|
Chapter Seven
A REPUBLIC OF SCIENCE
Inquiry and innovation in science and
medicine
Photograph courtesy of the
Thomas Jefferson University College of Graduate Studies,
Philadelphia, Pennsylvania
The United States came into being during the
Age of Enlightenment (circa 1680 to 1800), a period in which
writers and thinkers rejected the superstitions of the past.
Instead, they emphasized the powers of reason and unbiased
inquiry, especially inquiry into the workings of the natural
world. Enlightenment philosophers envisioned a "republic of
science," where ideas would be exchanged freely and useful
knowledge would improve the lot of all citizens.
From its emergence as an independent nation,
the United States has encouraged science and invention. It
has done this by promoting a free flow of ideas, by
encouraging the growth of "useful knowledge," and by
welcoming creative people from all over the world.
The United States Constitution itself
reflects the desire to encourage scientific creativity. It
gives Congress the power "to promote the progress of science
and useful arts, by securing for limited times to authors
and inventors the exclusive right to their respective
writings and discoveries." This clause formed the basis for
the U.S. patent and copyright systems, which ensured that
inventions and other creative works could not be copied or
used without the creator's receiving some kind of
compensation.
A GOOD CLIMATE FOR SCIENCE
In the early decades of its history, the
United States was relatively isolated from Europe and also
rather poor. Nonetheless, it was a good place for science.
American science was closely linked with the needs of the
people, and it was free from European preconceptions.
Two of America's founding fathers were
scientists of some repute. Benjamin Franklin conducted a
series of experiments that deepened human understanding of
electricity. Among other things, he proved what had been
suspected but never before shown: that lightning is a form
of electricity. Franklin also invented such conveniences as
bifocal eyeglasses and a stove that bears his name. (The
Franklin stove fits into a fireplace and circulates heat
into the adjacent room.)
Thomas Jefferson was a student of
agriculture who introduced various types of rice, olive
trees, and grasses into the New World. He stressed the
scientific aspect of the Lewis and Clark expedition
(1804-06), which explored the Pacific Northwest, and
detailed, systematic information on the region's plants and
animals was one of that expedition's legacies.
Like Franklin and Jefferson, most American
scientists of the late 18th century were involved in the
struggle to win American independence and forge a new
nation. These scientists included the astronomer David
Rittenhouse, the medical scientist Benjamin Rush, and the
natural historian Charles Willson Peale.
During the American Revolution, Rittenhouse
helped design the defenses of Philadelphia and built
telescopes and navigation instruments for the United States'
military services. After the war, Rittenhouse designed road
and canal systems for the state of Pennsylvania. He later
returned to studying the stars and planets and gained a
worldwide reputation in that field.
As surgeon general, Benjamin Rush saved
countless lives of soldiers during the Revolutionary War by
promoting hygiene and public health practices. By
introducing new medical treatments, he made the Pennsylvania
Hospital in Philadelphia an example of medical
enlightenment, and after his military service, Rush
established the first free clinic in the United States.
Charles Willson Peale is best remembered as
an artist, but he also was a natural historian, inventor,
educator, and politician. He created the first major museum
in the United States, the Peale Museum in Philadelphia,
which housed the young nation's only collection of North
American natural history specimens. Peale excavated the
bones of an ancient mastodon near West Point, New York; he
spent three months assembling the skeleton, and then
displayed it in his museum. The Peale Museum started an
American tradition of making the knowledge of science
interesting and available to the general public.
American political leaders' enthusiasm for
knowledge also helped ensure a warm welcome for scientists
from other countries. A notable early immigrant was the
British chemist Joseph Priestley, who was driven from his
homeland because of his dissenting politics. Priestley, who
came to the United States in 1794, was the first of
thousands of talented scientists who emigrated in search of
a free, creative environment. Others who came more recently
have included the German theoretical physicist Albert
Einstein, who arrived in 1933; Enrico Fermi, who came from
Italy in 1938 and who produced the world's first
self-sustaining nuclear chain reaction; and Vladimir K.
Zworykin, who left Russia in 1919 and later invented the
television camera.
Other scientists had come to the United
States to take part in the nation's rapid growth. Alexander
Graham Bell, who arrived from Scotland by way of Canada in
1872, developed and patented the telephone and related
inventions. Charles P. Steinmetz, who came from Germany in
1889, developed new alternating-current electrical systems
at General Electric Company. Later, other scientists were
drawn by America's state-of-the-art research facilities. By
the early decades of the 20th century, scientists working in
the United States could hope for considerable material, as
well as intellectual, rewards.
AMERICAN KNOW-HOW
During the 19th century, Britain, France,
and Germany were at the forefront of new ideas in science
and mathematics. But if the United States lagged behind in
the formulation of theory, it excelled in using theory to
solve problems: applied science. This tradition had been
born of necessity. Because Americans lived so far from the
well-springs of Western science and manufacturing, they
often had to figure out their own ways of doing things. When
Americans combined theoretical knowledge with "Yankee
ingenuity," the result was a flow of important inventions.
The great American inventors include Robert Fulton (the
steamboat); Samuel F.B. Morse (the telegraph); Eli Whitney
(the cotton gin); Cyrus McCormick (the reaper); and Thomas
Alva Edison, the most fertile of them all, with more than a
thousand inventions credited to his name.
Edison was not always the first to devise a
scientific application, but he was frequently the one to
bring an idea to a practical finish. For example, the
British engineer Joseph Swan built an incandescent electric
lamp in 1860, almost 20 years before Edison. But Edison's
was better. Edison's light bulbs lasted much longer than
Swan's, and they could be turned on and off individually,
while Swan's bulbs could be used only in a system where
several lights were turned on or off at the same time.
Edison followed up his improvement of the light bulb with
the development of electrical generating systems. Within 30
years, his inventions had introduced electric lighting into
millions of homes.
Another landmark application of scientific
ideas to practical uses was the innovation of the brothers
Wilbur and Orville Wright. In the 1890s they became
fascinated with accounts of German glider experiments and
began their own investigation into the principles of flight.
Combining scientific knowledge and mechanical skills, the
Wright brothers built and flew several gliders. Then, on
December 17, 1903, they successfully flew the first
heavier-than-air, mechanically propelled airplane.
An American invention that was barely
noticed in 1947 went on to usher in a new age of information
sharing. In that year John Bardeen, William Shockley, and
Walter Brattain of Bell Laboratories drew upon highly
sophisticated principles of theoretical physics to invent
the transistor, a small substitute for the bulky vacuum
tube. This and a device invented 10 years later, the
integrated circuit, made it possible to package enormous
amounts of electronic circuitry in tiny containers. As a
result, book-sized computers of today can outperform
room-sized computers of the 1960s, and there has been a
revolution in the way people live -- in how they work,
study, conduct business, and engage in research.
In the second half of the 20th century
American scientists became known for more than their
practical inventions and applications. Suddenly, they were
being recognized for their contributions to "pure" science,
the formulation of concepts and theories. The changing
pattern can be seen in the winners of the Nobel Prizes in
physics and chemistry. During the first half-century of
Nobel Prizes -- from 1901 to 1950 -- American winners were
in a distinct minority in the science categories. Since
1950, Americans have won approximately half of the Nobel
Prizes awarded in the sciences.
THE ATOMIC AGE
One of the most spectacular -- and
controversial -- accomplishments of U.S. technology has been
the harnessing of nuclear energy. The concepts that led to
the splitting of the atom were developed by the scientists
of many countries, but the conversion of these ideas into
the reality of nuclear fission was the achievement of U.S.
scientists in the early 1940s.
After German physicists split a uranium
nucleus in 1938, Albert Einstein, Enrico Fermi, and Leo
Szilard concluded that a nuclear chain reaction was
feasible. In a letter to President Franklin Roosevelt,
Einstein warned that this breakthrough would permit the
construction of "extremely powerful bombs." His warning
inspired the Manhattan Project, the U.S. effort to be the
first to build an atomic bomb. The project bore fruit when
the first such bomb was exploded in New Mexico on July 16,
1945.
The development of the bomb and its use
against Japan in August of 1945 initiated the Atomic Age, a
time of anxiety over weapons of mass destruction that has
lasted through the Cold War and down to the
antiproliferation efforts of today. But the Atomic Age has
also been characterized by peaceful uses of atomic energy,
as in nuclear power and nuclear medicine.
The first U.S. commercial nuclear power
plant started operation in Illinois in 1956. At the time,
the future for nuclear energy in the United States looked
bright. But opponents criticized the safety of power plants
and questioned whether safe disposal of nuclear waste could
be assured. A 1979 accident at Three Mile Island in
Pennsylvania turned many Americans against nuclear power.
The cost of building a nuclear power plant escalated, and
other, more economical sources of power began to look more
appealing. During the 1970s and 1980s, plans for several
nuclear plants were cancelled, and the future of nuclear
power remains in a state of uncertainty in the United
States.
Meanwhile, American scientists have been
experimenting with other renewable sources of energy,
including solar power. Although solar power generation is
still not economical in much of the United States, two
recent developments might make it more affordable.
In 1994 Subhendu Guha, executive vice
president of United Solar Systems in Troy, Michigan, was
lecturing on the benefits of solar energy and showing a
picture of solar cells arrayed on the roof of a house. An
architect in the audience said, "But it's so ugly. Who would
want that on their house?" That remark got Guha thinking
about how to make the photovoltaics look more like the roof,
instead of mounting the solar cells on frames that jut
skyward.
Two years later, Guha's innovation came off
the assembly line -- solar shingles that can be nailed
directly onto the roof. The shingles are made from stainless
steel sheeting, coated with nine layers of silicon, a
semiconducting film, and protective plastic. Roofers install
the shingles just as they do normal ones, but they must
drill a hole in the roof for electrical leads from each
shingle. On average, one-third of a home's roof covered with
solar shingles should provide enough power to meet all
electrical needs when the sun is shining. Guha believes that
his shingles will be economical in some parts of the United
States and that they will be even more promising in Japan,
where energy prices are high and the government subsidizes
solar energy.
Another solar power invention that came to
fruition in 1996 is the Solar Two power plant that began
operation in the Mojave Desert in California, generating
enough electricity for 10,000 homes. On a 38-hectare site,
nearly 2,000 huge mirrors point toward a 90-meter "power
tower" that heats molten salt, which flows to a steam
generator that turns a turbine. The molten salt stores heat
energy more effectively than water, and proponents of Solar
Two believe this innovation can make large, commercial
plants economically feasible in areas with plenty of sun and
high energy costs.
THE SPACE AGE
Running almost in tandem with the Atomic Age
has been the Space Age. American Robert H. Goddard was one
of the first scientists to experiment with rocket propulsion
systems. In his small laboratory in Worcester,
Massachusetts, Goddard worked with liquid oxygen and
gasoline to propel rockets into the atmosphere. In 1926 he
successfully fired the world's first liquid-fuel rocket,
which reached a height of 12.5 meters. Over the next 10
years, Goddard's rockets achieved modest altitudes of nearly
two kilometers, and interest in rocketry increased in the
United States, Great Britain, Germany, and the Soviet Union.
Expendable rockets provided the means for
launching artificial satellites, as well as manned
spacecraft. In 1957 the Soviet Union launched the first
satellite, Sputnik I, and the United States followed with
Explorer I in 1958. The first manned space flights were made
in the spring of 1961, first by Soviet cosmonaut Yuri
Gagarin and then by American astronaut Alan B. Shepard, Jr.
From those first tentative steps to the 1969
moon landing to today's reusable space shuttle, the American
space program has brought forth a breathtaking display of
applied science. Communications satellites transmit computer
data, telephone calls, and radio and television broadcasts.
Weather satellites furnish the data necessary to provide
early warnings of severe storms. Space technology has
generated thousands of products for everyday use --
everything from lightweight materials used in running shoes
to respiratory monitors used in hospitals.
MEDICINE AND HEALTH CARE
As in physics and chemistry, Americans have
dominated the Nobel Prize for physiology or medicine since
World War II. The National Institutes of Health, the focal
point for biomedical research in the United States, has
played a key role in this achievement. Consisting of 24
separate institutes, the NIH occupies 75 buildings on more
than 120 hectares in Bethesda, Maryland. Its budget in 1997
was almost $13 thousand million.
The goal of NIH research is knowledge that
helps prevent, detect, diagnose, and treat disease and
disability -- everything from the rarest genetic disorder to
the common cold. At any given time, grants from the NIH
support the research of about 35,000 principal
investigators, working in every U.S. state and several
foreign countries. Among these grantees have been 91 Nobel
Prize-winners. Five Nobelists have made their prize-winning
discoveries in NIH laboratories.
NIH research has helped make possible
numerous medical achievements. For example, mortality from
heart disease, the number-one killer in the United States,
dropped 41 percent between 1971 and 1991. The death rate for
strokes decreased by 59 percent during the same period.
Between 1991 and 1995, the cancer death rate fell by nearly
3 percent, the first sustained decline since national
record-keeping began in the 1930s. And today more than 70
percent of children who get cancer are cured.
With the help of the NIH, molecular genetics
and genomics research have revolutionized biomedical
science. In the 1980s and 1990s, researchers performed the
first trial of gene therapy in humans and are now able to
locate, identify, and describe the function of many genes in
the human genome. Scientists predict that this new knowledge
will lead to genetic tests for susceptibility to diseases
such as colon, breast, and other cancers and to the eventual
development of preventive drug treatments for persons in
families known to be at risk.
Perhaps the most exciting scientific
development under way in the United States is the NIH's
human genome project. This is an attempt to construct a
genetic map of humans by analyzing the chemical composition
of each of the 50,000 to 100,000 genes making up the human
body. The project is expected to take 15 years to complete,
at a cost of at least $3 thousand million.
Research conducted by universities,
hospitals, and corporations also contributes to improvement
in diagnosis and treatment of disease. NIH funded the basic
research on Acquired Immune Deficiency Syndrome (AIDS), for
example, but many of the drugs used to treat the disease
have emerged from the laboratories of the American
pharmaceutical industry; those drugs are being tested in
research centers across the country.
One type of drug that has shown promise in
treating the AIDS virus is the protease inhibitor. After
several years of laboratory testing, protease inhibitors
were first given to patients in the United States in 1994.
One of the first tests (on a group of 20 volunteers) showed
that not only did the drug make the amount of virus in the
patients' blood almost disappear, but that their immune
systems rebounded faster than anyone had thought possible.
Doctors have combined protease inhibitors
with other drugs in "combination therapy." While the results
are encouraging, combination therapy is not a cure, and, so
far, it works only in the blood; it does not reach into the
other parts of the body -- the brain, lymph nodes, spinal
fluid, and male testes -- where the virus hides. Scientists
continue to experiment with combination therapy and other
ways to treat the disease, while they search for the
ultimate solution -- a vaccine against it.
EMPHASIS ON PREVENTION
While the American medical community has
been making strides in the diagnosis and treatment of
disease, the American public also has become more aware of
the relationship between disease and personal behavior.
Since the U.S. surgeon general first warned Americans about
the dangers of smoking in 1964, the percentage of Americans
who smoke has declined from almost 50 percent to
approximately 25 percent. Smoking is no longer permitted in
most public buildings or on trains, buses, and airplanes
traveling within the United States, and most American
restaurants are divided into areas where smoking is
permitted and those where it is not. Studies have linked a
significant drop in the rate of lung cancer to a nationwide
decline in cigarette smoking.
The federal government also encourages
Americans to exercise regularly and to eat healthful diets,
including large quantities of fruits and vegetables. More
than 40 percent of Americans today exercise or play a sport
as part of their regular routine. The per capita consumption
of fruits and vegetables has increased by about 20 percent
since 1970.
Donna E. Shalala, secretary of health and
human services in the Clinton administration, frequently
speaks out in support of scientific research and preventive
medicine. Addressing a conference of medical and public
health professionals in 1996 she said, "We must continue to
unlock the incremental mysteries in basic science that
culminate in blockbuster discoveries over time. But, we must
cast our net wider than that. It must encompass behavioral
research, occupational research, health services and
outcomes research, and environmental research -- all of
which hold the potential to prevent disease -- and help
Americans live healthier lives."
|