U.S. SCIENCE AND THE THIRD WORLD  (Kettering paper)    March 1982

d.  Health

      The above pattern applies to health as well as population, agriculture, and energy. Most tropical diseases receive relatively little research funding. Worldwide funding for schistosomiasis research, for example, is about 3 cents per case, compared with $30 per case spent United States alone for research on muscular dystrophy, and $209 per case of cancer.(22) Schistosomiasis is a debilitating disease, afflicting an estimated 200 m people in Asia, Africa, the Caribbean, and Latin America. It is increasing in prevalence, incidence, and intensity in conjunction with building dams and irrigation projects which harbor snails, the intermediate host for the schistosome parasite.

      This disease, like malaria and others, is unlikely to be controlled by the discovery of a single drug or vaccine. A range of efforts will be needed, and the related research agenda is extensive. Evidence that under certain circumstances the parasitic schistosome is vulnerable to the body’s immune defenses has improved prospects for a vaccine considerably. Other positive recent developments include indications that a new drug, praziquantel, may be effective as a cure, although it is still too costly for mass treatment of large populations. The strategy of concentrating treatment on targeted populations who appear to be prime carriers of the disease——a strategy that worked well in the successful campaign to eradicate smallpox——is also being investigated.

      As in other fields (perhaps it should be added to our pattern), U.S. leadership in combating schistosomiasis is in the hands of a private foundation. The Edna R. McConnell Clark Foundation of New York has committed a major segment of its development program since 1973 to supporting work in schistosomiasis. In addition to spending over $2 million per year on research, the foundation periodically produces a strategic plan for research in the field. The other major private donor is the Rockefeller Foundation, contributing just under $1 million per year.

      Internationally, the World Health Organization (WHO) Tropical Diseases Program focuses on five major human parasitic diseases: schistosomiasis, malaria, filariasis, trypanosomiasis, and leishmaniasis. It commands an annual budget of about $25 million, of which less than $2 million is devoted to schistosomiasis. In 1979, the U.S. government spent about $3.5 million for schistosomiasis research, plus its share of the WHO budget. AID spent just over $8 million on health research generally in FY 1980, including $4 million for WHO programs.(23)

      AID did fund research on treatments for schistosomiasis, with encouraging results, but research of this sort is the exception rather than the rule for the agency. AID strategies in the health field have four key components:

·         Support for broad, community—oriented networks to provide low—cost primary health care services;

·         Disease control;

·         Water and sanitation; and

·         Planning and manpower.(24)

      Of these, AID accords higher priority to the delivery of primary health services —— a vital area, but not one in which the American experience is much admired.

      Research is an important component of disease control, but most of the funds are used for control programs rather than research. AID has had a long—standing interest in malaria, for example, but of the $535 million spent on bilateral assistance for malarial control from 1957 to 1972, only about 0.1 percent went for malaria research. Research on a malaria vaccine began in 1966, however, and AID is now devoting about $2.5 million per year to this purpose. Meanwhile, the research agenda related to malaria has grown. Drug-resistant malaria, insecticide—resistant mosquitoes, and a dearth of vector biologists have led to a resurgence of the disease to alarming proportions.

      In 1978, the Institute of Medicine (IOM) issued a report entitled Strengthening U.S. Programs to Improve Health in Developing Countries, the result of a study by the prestigious international committee of the IOM. Its findings are worth noting:

      The estimated U.S. funds devoted to international health activities in FY 1976 were about $408 million, of which almost 90 percent went to technical cooperation on health services and family planning programs. The balance supported research. AID bilateral programs accounted for just over half of the total funds expended: assessed contributions for multilateral agencies 37 percent, and the Department of Health, Education and Welfare and the Defense Department together less than 11 percent.

      The IOM concluded that there were four major problems with the pattern of our international health activities:

·         “Inadequate access by the U.S. government to the major U.S. sources of health expertise, mainly in the medical schools and public health faculties;

·         “Too little support for research and development on major health problems of the developing countries;

·         “Inadequate arrangements for U.S. backstopping of multilateral health programs; and,

·         “Inadequate organizational arrangements for policy development, planning and coordination of U.S. international health activities.”(25)

      Much of the difficulty is attributed to AID’s statutory mandate, which is too narrow and too short—term to permit it to establish stable, flexible relationships with the primary sources of U.S. health expertise. Also, the statutory mandates of the federal health agencies in HEW are too restrictive to allow a serious commitment to the health problems of developing countries. AID can afford to invest relatively little in research, and the research—funding agencies can afford little attention to developing countries. Thus our biomedical, engineering, and social science capabilities are hardly tapped for the needs of developing countries.

      Dr. John Bryant, director of the Columbia University School of Public Health and chairman of the IOM International Committee, later joined HEW as its senior executive for international activities. He organized and chaired an interagency committee on international health, which improved the policy coordination problem noted in the study.

      The general problem of inadequate use of our major health resources remains much as it was described by the IOM because the statutory mandates are unchanged and the budget process continues to frustrate many a good intention. 

e.  The Budget Process

      While the search for vaccines against schistosomiasis, the reversible sterilization process, or biological means for greater nitrogen fixation captivates the mind, the budget process ties the arms. Simply put, the budget process requires each agency to rank its proposed activities in accordance with the priorities embodied in the pertinent legislation. Programs and projects are clustered into categories that would be undertaken at various levels of funding. The actual funds received determine where the line is drawn: the programs above the line are implemented, and those below are deferred.

      This logical process works reasonably well for domestic activities, but is seriously flawed on international matters for two reasons: the international constituency lacks political leverage, and the policy objectives to be served often exceed the mandate of a single agency.

      The constituency issue is straightforward. Agencies considering the uses of limited resources are naturally under pressure from U.S. institutions and members of Congress to favor domestic activities, even when international action might contribute more to the objectives in the statutory mandate in the long run. The mandates themselves are heavily weighted toward domestic purposes by members of Congress who choose to serve on the authorizing and appropriating committees governing the agencies. Members with international concerns serve on foreign relations committees, and these do not deal with the affairs of the science—based agencies.

      The issue of policy objectives is more complex. International scientific or technological activities, carried out or supported by government funds, can serve a variety of objectives. The department or agency proposing such activities can take into account only its own statutory objectives in ranking them. This means, in effect, that the potential contributions to foreign policy aims or develop­ment from an international project by DOE or USDA are largely ignored in the departmental rankings. Consequently, some activities that would merit funding if the composite national interests were counted will not be undertaken. Also, projects that the agency does undertake tend to be structured with only the agency’s needs in mind and may miss opportunities to achieve foreign policy or development objectives.

      All of this sounds abstract, but the significance is that there is no budget for science and technology for foreign policy purposes and no effective way to build foreign policy considerations into the international activities of other departments.

      Our system for allocating public research and development expenditures is archaic. Our huge national research establishments are confined to the domestic stage, while virtually every one of their major problems is international or even global in scope. The global dimensions of problems are assigned to our dwindling foreign aid program, as though addressing these problems would only benefit other countries. But the aid program has other, more immediate, problems to deal with. So very little is done about the long—range threats to the quality of life on earth —— the very problems with which we are best equipped to deal.

4. REMEDIAL EFFORTS

            The deficiencies of America’s international performance in scientific and technological activities have not gone unnoticed, and there have been attempts to remedy the situation. Reviewing these efforts illustrates how difficult it is to change established patterns of government behavior.

      In 1961, the president’s Science Advisory Committee recommended that $100 million per year be devoted to research related to foreign assistance.(1) This led David Bell, then administrator of the newly reorganized AID, to create the Technical Assistance Bureau (TAB) in the agency. By 1966, however, TAB was spending only $9 million on research.

      TAB has been renamed and redirected at least twice since then. Its designation as the Development Support Bureau (DSB) reflected a turning away from longer—range research projects in favor of research in support of field operations. This was consistent with the New Directions legislated in 1973, which directed AID to focus its efforts on the direct alleviation of poverty. New Directions not only lowered expenditures of development-related research in the United States, but also cut back projects in the field that were designed to strengthen the institutional capacity of developing countries to solve their own problems.

      New Directions was in some ways a needed corrective to AID policies, which often benefited the relatively well-off persons in developing countries, but its interpretation and implementation overshot the mark. AID objectives have become even more short-term than in the past as a result.

      In 1981, Dr. Nyle Brady was appointed senior assistant administrator of DSB, the “senior” denoted both his personal prestige and the new importance to be assigned to the unit. Brady was a distinguished director of IRRI, where he pioneered the new cooperative relationships between IRRI and the national agricultural research systems in Asia, before his appointment to DSB.

      One of his first moves in AID was to rename the unit the Science and Technology Bureau. He then sought to gain professional and administrative control over the technical support staffs in the regional bureaus. Failing in this, he organized technical committees on major problems, in which regional staff members sat with his bureau specialists and mapped strategies. Brady has recently drawn up plans for major new research initiatives on persistent development problems, requiring an estimated $100 million in additional funds. Not surprising, his rationale is strikingly similar to that put forward for research and capacity-building by the planners of the ISTC.

      In addition to overcoming the anticipated objections of budget chief David Stockman, Brady and his colleagues will need to confront the serious difficulties encountered by his predecessors in making AID a competent research agency. AID’s deficiencies as a research agency have been analyzed in a number of studies dating back to the Gardiner Report in the mid-1960s. These deficiencies include the limited technical qualifications of AID staff; the inhospitable climate an operating agency offers to highly trained scientists and technical personnel; the operational procedures of the agency, many of which have been forced upon it by an unsympathetic Congress; its lack of contact with the middle-income countries, where cooperative scientific relationships could be most fruitful; and the limited ability of the Agency to tap the main scientific strengths of other agencies and the private sector.

      None of these defects is inherently beyond remedy, but the remedy could fundamentally alter the nature of AID, which is now performing a valuable development function. Indeed, to deal with global problems under the development rubric leads to a confusion of objectives that can do damage both to the foreign aid program and to our ability to respond to impending threats to our own quality of life. Funds for research will appear as diversions from resources desperately needed to alleviate poverty, and will be kept at a level well below what is needed as long as Congress and the American people regard them as handouts to foreigners. Development and research are both frustrated by an unsuitable marriage.

      The Gardiner Report, recommending that a separate institute be created for higher education and research, was quietly ignored. Two later efforts, the Pearson Report of 1970 and the Brookings Study of 1977, received more serious attention, but ultimately neither was accepted.

      Pearson recommended that an International Development Institute (IDI) be created to handle the scientific side of the foreign aid program. The National Academy of Sciences examined the idea and gave it strong endorsement. President Nixon proposed the IDI to Congress in 1971, but Vietnam and Watergate prevented him from pressing the issue. Congress neglected even to hold hearings on it.

      The Brookings Study, for many of the same reasons cited in previous reports, also recommended a separate institution for science and technology. It proposed an autonomous public foundation with its own board of directors to work with both the public and private sectors on research problems and technical cooperation with developing countries.

      President Carter was attracted to the idea and announced the creation of the foundation, rather prematurely as it turned out, in a speech in Caracas in April 1978. A planning office set to work drafting a presentation to Congress later that year. In the eighteen months that the idea was alive, it was reshaped to meet the presumed wishes of Congress. The autonomy of the unit was diluted by placing it under IDCA as a parallel agency to AID and Overseas Private Investment Corporation. It was called an institute rather than a foundation. And its rationale was oriented to the scientific aspects of problems afflicting the poorest of the poor.

      The Institute for Scientific and Technological Cooperation (ISTC) was authorized by both houses of Congress in 1979, but authorizing and appropriating committees for a given activity have different members. The Senate appropriations subcommittee overturned the work of the authorizing committees by refusing to vote funds for the new institute.

      The ISTC had a number of friends in Congress, but the issue was so obscure that few voters would know of its passage or defeat. When Senator Dennis deConcini of Arizona, abetted by William Jordan, head of the subcommittee staff, fought hard against creation of the ISTC, his determination carried the day. Senator deConcini makes his reputation for fiscal soundness by picking out minor issues such as U.S. participation in the United Nations University or the International Year of the Child, and blocking their passage. His attack on the ISTC ignored the purposes of the institute and concentrated on the folly of creating yet another federal agency. He read into the record detailed staffing plans, with salary levels attached, neglecting note that all positions would come under existing personnel ceilings.

      The administration, with unseemly haste, scurried to find an acceptable compromise. As a result, a cut—down science program was grafted on to AID, under legislation that insulated it from the rest of the agency. There it remains, with a staff of three, side by side with Brady’s Science and Technology Bureau. The compromise in effect threw out the baby, and kept the bath water.

      It was a Catch—22 situation. By tailoring ISTC to fit the New Direction’s mandate of AID in order to get Congressional approval, the institute’s planners, including myself, left themselves vulnerable to the charge that what they planned to do was really AID’s business.

      Two other failed initiatives of the Carter administration deserve mention: the attempt to formulate a national policy on science and technology for development, and The Global 2000 Report.

      Prompted by the impending UN Conference on Science and Technology for Development (UNCSTD), the National Security Council in early 1978 set about preparing a presidential review memorandum, an interagency effort to provide policy options to the president on international science and technology activities. By February 1979, an options paper existed in draft. Most agencies concurred that more science and technology activities were needed for a variety of purposes, but they did not agree on what should be done. The Department of Labor opposed any new programs because they might promote export-oriented industries in areas where excess world capacity already existed, and OMB thought that more analysis was required and further action should await the creation of the ISTC. There the matter rested.

      The U.S. delegation went to UNCSTD in Vienna in August 1979, armed with the ISTC as the principal U.S. contribution to the conference objectives. Not only did we fail to come through with an ISTC, but, as noted earlier, we helped engineer the creation of a UN Interim Fund for Science, Technology, and Development, to which we later refused to commit funds.

      The U.S. record in international affairs of this sort would be amusing if it were not so embarrassing. In this case, embarrassment was muted by the fact that no major U.S. newspaper bothered to cover the conference, although it was front-page news in most of the rest of the world.

      The Global 2000 Report to the President was prepared by the Council on Environmental Quality (CEQ) and the Department of State, with the cooperation of eleven other agencies. It was done in response to President Carter’s request for a one-year study of the probable changes in the world’s population, natural resources, and environment through the end of this century. The study took three years instead of one and was issued in July 1980.

      The report did not impress the scientific community in this country. The year 2000 is an arbitrary date —- a round number that suggests a milestone in human history. But it is too early for the worst dangers of current trends in population, resource use, and environmental deterioration t have been realized. The data used were sometimes out of date or inaccurate, and the interactions among variables less complete than in other available models, such as those designed by the Club of Rome team at MIT or the UN model of Leontief. The weakness of the relationships of variables was recognized by the authors who found, by de-linking other models to a comparable extent, that their results were likely to be more optimistic as a consequence (The Global 2000 Report, pp. 43—44).

      The significance of the report was not in its findings, which closely paralleled those of earlier models, but in revealing how unprepared our government is for anticipating and dealing with serious threats to the globe. Different agencies were using differing, and sometimes incompatible, assumptions in their forecasting methods; no agency had the capacity to anticipate global crises and map appropriate strategies; the government as a whole lacked the information and analytical capacity to take global resource and environment trends into account in decision-making; and mechanisms weren’t and still aren’t in place for adequate cooperation with other countries on these long—range problems.

      No sooner had the report been issued than the president ordered an interagency follow-up study, again led by CEQ and the State Department, to review current government programs related to these global issues and to recommend improvements. It was a hurried job, spurred on by the results of the November election, and resulted in the publication of Global Future: Time to Act in January 1981, only days before the inauguration of President Reagan.

      Global Future received much less attention than The Global 2000 Report, but it made the greater contribution to our understanding because it dealt with measures we could take to change the threatening trends. CEQ organized working groups drawn from nineteen federal agencies and solicited suggestions from hundreds of citizens and private organizations.

      The results were a hodgepodge, so much so that the recommendations were not ranked or stacked up against budgetary resources. Even CEQ and the State Department reserved the right to amend their conclusions at a later date (Global Future, p. ii).

      The recommendations nevertheless represent the most coherent thinking available on how the government should prepare itself to deal with these issues. They emphasize the need to tap public and private science and technical know-how to help other nations inventory, assess and manage natural resources, and to build institutional research capability, as well as to conduct scientific research ourselves.

      Of the hundreds of suggestions CEQ received, the most frequent by a large margin concerned institutional changes to assure enduring and effective attention to long—term global issues (Global Future, p.15). CEQ and the State Department responded by placing greatest emphasis on two recommendations:

·         “to centralize authority for fostering the development of an integrated U.S. strategy on global resources, environment, and population in a single government institution, preferably located in the executive office of the president; and,

·         “to establish a hybrid public-private institute to supplement governmental effort, to stimulate independent analysis, and to involve private groups -- industry, labor, environmental, academic -- in a creative dialogue with government.” (Global Future, p. 15)

      These and other recommendations in Global Future deserve serious consideration, but there seems to be little chance of that. A Republican administration is unlikely to seek its agenda for action in a document issued by its predecessor. In fact, one of the early acts of the new administration was to cut the CEQ budget in half, fire all professional staff, and threaten to disband the organization entirely.

      On the legislative side, the House Foreign Relations Committee sponsored a mammoth study entitled Science and Technology and American Diplomacy, which was published in three volumes in 1977. The study found that the number of diplomatic problems having substantial technological content is large and growing.(2) It identified opportunities as well as difficulties, concluding that the United States, a nation excelling in technological achievement, ought to accept the responsibility for leading the way in the application of technology to achieve goals shared with other nations of the world.

      To use science and technology effectively in diplomacy requires a long time-horizon, however, and the study emphasized the need for a sustained and systematic search for future trends in the world outlook, a sustained effort to formulate U.S. goals, and a broad-gauged attempt to discover organizing principles to bring greater coherency to U.S. foreign policy (STAD, p. 1913).

      In stressing the need for integrated planning, the study anticipated the conclusions of Global Future. The principal author, the late Franklin Huddle, recognized that the sheer complexity of scientific and technological problems stands in the way of congressional action (STAD, p. 1611). He noted that responsibility is scattered through both the legislative and executive branches, and nowhere is there a unit capable of an overview; nor is there any mechanism to mobilize and apply the two pre-eminent strengths of the United States: technological skills and managerial expertise.

      Huddle recommended that long-range planning be accomplished by a unit close to the Secretary of State or the White House. The unit should monitor technological trends, assess technologies, predict their economic and social consequences, and provide thorough policy analyses and long-range planning for national efforts (STAD, p. 1873).

      One interesting element of the Huddle study was its attention to regional arrangements. Case studies were done on the Mekong Project, an attempt to use technological cooperation as an inducement to peace in Southeast Asia; international cooperation on the Sahel region of Africa; ASEAN, an association of Southeast Asian nations for joint scientific effort; the Organization of American States; and the Andean Pact. Regional agreements were found to be attractive because they could partially insulate scientific and technological activities from the ups and downs of bilateral relationships. Huddle strongly believed that foreign policy benefits accrue from cooperation in science and technology even when bilateral relations are strained. He also warned that purely political science and technology activities generally fail to produce desired results; that is, if the science is poor, the political rewards are also poor.

      Despite many valuable insights, the net results of the 2000-page study were disappointing. By focusing on diplomacy and directing many of the recommendations at the State Department, the authors missed the central importance of bringing the scientific capacities of the technical agencies of government to bear on global problems. Concretely, the study resulted in Title V of the Foreign Relations Act of 1979, which gave the Secretary of State and his Office of Oceans, Environment and Science (OES) the responsibility of coordinating U.S. international science and technology activities. OES compiles an annual report and submits it to Congress, and a Committee for International Science, Engineering and Technology (CISET) meets infrequently under OES leadership, but little coherence and no additions to quality are yet apparent from the procedures. Foreign service officers, selected as generalists with no particular scientific qualifications, can hardly be expected to offer the leadership our national efforts require.

      A more modest congressional initiative, but one containing interesting possibilities, was the Waxman Amendment of 1979. This requested the president to prepare within one year a plan for trilateral scientific and technological cooperation to “build the structure of peace” in the Middle East. Unlike the Mekong Project, the Waxman idea did not assume that the prospect of scientific cooperation would lead hostile parties to the peace table; instead, the congressman suggested that once a fragile peace agreement had been achieved, collaboration on projects by the parties involved (Israel, Egypt, and the United States) could help to cement the peace process by providing concrete benefits to all participants.

      A report was duly produced in response to the amendment, a few months beyond the deadline, coordinated by OES. It contained a mixed bag of proposals gleaned from the technical agencies without much regard for their feasibility or for Israeli or Egyptian desires. The critical chapter was a brief two—page submission by OMB which said quite clearly that no new funds would be requested for the purposes suggested by the amendment. A prior authorization of $5 million was available for trilateral cooperation. Beyond that, the agencies could use their own funds to support cooperation in service of peace, but they would need to take them from some other planned activities.

      Budgetary strictures curtail the benefits of another potentially useful device for fostering international cooperation. President Carter’s science advisor, Dr. Frank Press, was unusually active in generating bilateral agreements for scientific and technological cooperation. His most notable achievement in this regard was the cooperative agreement with China, signed during Teng Shao Ping’s visit to the United States in 1979. Twenty memoranda of understanding were signed on the African trip that Dr. Press took in 1980 with senior executives from a number of technical agencies. Other important bilateral accords were signed with Japan, Brazil, and Mexico during his tenure.

      Here again, OMB had no objection to bilateral agreements provided they didn’t demand new money. Participating agencies are expected either to cover their expenditures from existing budgets, or be reimbursed by the other countries, as in the case of the Chinese. The State Department, which coordinates the agreements, can indicate foreign policy interests in the proceedings, but has no funds with which to make its views effective.

      In practice, many bilateral agreements atrophy from lack of funds or interest on the part of U.S. agencies. A change in executive leadership often results in the neglect of the passions of the predecessor, so one can predict hard times ahead for the newly minted accords with the Chinese, Mexicans, and others.

5. RECOMMENDATIONS

      Soedjatmoko, the Indonesian sage who now heads the United Nations University (UNU), said recently, “In facing the future, both the developed world and the developing world are, essentially and in different ways, equally unprepared.”(1)

      He is seeking to broaden the UNU’s intellectual scope to include global problems: not to ignore the development issues to which his institution has been oriented since its founding, but to go beyond the North/South dichotomy to the realization that a common destiny awaits humanity. In his words, “In the world’s enveloping crises, if there is to be a future at all, it is going to be a shared one for all nations.”

      A similar shift in perspective is needed in the United States. Our responses have been feeble in recent years to the global crises that threaten our planet; we tend to sweep all international problems that lack burning urgency under the rug of foreign aid and then hack away at the AID budget because charity begins at home. Somehow we need to relearn the meaning and uses of power in a plural world, one in which we are no longer preeminent but are still the most important single nation shaping the future of the globe; and one in which the main threat to well being may not be another country, but the peaceful abuse of our globe by all.

      We hear much about a “window of vulnerability” threatening our national security in the remaining years of this decade, and we are apparently prepared to devote hundreds of billions of dollars to armaments to close that gap. But the truly heroic challenges so clearly visible on the horizon -- the great barn doors of vulnerability that we are leaving for our children to close, if they can -- receive little political rhetoric.

      Soedjatmoko’s list of global problems goes well beyond those considered here. He is concerned with peace and human survival, with the world economy and unprecedented rapidity of social change, with the moral and ethical abilities of human beings to grapple with the problems of the twenty-first century. I applaud and admire the breadth of his vision and deeply regret our persistent refusal to bear our share in the funding of his institution. But in these pages I focus more narrowly on those matters where the United States has a unique capacity by virtue of our scientific and technological development to enhance the world’s ability to survive with dignity in the coming century. In that century the world must learn to feed, clothe, house, and employ nearly three times its present number while simultaneously giving up its dependence on petroleum.

      It must be a century of unparalleled innovation and invention in the United States and elsewhere in the world.

      Our responsibility is great not because we have a monopoly on inventiveness, but because we are the inheritors of much of the world’s scientific advancement. Abdus Salam, the Nobel laureate who heads the International Centre for Theoretical Physics in Trieste, reminds us that scientific leadership through the ages has had many homes. For centuries after Aristotle and Archimedes, the names of the leading scientific thinkers were Chinese, Arab, Turk, Afghan, and Persian. Only after 1350 did the light shine most brightly in Western Europe.(2) We carry the torch now, partly through our own efforts and partly because of the emigration of so many eminent scientists from Europe in this turbulent century. For mankind to emerge from the next century with a sustainable civilization, the bonfires of invention must be rekindled around the globe.

      Is it in our national interest to dedicate a greater share of our talent and intellectual resources to the global challenges? How could it not be? Not only do we have a stake in the quality of the earth’s environment, but we materially benefit from advances in food production, energy creation, health, and even industrialization abroad. In addition, nothing would do more to improve our national image abroad and add luster to our style of economic and political freedoms than vigorous leadership in attacking global problems. Our reputation of indifference and selfishness, stemming from positions taken at the Nairobi Energy conference, the Vienna science and technology conference, and the Law of the Sea negotiations, is unworthy of our country and wholly unnecessary.

      To recapture the constructive dynamism of our nation that typified two decades after the Second World War will be no easy task. Profound changes of attitude, policy, and institutions are involved, and many vested interests will tenaciously resist, as Lester Thurow has noted in The Zero Sum Society. Some first steps seem necessary:

1. The first, indispensable, requirement is for high-level leadership. Only the president can provide it. He must set the sights of the nation and direct the machinery of government to broader aims. President Reagan set a firm course at Cancun, where he advised developing countries to rely primarily on private enterprise in dealing with their development problems. For many countries this is good advice, which they are already following. Hong Kong, Singapore, Taiwan, and Korea have booming free- enterprise economies and are well on the way to developed-country status.

      The U.S. private sector has been operating at a disadvantage compared with firms from Japan, the United Kingdom, France, and Germany in working with and in developing countries. The Reagan administration eased the problem by greatly increasing the tax exemption for Americans living abroad, but official mechanisms for sharing risks still trail those available to firms from competing countries.

      Private enterprise, although very important, is an inadequate response for the United States to make. Many countries are too poor to be attractive to the U.S. private sector and lack indigenous capital and skills. And, as we have seen, many global issues of concern to ourselves and the developing countries require government-sponsored research and technology development. The U.S. has the pre-eminent capacity to take the lead in dealing with these problems, but the President must set us the task.

2. A single governmental unit capable of anticipating and responding to global issues is clearly necessary. In OMB we have an integrated central control mechanism, but OMB can only curtail action, not initiate it. It would assist OMB greatly in the wise performance of its functions to have a unit monitoring global trends in the resource, environment and population fields; analyzing alternative courses of actions; and setting U.S. priorities.

      This function could appropriately fall to the Office of Scientific and Technological Policy (OSTP) headed by the president’s science advisor. OSTP would need to be strengthened a great deal if it were to undertake the role. Under President Carter, OSTP had a staff of sixteen, most of whom were busy with domestic issues. President Reagan cut the staff by a third and delayed six months in naming a science advisor. The Council on Environmental Quality would also be a possible home for the unit, but it has suffered even greater reduction than OSTP. In any case, the unit should be a part of the executive office of the president.

3. The budget process needs reform. We should have a separate budget for international scientific and technological activities, assembled and evaluated by the executive office unit proposed above, from the submissions of the technical departments and agencies of government. This would mean in effect that the departments would have two budgets: domestic and international. Activities in the international budget would compete against other international opportunities, not against the domestic functions of the department. This would allow the administration and the Congress to comprehend the totality of our international concerns and the interrelationships of the problems. It would avoid the problem of competition between domestic programs, with a host of entrenched constituents, and international programs. And, it would permit international budgets to be reviewed by congressional committees with international interests. At the same time, it would separate science and technology cooperation with developing countries from the foreign assistance budget, placing them in the broader context of U.S interests, in which development is only one strand.

4. A federally-funded research institute is needed to integrate public sector, private sector, and multilateral research on global scientific problems. The technical departments will need time to adapt their procedures and personnel to the international dimensions of their mandates. A tightly integrated research unit with ties to private foundations, universities, and industrial research organizations, and with responsibility for the technical content of U.S. participation in multilateral research on food, population, energy, and other areas, could bring greater coherence to our national effort than ever possible in the past.

      The institute could be modeled on the original Brookings recommendation for an autonomous federal foundation, not wedded to the foreign aid program, or could be patterned on the Global Population, Resources, and Environmental Analysis Institute suggested in Global Future (Global Future, pp. 227-8).

5. The international interests of the private foundations need to be rekindled. We noted the leadership shown by the foundations in developing the first oral contraceptives, building the international agricultural research centers, and mapping strategies for combating schistosomiasis. Other examples are numerous, such as Kettering’s leadership in biological nitrogen fixation and photosynthesis. For a variety of reasons, the record of the foundations on international matters is likely to be less impressive in the future. Most have suffered portfolio declines as a result of the tax act of 1969 and the fluctuating stock market. International programs became less attractive as the value of the dollar declined and the Internal Revenue Service declared housing, education, and home-leave travel to be ordinary income. The democratization of foundation boards of trustees led their programs to become more immediate and trendy than farsighted. And the two leaders in the international field, the Ford and Rockefeller Foundations, are in transition under new leadership.

      The loss of the creative and innovative capacities of our foundations in international scientific affairs is something we should not permit to happen. We need their independence of view, their willingness to take risks, their ability to act quickly with a minimum of red tape, and their capacity to cooperate with nongovernmental institutions abroad.

      Two courses of action should be explored, both of which involve making public funds available for private action. One is to make grants for international programs by the foundations. The German government follows a formula for funding private foundations associated with political parties in amounts related to the percentage of votes received by the sponsors in general elections. The political tie is not attractive in the American context, but the formula-funding notion has merit. A modest precedent in this country is the federal grants received by the Kettering Foundation in partial support of its laboratory work on biological nitrogen fixation and photosynthesis. Few foundations have their own laboratories, however; some system permitting the regranting of funds would be most desirable.

      The second possibility would be the pooling of resources from several private foundations to establish a new international scientific and technological cooperation foundation, which would be eligible to receive federal funds. In this way, private management would be retained, and programs would receive both public and private funding. The Population Council of New York may be a model for this idea. It was founded by John D. Rockefeller III and receives governmental, multilateral, and private grants. The level of funding from government must be substantial and assured to induce foundations to create the new vehicle in these austere times.

      A modest first step has been taken by a loose coalition of business and foundation representatives concerned about expanding the number and effectiveness of grants for international purposes. They have established Grantmaking International, an organization so far without staff or substance, to share experience in the international field. At this point, it is not anticipated that the organization will itself have granting powers, or that it will be in a position to utilize Government funds. Grantmaking International will initially operate as an affiliate of the Council on Foundations in New York.

6. We need to devote more resources to training foreign students. This is a vital contribution to building the capacity of other countries to deal with their own development and to cooperate internationally on global problems. The U.S. record in training foreign students is very strong, but unfortunately we are now moving smartly in the wrong direction.

      According to the Institute of International Education’s Open Doors 1979/80: Report on International Educational Exchange, in 1979-80, 286,343 foreign students were enrolled in nearly 3000 American institutions. Half of them were studying engineering, business, or the natural sciences, and nearly half were at the graduate level. Sixty-five percent of these students were supported primarily by family funds, and another 13 percent were financed by their governments. As a result, most of the students came from developed countries, particularly Canada and Japan, or middle-income countries, with Iran leading the list. Hong Kong and Saudi Arabia each have more students here than India.

      The U.S. government finances only 2 percent of these students, but even this modest contribution is in jeopardy.(3) The U.S. International Communication Agency (USICA), which administers the bulk of official exchange funds, has reacted to a 12 percent cut in FY 1982 funding by allocating two-thirds of the reduction to cultural and educational exchange programs, in order to keep intact its staff resources, field offices, Voice of America, and other information services. As a result, the Fulbright Program will effectively end in 61 of 120 countries, most of them developing nations. According to the USICA release, “Detailed Impact of 12% Across-the-board FY ‘82 Cut,” other exchange programs are similarly curtailed and support for private-sector programs will be reduced by 70 percent. The impact on AMIDEAST, according to an America-Mideast Educational and Training Services release, 30 October 1981, will be to force the closing of four of its seven offices in Middle Eastern countries, even though U.S. funds accounted for less than half of the organization’s overseas budget.

      In contrast, the Soviet Union supported about 55,000 foreign students in 1979 at an estimated cost of $2 billion, ten times the number of students supported by U.S. official sources even before the cut. Britain, France, West Germany, and Japan also exceed the United States in the percentage of their national budgets committed to international educational exchanges.(4)

                        The current cuts are damaging not only in terms of diminishing the developing countries’ capacities, but they are harmful to our foreign policy. A score of leading historians associated with the Woodrow Wilson Center at Washington’s Smithsonian Institution were polled as to what have been the greatest successes and failures of United States foreign policy since the First World War. The two initiatives they judged most successful were the Marshall Plan and the Fulbright-Hays educational exchanges. President Derek Bok of Harvard states that “dollar for dollar” there is no better investment than the exchange of scholars.

7. A continuing process of public education is needed. We are victims of C.P. Snow’s two cultures: communication between scientists and laymen is poor. Part of the problem lies in our education system, which permits children to avoid all scientific learning beyond the modest basics taught in secondary school. Part rests with the media, which prefers the simple and the sensational to the complex and analytical. Zbigniew Brzezinski complained after leaving the National Security Council that the mass media tended to ignore his analytical pronouncements in favor of “either-or presentations of world issues, ‘good guys’ versus ‘bad guys,’ ‘hawks’ versus ‘doves,’ and personal gossip and power plays.”(6)

      Another serious part of our two-culture problem is in our political traditions. An estimated 45 percent of the leaders of the Soviet Union have technical educational backgrounds; perhaps 5 percent of our leaders are so trained. The Soviet leaders have less difficulty understanding scientific and technical issues than do our leaders. One observer noted that the Reagan administration determined its budget cuts of the scientific agencies without having a single qualified scientific or technical person at the policy level of the administration.

      None of these defects can be corrected in a short time, but we need to begin the process of better educating our citizens, media, and politicians in the scientific dimensions of our complex world. This could be a central operating theme for one or more private foundations, where programs could be pursued over the course of a decade or two.

      Where, in the long run, is the money to come from for the expanded attention to international scientific problems urged in this essay? The obvious answer is from defense expenditures. The Brandt Commission noted with dismay that 51 percent of the government funds spent on research in the industrialized countries goes for military, nuclear, and space research, while less than 1 percent is devoted to the problems of developing countries. This can’t be in the interest of any nation, or humanity. Defense expenditures are not just dollars spent; they represent the devotion of a heavy proportion of our scarce natural resources and our best scientists to purposes that contribute nothing to the well-being of humanity.

      The Soviet Union is clearly the most to blame for the upward spiral of military expenditures in the world and cannot be allowed to succeed in achieving military superiority. But even in the Soviet Union there are forces opposed to its massive wasteful investments. Peter Kapitza, a Nobel laureate member of the Academy of Sciences of the U.S.S.R., is one Soviet voice expressing such views. In an article from his book Experiment, Theory, Practice, which appeared as “Global Problems, International Solutions” in the January 1981, issue of The Bulletin of the Atomic Scientists, he states that time is running short for mankind: ”We have less than a century to prevent ecological crisis.” Kapitza thinks that in order to be able to devote its best energies to the solution of these problems, humanity must first realize the magnitude and implications of the global crisis and that it is the task of scientists to show the way to avert the crises.

      Kapitza believes that the need to solve global problems on an international scale will assist in finding ways for peaceful coexistence and disarmament because it will gradually become clear to all that the risk of death from aggression is becoming less real than the dangers of resource shortages and environmental pollution. He calls for “the participation of the best cultural forces of all countries” in directing attention to the seriousness of the situation. This may be as clear a denunciation of present Soviet leaders as is possible within the Soviet Establishment.

      The next century will be difficult for ourselves, our children, and their children, but there is no need to despair. We must rally our “best cultural forces” and gain a more mature view of our national interests and responsibilities. We have the human resources and public institutions to meet the challenge, and our struggle will at least be less onerous and dangerous than that of poor Peter Kapitza.

      These pages have been filled with the niff-naff of organizations and budgets. Perhaps the purpose of the document would have been better served by uplifting examples of the wonders our scientists could produce if only they were given wider scope. Yet it would be as misleading to gloss over the tough bureaucratic and financial impediments to greater effectiveness as it would be to portray the future as bleak and irredeemable. A realistic, concerted effort is needed to broaden the tasks of our scientific and technological institutions.

      It is within our power to significantly alter many of the adverse trends in the global environment that threaten the quality of life. With power comes responsibility. It is a responsibility we should welcome. A great nation such as ours deserves a more noble role in world affairs than mere opposition to the Soviet Union and promotion of free enterprise. We deserve, indeed we must demand, the opportunity to make our full contribution as a nation to human quality.

NOTES

Chapter 2  

(1)  World Development Report, 1981, p. 111. Subsequent references to this edition will appear in the text as WDR 81.

(2)  Agenda 1980, p. 27. Subsequent references to this edition will appear in the text.

(3)  Interdependent Commission on International Development Issues, Willy Brandt, Chairman, North—South: A Program for Survival (Cambridge, Mass.: MIT Press, 1980), p. 238. Subsequent references to this edition will appear in the text.

(4)  WDR 81, p. 111. And The United States and World Development: Agenda 1979, pp. 45-76.

(5)  Peter F. Drucker, Managing in Turbulent Times (New York, N.Y.: Harper and Row, 1980), p. 75.

(6)  Mabub ul Haq, “Negotiating the Future,” Foreign Affairs, Winter 1980-81, pp. 416-7.

Chapter 3

(1)  Council on Environmental Quality and the Department of State, Gerald 0. Barney, Study Director, The Global 2000 Report to the President, Vol. 2, The Technical Report (Washington, D.C.: U.S. Government Printing Office, 1980), p. 608. Subsequent references to this edition will appear in the text.

(2)  Aurelio Peccei, The Human Quality (Oxford: Pergamon Press, 1977), p. 78.

(3)  Herman Kahn and Ernest Schneider, “Globaloney 2000,” Policy Review, p. 146.

(4)  George Zeidenstein, “Strategic Issues in Population,” Population and Development Review, September 1977.

(5)  Ibid., p. 10.

(6)  Kendall, “The World Fertility Survey: Current Status and Findings,” Population Reports, Ser. M, No. 3 (1979).

(7)  World Development Report, 1980, p. 69. Subsequent references to this edition will appear in the text as WDR 80.

(8)  Greep, M.A. Koblinsky, and F.S. Jaffe, Reproduction and Human Welfare: A Challenge to Research (Cambridge, Mass.: MIT Press, 1976).

(9)  ”UN Group Urges World Food Plan,” New York Times. 24 November 1980.

(10) World Development Report, 1979.

(11) Nick Eberstadt, “America and World Hunger,” Wilson Quarterly, Summer 1981, p. 30.

(12) ”America’s Farmers: Theirs Is a Growing Business,” Christian Science Monitor, 2 January 1981, pp. 4-5.

(13) ”The New Critics of Big Farming,” New York Times.

(14) World Food and Nutrition Study: The Potential Contributions of Research (Washington, D.C.: U.S. Government Printing Office, 1977), p. 26. Subsequent references to this edition will appear in the text as WFNS.

(15) David E. Bell, “The International Agricultural Research Centers and the Ford Foundation,” paper presented at the Ford Foundation, 25 August, 1981.

(16) Council on Environmental Quality and the Department of State, Global Future: Time to Act (Washington, D.C.: U.S. Government Printing Office, 1981), p. 65. Subsequent references to this edition will appear in the text.

(17) Energy in a Finite World, p. 171. Subsequent references to this edition will appear in the text as EFW.

(18) David M. Burns, “Climate and CO2,” New York Times, 17 April 1981.

(19) lnterfutures, p. 36. Subsequent references to this edition will appear in the text.

(20) New York Times, 13 August 1981.

(21) Robert M. Press, “New Techniques Help Save Shrinking Tropical Forests,” Christian Science Monitor, 5 March 1981.

(22) ”The Strategic Plan,” The Edna McConnell Clark Foundation, June 1979, New York, p. 2.

(23) Joseph A. Cook, M.D., “Sources of Funding for Training and Research in Parasitology,” paper presented at the Macy Foundation’s Conference on the Present Status and Future of Parasitology, 20-22 October 1980, New Orleans, La.

(24) ”Science and Technology Cooperation with Developing Countries,” a supplement to the IDCA FY 1982 budget submission, 8 October 1980.

(25) Strengthening U.S. Programs to Improve Health in Developing Countries, pp. ES 5-6.

Chapter 4

(1)  Eugene Skolnikoff, Science and Technology and American Foreign Policy, p. 206.

(2)  Science and Technology and American Diplomacy, p. 1611. Subsequent references to this edition will appear in the text as STAD.

Chapter 5

(1)  Soedjatmoko, “The UN University’s Next Stage,” paper presented to the Sixteenth Session of the UNU, 1 December 1980, New York, N.Y.

(2)  Abdus Salam, “From Toledo to Trieste -- Renewing Our Commitment,” Bulletin of the Atomic Scientists, September 1980, p. 35.

(3)  Open Doors 1979/80: Report on International Educational Exchange, p. 26.

(4)  ”Budget Cuts Curbing U.S. Exchange Programs,” New York Times, 28 November 1981, p. 6.

(5)  Walter C. Clemens, Jr., “The Fulbright Program: It’s a Bargain,” Christian Science Monitor, 18 November 1981, p. 22.

(6)  “Talk with Brzezinski,” New York Times, 22 April 1981.



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