Bernadine Healy

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Bernadine Patricia Healy

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Bernadine Patricia Healy (born 1944) was the first woman to head the National Institutes of Health.

Bernadine Patricia Healy is a cardiologist and health administrator who was the first woman to head the National Institutes of Health (NIH) from 1991 to 1993. Known for her outspokenness, innovative policymaking, and sometimes controversial leadership in medical and research institutions, Healy has been particularly effective in addressing medical policy and research pertaining to women. She spent the early part of her career at Johns Hopkins University where she rose to full professor on the medical school faculty while also undertaking significant administrative responsibilities. She served as deputy science advisor to President Ronald Reagan from 1984-1985. In 1985 she was appointed Head of the Research Institute of the Cleveland Clinic Foundation where she remained until her appointment as director of the NIH in 1991. Healy was also president of the American Heart Association from 1988-1989 and has served on numerous national advisory committees. Her awards include two American Heart Association special awards for service and the 1992 Dana Foundation's Distinguished Achievement Award for her work on promoting research on the health problems of women.

The second of Michael J. and Violet (McGrath) Healy's four daughters, Bernadine Patricia Healy was born August 2, 1944, in New York City and grew up in Long Island City, Queens, New York. Her parents, second generation Irish-Americans, operated a small perfume business from the basement of their home. Healy attended Hunter College High School, a prestigious public school in Manhattan and graduated first in her class. At Vassar College she majored in chemistry and minored in philosophy, graduating summa cum laude in 1965. One of ten women in a class of 120 at Harvard Medical School, she received her M.D. cum laude in 1970.

Healy completed her internship and residency at Johns Hopkins Hospital in Baltimore and spent two years at the National Heart, Lung, and Blood Institute at NIH before returning to Johns Hopkins and working her way up the academic ranks to professor of medicine. During these years, she also served as director of the coronary care unit (1977-1984) and assistant dean for post-doctoral programs and faculty development (1979-1984). From there, Healy served the Reagan Administration as deputy director of the White House Office of Science and Technology Policy. President George Bush nominated her for director of NIH in September 1990 and she was later confirmed by the U.S. Senate. Her tenure with NIH ended when incoming President Clinton appointed a new director in 1993. Healy has been married to cardiologist Floyd D. Loop since 1985. With Loop she has a daughter, Marie McGrath Loop; her other daughter, Bartlett Ann Bulkley, is from her previous marriage to surgeon George Bulkley, whom she divorced in 1981.

Despite her various administrative posts, Healy has treated patients during much of her career. Her research has led to a deeper understanding of the pathology and treatment of heart attacks, especially in women. Her colleagues at Johns Hopkins described her as someone who often challenged conventional wisdom and created new directions in research. In addition, unlike many scientists and physicians, Healy viewed management positions as important and challenging. As she told Erik Eckholm of the New York Times, "I guess I tended to see those administrative issues, often seen as dreary work burdens, in terms of their broader policy implications." Healy demonstrated her administrative talents during her five-year directorship at the research institute of the Cleveland Clinic Foundation where research funding rose from eight million to thirty-six million dollars. Her responsibilities at the clinic, in addition to being a staff member of the cardiology department, involved directing the research of nine departments, including cancer, immunology, molecular biology, and cardiology.

Healy has manifested her talent and interest in shaping research policy through her many appointments to federal advisory panels, editorial boards of scientific journals, and other decision-making bodies. As the president of the American Heart Association she initiated pioneering research into women's heart disease and demonstrated that medical progress depends on the public and medical community's perception that there is a problem to be solved. Previously, heart disease was perceived as a male affliction despite the fact that it kills more women than men. Medical practitioners for years treated women's heart disease far less aggressively than men's, and most research on coronary heart disease (like most other medical research) used male subjects either predominantly or exclusively. Healy has set out to "convince both the lay and medical sectors that coronary heart disease is also a woman's disease, not a man's disease in disguise," she wrote in New England Journal of Medicine.

At the time that Healy was appointed director of the National Institutes of Health in 1991, the agency included thirteen research institutes, sixteen thousand employees, a research budget of over nine billion dollars, and was a world leader in bio-medical research. Yet when Healy assumed control, the agency was beset with problems, its effectiveness was in decline, and it had been without a permanent director for twenty months. Scientists were leaving in record numbers because of non-competitive salaries, politicization of scientific agendas (a prime example was the ban on fetal-tissue research because the Republican administration believed it encouraged abortion), and congressional investigations into alleged cases of scientific misconduct. The agency had been accused of sexism and racism in hiring and promotion. Low morale and bureaucratization added to the institute's problematic image. Healy brought an aggressive and visible management style to the NIH. Her appointment was viewed positively by many because of her outstanding experience in dealing with science policy issues. In addition, because she had been a member of a panel that advised continuation of fetal-tissue research, her appointment was also seen as a move away from politicized science. She also held a series of "town meetings" with NIH scientists to pinpoint problems and form committees to make recommendations concerning NIH research priorities. Furthermore, she initiated a large scale study of the effects of vitamin supplementation, hormone replacement therapy, and dietary modification on women between the ages of forty-five and seventy-nine. She established a policy whereby the NIH would fund only those clinical trials that included both men and women when the condition being studied affected both genders. She has written a book on the subject of women's health care, A New Prescription For Women's Health: Getting the Best Medical Care in a Man's World (1995).

Healy's policy decisions at times proved controversial. For example, Healy charged the NIH Office of Scientific Integrity (OSI), whose job it was to investigate ethical matters, with improper conduct, including leaking confidential information and failing to protect the rights of scientists being investigated. In response, the head of OSI accused Healy of mishandling a scientific misconduct case at the Cleveland Clinic Foundation. The allegations led to a hearing in 1991 in which Healy vigorously defended herself, as well as the changes that she had implemented at OSI.

Another controversy involved gene patenting. Despite the objections of Nobel Laureate James Watson, head of NIH's human genome project, Healy approved patent applications for 347 genes. She believed that patenting genes would promote, not hinder, the ability to access information about them and also spark much-needed international debate on the subject. A third controversy strained her relationship with the Congressional Caucus for Women's Issues. Healy lobbied against provisions in a congressional bill concerning the NIH that would make the inclusion of women and minorities in clinical studies a legal requirement, arguing that it represented "micro-management" of NIH. Attempting to negotiate a political compromise on another issue, she lobbied against overturning the Bush Administration's ban on fetal tissue research, despite her previous support for such research.

Healy has described herself as a life-long Republican and a feminist. She credits her father's belief in the importance of education for girls as the reason for her enrollment in an academically competitive high school - an unorthodox move for a Catholic girl during that era. In both medical school at Harvard and during her career at Johns Hopkins she was forced to deal with incidents of sexism. Among her achievements at mid-career point is her success in pointing out and undermining the subtle but pervasive bias against women in medical research. Healy continues to provoke both criticism and praise for the vocal stances and decisive actions that have defined her career.

Further Reading

Newsmakers: The People Behind Today's Headlines, Gale, 1993, pp. 35-36.

Chronicle of Higher Education, April 8, 1992, pp. A28-29.

New York Times, November 3, 1992, p. B2.

New York Times Biographical Service, December 1991, pp. 1285-1287.

Science, February 1, 1991, pp. 508-511; August 30, 1991, p. 963; September 6, 1991, pp. 1087-1089.

Washington Post, July 14, 1993, pp. A1 ff.

Working Woman, September 1992, pp. 61-63 ff.

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Bernadine Patricia Healy (August 4, 1944 – August 6, 2011) was an American physician, cardiologist, academic and a former head of the National Institutes of Health (NIH). She was a professor of medicine at Johns Hopkins University, professor and dean of the College of Medicine and Public Health at the Ohio State University, and served as president of the American Red Cross. She was health editor and columnist for U.S. News & World Report. She was a well-known commentator in the media on health issues.[1]

Contents

Early years & family

Born in New York City to Michael Healy and Violet McGrath, both deceased, Bernadine Patricia Healy was one of four daughters raised in Long Island City, Queens, New York. Healy's parents stressed the importance of education. She was the top student of her high school class at Hunter College High School.

She attended Vassar College on a full scholarship and graduated summa cum laude in 1965 with a major in chemistry and a minor in philosophy. She went on to Harvard Medical School, also on full scholarship, and was one of only ten women out of 120 students in her class. After graduating cum laude from Harvard Medical School in 1970, she completed her internship and residency in cardiology at the Johns Hopkins School of Medicine and Johns Hopkins Hospital. After finishing her post-doctoral training, she became the first woman to join its full-time faculty in cardiology, and rose quickly to the rank of professor of medicine.

For eight years she headed the coronary care unit at the Johns Hopkins Hospital. At the medical school she served as assistant dean for post-doctoral programs and faculty development. During that time she organized a nationally covered Mary Elizabeth Garrett symposium on women in medicine which examined the opportunities and hurdles faced by women physicians roughly 90 years after the founding of the medical school in 1893, and at the same time honored Ms. Garrett, the Victorian socialite and philanthropist who made sure Johns Hopkins School of Medicine opened its admissions to women (the medical school opened its doors on October, 1893; and three of the eightenn original candidates for the M.D. degree were women) and ultimately admitted women and men precisely on the same terms. Template:A History of the University founded by Johns Hopkins, by John C. French, The Johns Hopkins Press, 1946 )

Affiliations

While at Johns Hopkins, Healy held several leadership positions in organizations such as the American Federation of Clinical Research, the American College of Cardiology, and the American Heart Association, an organization she later led as its volunteer president, and served on advisory committees to the National Heart, Lung and Blood Institute. The Age of Autism vaccine safety advocacy group named her 2008 Person of the Year.[2]

American Red Cross

Healy was recruited away from Ohio State to become President and CEO of the American Red Cross in late 1999, succeeding Elizabeth Dole. From the outset she strove to unite the various services and volunteers under the banner "Together we can save a life."

Her tenure at the Red Cross was not without controversy. In the spring of 2001 the FDA issued a record fine to the Red Cross for mishandling CMV infected blood products.

The American Red Cross and Healy in particular, were criticized in the media, by New York State Attorney General Eliot Spitzer, and by some in Congress for designating funds for 9/11 related activities that did not directly involve victims. In mid-November, the Board redirected all of the funds dollars to those who had suffered or faced hardships at the attack site and made the change retroactive to 9/11.

Healy, who had taken controversial stands supporting the Israeli Red Cross, and auditing and financial controls of chapters, had crossed swords on these issues with a few board members and chapter heads, and resigned in the wake of these controversies.[3][4][5][6] Dr. Healy departed the organization as president on December 31, 2001.

Government service

Presidential Advisor

President Ronald Reagan appointed Healy deputy director of the White House Office of Science and Technology Policy. She served as chairman of the White House Cabinet Group on Biotechnology, executive secretary of the White House Science Council's Panel on the Health of Universities, and a member of several advisory groups on developing government wide guidelines for research in human subjects, and for the humane treatment of animals in research. She subsequently served on the President's Council of Advisers on Science and Technology during the administration of Presidents George H.W. Bush and George W. Bush.

NIH

Healy was director of the Research Institute at the Cleveland Clinic Foundation when President George H. W. Bush tapped her in 1991 to become director of the NIH, its first woman head. She took on many initiatives during her two years at the helm, including the development of a major intramural laboratory for human genomics and recruited a world-renowned team to head the Human Genome Project, elevated nursing research to an independent NIH institute, strengthened a policy whereby the NIH would fund only those clinical trials that included both men and women when the condition being studied affects both genders.[citation needed]

Women's Health Initiative

The Women's Health Initiative was a $625 million effort to study the causes, prevention, and cures of diseases that affect women at midlife and beyond. The study continues to unearth critical information, including evidence in 2002 that combined hormone replacement therapy increases the risk of invasive breast cancers by 26% and heart attack by 27% as well as an increased risk for stroke. The study's findings have resulted in a permanent 15% annual reduction in invasive estrogen positive breast cancer in post menopausal women in the U.S.; The HRT (hormone replacement) drug market in the United States simultaneously dropped by $1 billion, twelve months after the study's results were publicized, as 60% fewer women stopped filling their HRT prescriptions.[citation needed]

As president of the American Heart Association from 1988 to 1989, she sought to convince both the public and medical community that heart disease is also a woman's disease, "not a man's disease in disguise". Appointed president of the American Red Cross in 1999, Healy worked to improve the safety and availability of the American blood supply while overseeing the development of a Weapons of Mass Destruction response program. In 2001 she led the organization’s response to the September 11 attacks.[clarification needed]

U.S. Senate candidate

In 1994, Healy was a Republican candidate to represent Ohio in the U.S. Senate. She ran in the GOP primary, and came in second in a four-person race. Lt. Gov. Mike DeWine won and prevailed in the general election.

Cleveland Clinic

In 1985 Healy left Washington and moved to Cleveland where she became Chairman of the Cleveland Clinic Research Institute and also practiced cardiology. In addition to building major new programs in molecular biology, neuroscience, and cancer biology, she headed a large NIH-funded research program in hypertension, and was the lead investigator for the Cleveland Clinic's participation in a major clinical research study comparing angioplasty with coronary artery bypass surgery. She headed the NIH advisory board for another multi-center clinical study that showed statins could slow course of atherosclerosis in coronary artery bypass grafts. During this time she initiated a medical student program in alliance with Ohio State University that served as a precursor of the founding of the Cleveland Clinic College of Medicine in 2004.[citation needed]

Ohio State University

Healy served as professor and Dean of the College of medicine from 1995 to 1999. During her tenure, the college expanded its public health programs to become a School of Public Health, re-christening the College of Medicine into a College of Medicine and Public Health.

With her efforts, the medical school became designated as a National Center of Excellence in Women's Health. A new department of orthopaedics was created along with a planned development of a Musculoskeletal Institute. The James Cancer Center expanded its efforts in basic research with recruitment of Dr. Clara Bloomfield, an oncologist and leukemia researcher, and her husband Dr. Albert de la Chappelle, a world-famous geneticist; together, they expanded the college's programs in cancer research and tumor genetics. Cardiovascular research and practice grew with the recruitment of Dr. Robert Michler of Columbia University, who helped to revitalize the thoracic surgery and heart transplantation, and developed one of the earliest robotic heart surgery programs. Dr. Pascal Goldschmidt, a cardiologist and researcher, who was recruited from Johns Hopkins, helped create the Heart and Lung Institute.[citation needed]

Advisory boards

Healy served on numerous medical advisory committees and boards over her career. They included committees the National Academy of Science's Institute of Medicine,of which she is a member, and the national Academy of Engineering; the Department of Energy, NASA, and the National Institutes of Health. She participated briefly on an Advisory board of The Advancement of Sound Science Coalition (an organization later shown to have been funded by Philip Morris), and served on numerous advisory groups and Boards of the American Heart Association and the American College of Cardiology, where she was an outspoken critic of smoking and its effects on the cardiovascular system.[7]

Press

Over her career Healy served as a medical commentator and consultant for CBS, PBS and MSNBC, and has made numerous appearances on CNN, C-SPAN and Fox News Channel. Healy authored a column, "On Health", for U.S. News and World Report since 2003 on a wide array of medical topics from women's health to marijuana, coronary artery disease to cancer, tattoos to male circumcision, and medical preparedness to health reform.[8]

Healy became the focus of controversy when she questioned the 2004 finding of the Institute of Medicine that the evidence refuting a link between childhood vaccinations and autism was conclusive. She suggested a government conspiracy against further research in a nationally televised CBS interview with Sharyl Attkisson.[9]

Family

Dr. Healy was married to cardiac surgeon Floyd D. Loop[10] a former CEO of the Cleveland Clinic. She and her husband had one daughter, Marie McGrath Loop. She had another daughter, Bartlett Bulkley, from her previous marriage.

Death

Dr. Bernadine Healy died from brain cancer on August 6, 2011, two days after her 67th birthday.[11]

References

  1. ^ Google search (cache version) re Healy's brain cancer battle
  2. ^ Olmsted, Dan (December 26, 2008). "Age of Autism Awards 2008 Person of the Year: Dr. Bernadine Healy". Age of Autism. http://www.ageofautism.com/2008/12/age-of-autism-awards-2008-person-of-the-year-dr-bernadine-healy.html. Retrieved October 19, 2009. 
  3. ^ Sontag, Deborah (December 23, 2001). "Who Brought Bernadine Healy Down?". New York Times. http://www.nytimes.com/2001/12/23/magazine/who-brought-bernadine-healy-down.html?pagewanted=all. Retrieved April 5, 2009. 
  4. ^ "The Battle Inside The Red Cross: Internal Power Struggle Came To A Head After Sept. 11". CBS. July 31, 2002. http://www.cbsnews.com/stories/2002/07/31/eveningnews/main517045.shtml. Retrieved April 5, 2009. 
  5. ^ "The American Red Cross: They took your blood and your money. Now it's payback time.". slate.com. November 9, 2001. http://www.slate.com/id/2058498. Retrieved April 5, 2009. 
  6. ^ "American Red Cross President Dr. Bernadine Healy Announces Decision to Step Down". CNN. October 26, 2001. http://transcripts.cnn.com/TRANSCRIPTS/0110/26/se.02.html. Retrieved April 5, 2009. 
  7. ^ "Tobacco Industry Efforts Subverting the International Agency for Research on Cancer's Secondhand Smoke Study". Tobaccodocuments.org. September 11, 2002. http://tobaccodocuments.org/pm/2505646347-6368.html?zoom=750&ocr_position=above_foramatted&start_page=21. Retrieved October 19, 2009. 
  8. ^ "Don't Be Scared to Circumcise Your Baby Boy – US News and World Report". Health.usnews.com. December 6, 2007. http://health.usnews.com/articles/health/health-tips/2007/12/06/dont-be-scared-to-circumcise-your-baby-boy.html. Retrieved October 19, 2009. 
  9. ^ CBS interview with Sharyl Attkisson
  10. ^ Biography of Dr. Floyd Loop,
  11. ^ Robert D. McFadden (August 8, 2011). "Bernadine P. Healy, a Pioneer at National Institutes of Health, Dies at 67". The New York Times. http://www.nytimes.com/2011/08/09/us/09healy.html?_r=1&hp=&pagewanted=all. 

External links

Political offices
Preceded by
James Wyngaarden
Director of National Institutes of Health
1991–1993
Succeeded by
Harold Varmus

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