WASHINGTON--A new report from the Institute of Medicine on how to fund health sciences research doesn't take the easy way out by asking the United States government for more money. But what it does recommend--that the government redistribute existing funds by shifting some money from research grants into training the next generation of scientists and improving research facilities--seems likely to aggravate rather than end the heated debate about how to allocate scarce federal resources.

The message that the future is as important as the present was emphasized in comments from Scripps Clinic neuroscientist Floyd Bloom, who chaired the committee that issued last month's report. "While it was clear that we need more money," says Bloom, "our goal was to maximize our use of existing resources. We want to be in a position to assure our sponsors, if more money becomes available in the future, that we have a comprehensive plan...

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