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Pain is a significant public health problem that needs policy at the national and local level to resolve incidents of insufficient, ineffective, and disparate pain treatment while limiting the risk of inadvertently increasing the use of treatment such as opioids that can result in public harm. The National Pain Strategy serves as the first comprehensive approach to address pain and provides a roadmap with substantial broad and specific policy implications. Although much has been accomplished to date, transitions in political power, available data and funding, and the current opioid epidemic continue to have an impact on implementation of the National Pain Strategy. A sustained, coordinated effort with multipronged policies in many forms on both federal and state levels via regulations, laws, and guidelines is warranted. However, research is needed to evaluate the impact and potential unintended consequences of increased legislation and regulation. Nevertheless, policy related to the management of pain may provide the path to new treatments and models of care to reduce the impact of pain as a public health crisis in this country.

The NAS told Nature that no one has used the complaint system put in place last year, even though several academy members are known sexual harassers. US science academy can now kick out harassers. So why hasn't it? The NAS told Nature that no one has used the complaint system put in place last year.

Atmospheric scientist who defended the environment.

One hundred fifty years ago, on 22 April 1863, the U.S. National Academy of Sciences (NAS) held its first meeting. The founding of the academy was but one of an impressive array of federal actions that would prepare the United States of America for a bright future. During the dark days of 1862 and 1863, mired in a bloody and intense Civil War, Congress passed, and President Lincoln signed, the Morrill Act, creating a system of Land Grant Colleges. The Act greatly enhanced access to higher education for Americans and promoted scientific and technical research in the coming generations. In the same period, Congress authorized the completion of the Transcontinental Railroad, and President Lincoln issued the Emancipation Proclamation. Only a few months later, President Lincoln and Congress took another major step to advance the young nation by creating NAS, a bold way to elevate American science and to incorporate science into the U.S. future. This was a remarkable set of government actions during very tough times.

Cicerone acknowledges that setting up the research programme will lead the NAS into new territory, but points to the academy's experience in convening experts to conduct and peer review reports. The National Fish and Wildlife Foundation in Washington DC, which received $2.55 billion from BP and Transocean under the plea agreements, is focusing on recovery projects - including barrier-island construction offthe Louisiana coast and river-diversion projects along the Mississippi River.