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We are pleased to present the following excerpt from the book

Noble Vision

by Gen LaGreca

Winged Victory Press - January 2005

 

This excerpt involves a confrontation between protagonist Dr. David Lang and Dr. Alice Cook, director of medical research at the Bureau of Medicine (BOM). The BOM manages New York State's healthcare program, CareFree, which all medical facilities and practitioners were forced to adopt in the near past. Dr. David Lang has just presented his arguments for funding his research, which promises to revolutionize the treatment of brain and spine injuries with a process for regenerating nerve tissue. It is up to the BOM to decide whether or not to allow this research to proceed.

"Humane Treatment"

Dr. Alice Cook stepped behind the podium, as if to maintain a barrier between her and the green eyes [of David Lang] staring insolently from a seat at the table.

"Dr. Lang, after careful consideration, the committee finds that although your work is valuable, it regrettably falls outside the scope of our more pressing social needs. Many people now question the wisdom of spending large sums for the benefit of a small minority when the majority funding universal health care has other concerns. We must weigh the relative value to society of offering one ground-breaking surgery to the few individuals needing it against providing, for example, one thousand pairs of contact lenses to those needing better vision."

She paused as if expecting a polite nod from David but received none.

"You know, of course, that your research has been attempted by countless others and always ended in failure, despite the initially promising outcome of a few isolated experiments. I'm afraid we have a responsibility to allocate public funds for projects benefiting more people and having greater chances of success."

David scanned the faces of committee members, who nodded in agreement. Like a jury in the presence of a judge, the others let Dr. Cook do the talking.

"Unfortunately, our budget is limited, and for every project we approve, there are twenty we must decline," Dr. Cook continued. "However, we want to thank you, Dr. Lang, for the opportunity to consider your research. Please feel free to submit other proposals to us. And we wish you success in your career."

Dr. Cook smiled, but David did not return the courtesy.

"Frankly, Dr. Cook," he said, his voice solemn, his eyes intense, "I don't want the public to fund my research. I don't want to have to fit in with what this committee thinks it needs or feels will succeed. I just want to be left alone to finish my work. I want to procure laboratory animals and conduct experiments at my own expense or with the aid of investors as a private venture. I'm prepared to do that. Now if my work doesn't cost the public a dime, then this committee should not have the power to object."

"But we do have that power, Dr. Lang. You know the law," replied Dr. Cook. Her voice remained coolly polite, despite the flush that formed on her cheeks. "Animals are protected. Their use in research is limited to projects approved by the state. We can't allow anyone who feels like it to butcher animals. That wouldn't be humane."

"Is it humane to squash seven years of research and stand in the way of progress?"

"It's not progress, Dr. Lang, when researchers go off half-cocked and are unaccountable to society,' said Dr. Cook, her voice rising. "To conduct animal experiments without the proper authorization would be a serious infraction of the law."

One person folded his glasses into a case; another reached for her purse. Dr. Cook gathered her papers. The meeting was over for all but David.

"Where does that leave me and the thousands of patients who would want my new procedure, Dr. Cook? Would these patients think it humane of you to spare the animals and prevent me from properly testing the treatment on them first?"

"You know perfectly well that I don't mean you can experiment on humans instead. You first have to complete the animal trials."

"But thanks to this committee, I can't do the animal trials!"

"To perform your procedure and use your untested drugs on a human subject without first obtaining exhaustive animal studies and the proper regulatory approvals could expose you to serious consequences, Dr. Lang, including loss of your license" -- Dr. Cook's voice dropped -- "and even charges of manslaughter. Consider yourself warned."

David sprang from his chair and approached the podium to retrieve the briefcase he had left there. He walked unduly close to the petite woman, his tall form towering over her, his face not with anger, his voice heavy with contempt. "Seven people sitting in a room don't have the right to tell me how to do my work. Seven people don't have the right to deny thousands of patients a treatment they'd want to have. Seven people can't run medicine for the rest of us, Dr. Cook!"

Cool air rushed into the stuffy room as David swung the door open and left.

Copyright © 2004 by Genevieve LaGreca and reproduced with permission.

Gen LaGreca

Author of Noble Vision

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