1798 



— Whether exchange of technology would serve diplomatic 

 goals better than do one-way transfers of technology; 



— Whether adoption of voluntary standards (and the metric 

 system) by the rest of the world works to the disadvantage of 

 both U.S. industry and U.S. diplomacy; «,nd 



— Whether multilateral rather than bilateral diplomacy affords 

 a more constructive forum for the effective management of tech- 

 nology to serve U.S. diplomatic interests. 



ISSUE TWd: THE POLITICS OF GLOBAL HEALTH 



This study, with its emphasis on preventive global medicine ad- 

 ministered by multilateral institutions, conveys only by inference 

 the possibility of a role for the technologist in the private sector, or 

 the need for public-private interaction with respect to health 

 technology. 



It is quickly evident that the philosophy of medical care in the 

 United States with its stress on personal curative service is economi- 

 cally out of the reach of most of the world, and indeed is raising 

 questions in the United States as to the feasibility of its indefinite 

 further extension. The cost-eflfectiveness of preventive medicine, by 

 comparison, offers attractions for global application and extension. 

 The role of the private sector in this field may have lagged quite as 

 seriously as has U.S. eicploitation of the diplomatic opportunities for 

 enlargement of its role in furthering global preventive medicine 

 through association with the World Health Organization, the Pan 

 American Health Organization, and other multinational health bodies. 



One question, not touched on in the study, is whether the multi- 

 national corporation might serve as a useful instrument for the inter- 

 national transfer and development of systems of preventive medicine. 

 Certainly it is of interest to such corporations that health standards 

 be adequately maintained in all countries in which they operate or 

 might desire to enter. There are also market opportunities in such 

 fields as electronic medical diagnostic equipment, for which the study 

 proposes the establishment of global (WHO) standards. And speaking 

 more broadly, it is diflScult to conceive of a field in which the com- 

 petence of management and skill in technological development of the 

 multinational corporation could be employed with greater social and 

 diplomatic advantage and with less dissonance than in the global ap- 

 phcation of the principles and practice 'of preventive medicine. 



ISSUE three: BEYOND MALTHUS 



An extraordinary array of opportunities for the private sector to 

 participate in programs beneficial to U.S. diplomatic goals is offered 

 in this study. The technological and managerial resources appropriate 

 to the tasks delineated in the study could be available, given the 

 motivation, the funding support, and the policy guidance. 



For example, in the field of food production and distribution, a 

 serious lack is crop information. Satellite surveys of crops, supple- 

 mented by local information of a less aggregated character, is well 

 within the present state of the art. Another lack is in food nutrients 

 and fertilizers and other agricultural necessities, to be made available 

 on eafey terms to needy countries. Another possibility is that U.S. 



