reviewed during the previous calendar year. This prestigious list reflects the best in scholarly titles reviewed by Choice and brings with it the extraordinary recognition of the academic library community. In awarding Outstanding Academic Titles, the editors apply several criteria to reviewed titles:

  • overall excellence in presentation and scholarship
  • importance relative to other literature in the field
  • distinction as a first treatment of a given subject in book or electronic form
  • originality or uniqueness of treatment
  • value to undergraduate students
  • importance in building undergraduate library collections

America’s Energy Future joins another National Academies Press book, Taking Science to School, on this prestigious list of award winners.

America’s Energy Future analyzes the potential of a wide range of technologies for generation, distribution, and conservation of energy. The book considers energy efficiency, coal-fired power generation, nuclear power, renewable energy, oil and natural gas, and alternative transportation fuels. It offers a detailed assessment of the associated impacts and projected costs of implementing each technology and categorizes them into three time frames for implementation.

Other titles in the America’s Energy Future collection include:

You can find more information about Choice magazine and the Outstanding Academic Titles Awards here.

America’s Energy Future is available for purchase here. The entire series of America’s Energy Future titles can be purchased as a set here.

Understanding Baby Boomers and the Medicare Crunch

The year 2011 marks a milestone for the Baby Boom generation, as they begin turning 65. Boomers will be qualifying for Medicare at a rate of one every eight seconds; a record 2.8 million will qualify in 2011. In all, the government expects 76 million Boomers will age on to Medicare. The rapid escalation of beneficiaries along with health care cost increases that are outpacing inflation present a huge challenge to the Medicare system.

A recent report from the National Research Council, Improving Health Care Cost Projections for the Medicare Population: Summary of a Workshop, focuses on areas of research needed to improve health care cost projections for the Medicare population and on the strengths and weaknesses of competing frameworks for projecting health care expenditures for the elderly.

Another recently released report, Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their Improvement, provides guidance about what data are needed to measure the output produced by the medical care sector. Without this kind of information it is impossible to credibly assess whether the nation spends too much or too little on medical care relative to, say, public health measures, and, perhaps more important, whether we purchase something close to the right mix of medical care goods and services for a given level of resources expended.

These books and others can provide information and direction for health care cost research and decision making.

Improving Health Care Cost Projections for the Medicare Population Improving Health Care Cost Projections for the Medicare Population: Summary of a Workshop

Developing credible short-term and long-term projections of Medicare health care costs is critical for public- and private-sector policy planning, but faces challenges and uncertainties. There is uncertainty not only in the underlying economic and demographic…
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Accounting for Health and Health Care Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their Improvement

It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as…
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The Healthcare Imperative The Healthcare Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary

The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to…
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Value in Health Care Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovations: Workshop Summary

The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S….
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Rewarding Provider Performance Rewarding Provider Performance: Aligning Incentives in Medicare (Pathways to Quality Health Care Series)

The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series…
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Medicare's Quality Improvement Organization Program Medicare’s Quality Improvement Organization Program: Maximizing Potential (Series: Pathways to Quality Health Care)

Medicares Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement…
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Performance Measurement Performance Measurement: Accelerating Improvement (Pathways to Quality Health Care Series)

Performance Measurement is the first in a new series of an ongoing effort by the Institute of Medicine (IOM) to improve health care quality. Performance Measurement offers a comprehensive review of available measures and introduces a new framework to…
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