Organization in favor of a reorganized United Nations Development 

 Program as the focal point of funds, coordination, review, ancl deci- 

 sion in technical assistance for country-centered health programs. 

 It proposes that somehow the UNDP can simultaneously coordinate 

 and decentralize. Using WHO as an example, this report tells the 

 member governments that they can stabilize that Organization's budget 

 at its present level. On the basis of the Jackson Capacity Study, 

 one could hardly expect present and future appropriation committees 

 to expand the budget of WHO, even though full implementation of 

 the United Nations Development Cooperation Cycle (UNDCC) con- 

 cept, which the report recommends, may be several years away. 



The Peterson Task Force report ^^ would rely on multilateral orga- 

 nizations like WHO in place of AID, but there is no specific rec- 

 ommendation that AID funds in health and sanitation be transferred 

 to WHO. There is also little reason to believe that new breakthroughs 

 in science and technology as anticipated through a proposed U.S. 

 International Development Institute represent a primary need at this 

 time for WHO or any other organization working in the field of inter- 

 national health. The report doesn't mention WHO and rarely mentions 

 health, but its philosophical stance warrants elaboration in a later 

 section.. 



The economists, international organization experts, bankers, and 

 fiscal managers who prepared these three reports are distinguished 

 scholars and businessmen whose conclusions deserve serious considera- 

 tion in the long run. However, for the immediate future and possibly 

 for the next few years appropriation committees of Congress might 

 also examine the growing budgets of WHO and PAHO and the U.S. 

 contributions thereto in the light of applying the technology already 

 available to alleviate the mass misery of ill health abroad as well as 

 at home. A report of this type, by Dr. John Bryant of the Rockefeller 

 Foundation, is commended by The New England Journal of Medicine, 

 citing especially the following paragraph from the preface of Dr. 

 Bryant's book: 



Large numbers of the world's people, perhaps more than 

 half, have no access to health care at all, and for many of the 

 rest the care they receive does not answer the problems they 

 have. The grim irony is that dazzling advances in biomedical 

 sciences are scarcely felt in areas where need is greatest. Vast 

 numbers of people are dying of preventable and curable 

 diseases, or surviving with phji-sical and intellectual impair- 

 ment for lack of even the simplest measures of modern 

 medicine.^^^ 



The Journal notes incidentally that "Bryant's excellent study bene- 

 fited from an Advisory Committee, representing a broad experience in 

 the international health field, and including senior staff members of 

 the World Health Organization.'^^ 



13* ' r.S. Foreign Assistance in the 1970's : A New Approacli.' Report to the President 

 from the Task Force on International Development. March 4. 1970. (Washington. U.S. 

 Government Printing OflBce, 1970). page 2. 



i»6 John Bryant. "Health and the Developing World." (Ithaca, Cornell University Press, 

 19R9). preface, and page IX. 



"« "Medical Research as Measured Against the Needs of All," op. cit., page 538. 



