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DATE: June
29, 1999
TO: Board of Supervisors
SUBJECT: DECLARING WAR ON CANCER
SUMMARY:
The San
Diego County Board of Supervisors was the first Board in the state to
commit tobacco settlement monies to health-related programs. Now is the
time to continue to lead by dedicating $100 million, or approximately
10 percent, of the tobacco settlement dollars toward development of a
"best in class" Regional Cancer Institute.
Recommendation(s):
Vice Chairwoman Dianne Jacob and Supervisor Roberts
1) Approve in
concept support for a Regional Cancer Institute.
2) Designate a minimum
of $100 million of tobacco settlement proceeds for development of the
San Diego Regional Cancer Institute at a minimum of $4 million annually
for 25 years, to commence upon completion of a business plan.
Fiscal Impact:
There is no
fiscal impact. Funds will be taken directly from the Tobacco Settlement
Trust Fund.
Background:
The San Diego
County Board of Supervisors was the first Board in the state to commit
tobacco settlement monies to health-related programs. Now is the time
to continue to lead by dedicating $100 million, or approximately 10 percent,
of the tobacco settlement dollars toward development of a "best in
class" Regional Cancer Institute.
With the arrival of
an estimated $945 million in tobacco settlement revenue over the next
25 years, the County of San Diego has a rare opportunity to wage its own
battle against cancer. Considering that smoking is a leading cause of
cancer, tobacco settlement funds are an ideal resource to use for the
development of a new San Diego Regional Cancer Institute.
The San Diego Regional
Cancer Institute would be a state-of-the-art, collaborative system of
care, which would conduct and provide world class treatment, research
and medical education. Additionally, the Institute would be a clearinghouse
for the rapid and effective exchange of information regarding new research
and treatment innovations among cancer scientists and institutions. The
Institute would be positioned to be the internationally renowned treatment
home of choice for both common and rare neoplastic diseases.
The Institute board
of directors, researchers and clinical staff would be a distillation of
the best intellectual capital from existing cancer-related programs in
our region. The Institute would operate cooperatively and collaboratively
by establishing an "integrated cancer health system" addressing
the full gamut of oncology issues from triage to post-treatment follow-up,
from experimental treatments to advanced surgical procedures, from discovery
to publication, from FDA new drug application to full scale drug production.
In order to eliminate duplication and maximize existing resources, the
Institute would utilize standing research, teaching and treatment sites
but may include the development of centralized facilities in the future.
Right now, San Diegans
travel to the prestigious Memorial Sloan-Kettering Cancer Center in New
York, M.D. Anderson Cancer Center in Texas, or the Dana Farber Cancer
Institute in Boston. There is no reason why San Diegans should have to
leave home in order to receive superior care. We have the resources and
the talent right here in San Diego. By pulling these resources together,
we can rise to a higher level of excellence and be the best we can be!
With all 21 of the
cancer institutions in San Diego County committed to the concept of a
San Diego Regional Cancer Institute, and $100 million on the table - we
have an opportunity to become a leader in the war against cancer. We urge
your support.
Respectfully Submitted,
DIANNE JACOB
Vice Chairwoman, Second District
RON ROBERTS
Supervisor, Fourth District
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