The Day after an Aids Vaccine Is Discovered

Imagine for a moment, if you will, that we pick up the newspaper tomorrow morning and read that a fully effective AIDS vaccine has been discovered. When this happens, everyone’s response will be one of joy. We all would suppose this to be the happy ending to the long nightmare of AIDS. I want to suggest that, unfortunately, nothing could be further from the truth. The discovery of an effective AIDS vaccine will not be the beginning of the end. It will only be the end of the beginning. This is because management matters-and management is not always a routine task. The same is true for many similar breakthroughs that I will refer to as point decisions-like deregulatory breakthroughs, or independence from colonial or totalitarian rule. In all these cases, freedom is only the beginning. We must tell this to our students and to practitioners. Theday afteran AIDS vaccineisdiscoveredwillonlyusherinthenextchapter of this ordeal. It will be the start of an even more difficult period: the implemen-tation of the campaign to inoculate all Americans with an AIDS vaccine

Business · Family medicine · Healthcare innovation and challenges · Medicine · Public Policy and Administration Research · Public-Private Partnership Projects · Virology

• The acceptability of HIV immunization

  Adrian Liau, Gregory D Zimet•AIDS Care•2001

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• Social Constructions of People with Aids

  Open Access•Mark C Donovan•Review of Policy Research•1993

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• Speaking truth to power

  Aaron B Wildavsky•Speaking truth to power•1979

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• Breaking through bureaucracy

  Michael Barzelay•Breaking through bureaucracy•1992

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• The implementation game

  Eugene Bardach•The implementation game•1977

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• Innovation and creativity

  Open Access•Alan Altshuler, Marc Zegans•Cities•1990

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