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At the moment I th<strong>in</strong>k it is too soon to reach<br />

conclusions and we need to hear from each of the agencies<br />

about their own response. Some of the problems are obvious<br />

ones but there is one which stands out and that is the lack<br />

of an authoritative office to deal with these issues <strong>in</strong> the<br />

federal government.<br />

(Slide.)<br />

So the question that we determ<strong>in</strong>ed to look at<br />

as a whole commission is the one is there a need to have a<br />

government-wide human subjects office. We sought advice on<br />

this from Charles McCarthy, who is the former director of<br />

OPRR, and John Fletcher, who was the first <strong>in</strong>-house<br />

ethicist at the Cl<strong>in</strong>ical Center and then went on to be<br />

professor at the University of Virg<strong>in</strong>ia where he has now<br />

recently become emeritus.<br />

We also received additional expert advice from<br />

Joan Porter, who reported at our last subcommittee meet<strong>in</strong>g<br />

and who is here today aga<strong>in</strong>. And from T<strong>in</strong>a Gonsalus, whose<br />

views we have not actually heard yet, who was look<strong>in</strong>g at<br />

the additional question that was raised by David Cox, which<br />

is whether this opportunity ought to be seized if we are<br />

talk<strong>in</strong>g about a government-wide effort to say it should<br />

also encompass the research which is not federally funded.<br />

(Slide.)

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