On the day the mandate in this case issues, hundreds of fully accredited medical research projects now conducted in Maryland will terminate. These projects, involving the dedicated efforts of countless scientists, are conducted by institutions of international renown. The projects give hope not only to the thousands who participate in the research, but to countless others who hope to reap the benefits of these studies. Each of these research projects was initiated only after careful review by Institutional Review Boards of the sponsoring institutions and, in most cases, only after review by other accrediting and funding agencies such as The National Institutes of Health. The design of each project complied with federal regulations developed over an extended period after intense scrutiny and debate in a process involving the most experienced scientists and most respected bioethicists in the world. The cost to the State of Maryland and its citizens, and the damage done to the institutions as a result of terminating these projects, will be incalculable. Significantly more important than this damage will be the devastating curtailment of medical research directed to understanding, treating, and curing diseases that impact our most vulnerable populations, the young and the disabled. And upon issuance of the mandate,
the reputation of one of these sponsoring institutions will be indelibly and undeservedly tarnished in a way that no trial on remand can overcome.