I urge you to support at least a 10% increase in the fiscal year 2010 budget for the National Institutes of Health. Leading economists, including Nobel laureate Paul Krugman, have observed that the magnitude of fiscal stimulus legislated in the American Reinvestment and Recovery Act will not suffice to carry the United States economy out of the doldrums. Health research has been an important component of Recovery Act, and there is more to do. A one-off impulse from the Recovery Act has been a help in arresting the decay of scientific research that took hold during the Bush government, but scientific research and the infrastructure that supports it take years to establish, and will wither in the absence of a SUSTAINED investment. For both these reasons, economic and scientific, increasing the NIH budget is the right course of action. In the long term, dollars invested in health research pay off in terms of enhanced longevity and productivity. Investment in NIH this year, therefore, will help build the United States economy not only now but for many years in the future.