Despite some major advances, cardiovascular disease remains the leadin
g cause of death globally and here in Canada. Support of research in t
his area has always been a key thrust of the Medical Research Council'
s (MRC) efforts and remains so today. Public knowledge about the cause
s of heart disease and its prevention remains low, requiring implement
ation of a comprehensive, multifaceted approach to the reduction of di
sease risk. Some reform of the health care system is coming, and it is
vital that it be done properly in order to improve efficiency and con
trol costs while not doing harm. This reform should be based on a soli
d foundation of research-based findings. Dramatic changes in sources o
f research funding, with government providing less and the private sec
tor increasing more, are bound to have an impact on the kinds and loca
tion of research activities carried out in Canada in the future. Acade
mia must increasingly seek support from the private sector to maintain
and strengthen academic research. Partnerships and alliances, such as
those being pursued by the MRC, offer enormous opportunities for the
development of new technologies and products with resulting benefits t
o the health and wealth of Canadians.