Dear Mr. Pascal: This letter presents comments of the Association of American Medical Colleges (AAMC), the Association of
American Universities (AAU), the Council on Governmental Relations (COGR), and the National Association of State Universities and Land-Grant Colleges (NASULGC). The AAMC represents the nation’s 126 accredited medical schools, over 400 major teaching hospitals and health systems, and 94 academic medical societies representing nearly 105,000 faculty members. The AAU is an organization of public and private research universities devoted to maintaining a strong system of academic research and education, and consists of 60 U.S. and 2 Canadian universities. COGR is an association of 150 research intensive universities, affiliated hospitals and research institutes in the United States organized to work with federal agencies to develop a common understanding of the impact that policies and regulations may have on the research conducted by its membership. NASULGC is a voluntary association of public universities, land-grant institutions and many of the nation's public university systems, and member campuses are located in all 50 states, the U.S. territories and the District of Columbia.