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not only all the agencies with<strong>in</strong> the Department of Health<br />

and Human Services but all other federal departments and<br />

agencies. It would, therefore, have government-wide<br />

authority even though it was lodged <strong>in</strong> the Office of the<br />

Secretary of HHS.<br />

(Slide.)<br />

And that the Director of the Office of Research<br />

Ethics would submit his or her own statement of personnel<br />

and budget needs to Congress <strong>in</strong>dependent of the HHS<br />

submission.<br />

(Slide.)<br />

John Fletcher recommends the creation of a<br />

<strong>National</strong> Office of Human Subjects Research advised by a<br />

national advisory committee on human subjects research made<br />

up of 11 to 13 people from outside government. This is <strong>in</strong><br />

l<strong>in</strong>e with the recommendation made by Jay Katz a number of<br />

years ago actually when this commission was be<strong>in</strong>g empaneled<br />

when he said, "You do not need the <strong>National</strong> Bioethics<br />

Advisory Commission, what we need now is a group that would<br />

actually have cont<strong>in</strong>u<strong>in</strong>g oversight of the adm<strong>in</strong>istration of<br />

these rules."<br />

(Slide.)<br />

Fletcher also said that the <strong>National</strong> Office of<br />

Human Subjects Research would have government-wide

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