Language of Material: English

Contributing Institution: University of California, San Francisco Archives & Special Collections

Title: Philip Randolph Lee papers

creator: Lee, Philip R.

Identifier/Call Number: MSS.91.01

Physical Description: 58.75 Linear Feet (47 cartons)

Date (inclusive): 1940-2010

Abstract: This collection documents Philip Randolph Lee's career as a health policy researcher and administrator. It includes material from his time as UCSF Chancellor, Assistant Secretary at the Department of Health Education and Welfare, Assistant Secretary for Health in the Department of Health and Human Services, Director of the Institute for Health Policy Studies, and other positions.

Language of Material: English.

[Identification of item], Philip Randolph Lee Papers, MSS 91-1, Archives and Special Collections, UCSF Library and CKM.

Collection is open for research. The UCSF Archives and Special Collections policy places access restrictions on material with privacy issues for a specific time period from the date of creation. This collection will be reviewed for sensitive content upon request. Contact the UCSF Archivist for information on access to restricted files.

Copyright has not been assigned to the Library and Center for Knowledge Management. All requests for permission to publish or quote from material must be submitted in writing to the UCSF Archivist. Permission for publication is given on behalf of the Library and Center for Knowledge Management as the owner of the physical items and is not intended to include or imply permission of the copyright holder, which must also be obtained by the researcher.

Several items have been removed from the collection, including duplicate published books and journals. Government documents removed from the DHEW and IHPS subject files and other series can be found in any Federal Depository Library and several are also found in the UCSF library catalog. Items removed from the collection (incomplete list): The Budget of the United States Government for the Fiscal Year Ending June 30 1966: Appendix. Washington, DC : US Government Printing Office, 1965. The Budget of the United States Government Fiscal Year 1969: Appendix. Washington, DC : US Government Printing Office, 1968. Report of the National Advisory Commission on Health Manpower. Volume 1 and 2 November 1967. Washington, DC : US Government Printing Office, 1967 (2 copies). Drug Regulation Reform Act of 1978 : Hearings Before the Subcommittee on Health and Scientific Research of the Committee on Human Resources, United States Senate, Ninety-fifth Congress, Second Session on S. 2755. Part 1 and 2. Washington : US Government Printing Office, 1978. Drug Regulation Act of 1979: Report of the Committee on Labor and Human Resources, United States Senate, to Accompany S. 1075 together with Additional Views. 96th Congress, 1st Session, Report No. 96-321, Calendar No. 334. Washington: US Government Printing Office, 1o79 Drug Regulation Reform Act of 1978 : The Administration Proposal : Section-By-Section Analysis, H.R. 11611 and S. 2755, 95th Congress, Second Session. [Washington : Dept. of Health, Education, and Welfare], 1978. Administered Prices. Hearings Before The Subcommittee on Antitrust and Monopoly of The Committee on the Judiciary, United States Senate, Eighty-Fifth Congress, First Session. Part 14, 17, 18, 20, 23 (Volume 1 and 2), 24 (Volume 1 and 2) Washington, US Government Printing Office, 1957-.

Processed by Julia Bazar in 1998; machine-readable finding aid created by James Ryan; finding aid updated and information regarding additional accruals added in March 2017.

Philip Randolph Lee was born in California in 1924, the third son of Dr. Russel Van Arsdale Lee, founder of the renowned Palo Alto Clinic. Eventually all five of the Lee children became physicians and practiced in California. Phil Lee graduated from Stanford and earned his M.D. there in 1948. He then volunteered for Navy Medical service and was in active sea duty in the Inchon Invasion. After his Korean War service, he completed postdoctoral training at Howard Rusk's Institute for Physical Medicine and Rehabilitation in New York, and also completed a research degree, (M.S.,1955) at the University of Minnesota on a Mayo Clinic fellowship. In 1963 he was recruited by Dr. Leona Baumgartner to serve in Washington D.C. as Director of Health Services for the U.S. State Department's Agency for International Development(AID) where he worked on malaria eradication, nutrition, and family planning. After two years at AID he planned to return to practice at the Palo Alto Clinic, but he was called to serve in the Johnson administrations and was appointed Assistant Secretary for Health and Scientific Affairs in John Gardner's Department of Health, Education, and Welfare (DHEW). Characterized by the contemporary press as "the doctor's doctor in Washington," he worked to implement Medicare, chaired the task force on prescription drugs, and developed health manpower and family planning policies. He left federal service soon after Nixon took office, and in February 1969 he agreed to become third Chancellor of UCSF, in the midst of national and local political turbulence over civil rights and the Vietnam War. Philip Lee brought his reformer's perspective to his administration at UCSF, and worked to implement an affirmative action policy, and organize the basic sciences into a "fifth school," a plan that met defeat at the hands of the Reagan governorship. In 1972, after three years as chancellor, he resigned and began immediately to organize an innovative Health Policy Program at UCSF. Dr. Lee's Washington contacts and his proven expertise in health policy were assets to the new program, which received substantial extramural grant support, and soon developed into a National Health Services Policy Analysis Center funded by DHEW. By 1981 the program was officially designated a University of California Organized Research Unit and was named the UCSF Institute for Health Policy Studies (IHPS). The IHPS continued to produce cutting-edge health services research in such areas as determinants of health, medical technology and health care costs, prescription drugs, health manpower, and ethical issues in health care, and IHPS faculty provided expert assistance to federal and state agencies as well as national foundations. In addition, the Andrew W. Mellon foundation, the Robert Wood Johnson Clinical Scholars Program, and the Pew Memorial Trust awarded the Institute several substantial educational grants that expanded and supported postdoctoral training in health policy and health services within the IHPS. The Institute began HIV/AIDS related research in 1982, and three San Francisco foundations funded the establishment of the AIDS Health Services Research program to conduct policy analysis and provide technical assistance at the local state and federal level. In 1985 Mayor Diane Feinstein named Lee the first President of the San Francisco Health Commission, a challenging position during the AIDS epidemic, for the commission was the governing body of the city and county health department. In 1986 when Congress established the Physician Payment Review Commission to reform Medicare, Philip Lee was named to head the Commission, and shaped the reforms adopted by Congress in 1989. In summer of 1993 Lee was once again called to Washington to serve as Assistant Secretary for Health in the Department of Health and Human Services during the Clinton administration. During his long and varied career Philip Lee has published more than 150 articles and co-authored many books in the health policy field, including Pills, Profits and Politics, with Milton Silverman. He has edited seven editions of the popular volume, The Nation's Health. He has served on the boards of many organizations, such as the Henry J. Kaiser Foundation, the World Institute on Disability, and the Glide Foundation of the Glide Memorial United Methodist Church. He is a former trustee of the Carnegie Corporation of New York. In 1998 he received the David Rogers Award from the Association of American Medical Colleges. In 2000 he was given the Institute of Medicine's Gustav O. Lienhard Award for "outstanding national achievement in improving personal health care services in the United States," as well as the American Public Health Association's Sedgwick Medal. In 2001 the California Public Health Association presented him with the Henrik Blum Award. Philip Lee served as Director of the UCSF Institute for Health Policy Studies from 1972 to 1993, and in September of 2007 the IHPS was renamed the Philip R. Lee Institute for Health Policy Studies in his honor. He continues as Senior Scholar at the Institute, and Professor emeritus of Social Medicine, in the School of Medicine at UCSF. Throughout his career he has been advisor, mentor and teacher to scores of students, fellows and peers, many of whom have who have advanced into important posts in corporations, government, and education.

This collection documents Philip Randolph Lee's career as a health policy researcher and administrator. It includes speeches and articles from the early years of his career, including his 1955 master's thesis. The collection concerns his years of government and UC service. There are extensive Correspondence and Speech files for his years as Assistant Secretary at the Department of Health Education and Welfare, Assistant Secretary for Health, and as Chancellor of UCSF. There is Correspondence, Speech and Subject/Publication files for his first eleven years as director of the Institute for Health Policy Studies (IHPS) and its predecessor (HPP).

Major topics or issues addressed in the collection include: rehabilitation, family planning, health manpower issues, maternal and child health, Medicare, reorganization of DHEW, administration of UCSF, implementation of affirmative action and diversity policies at UCSF, HMOs and other group practice and prepaid health insurance options, public health service hospitals, and federal health policy.

Other Philip R. Lee materials may be found at the Johnson Presidential Library (see letter from Lee to the Chester A. Newland, Director, Johnson Presidential Library, January 27, 1970). More information on Lee and his career can be found in the Philip Randolph Lee Oral History being conducted by the UCSF History of Health Science program. A copy of this Oral History will be deposited in the UCSF Library and CKM Archives and Special Collections upon completion.

The collection is divided into 13 series: I. Early Career, 1947-1963; II. United States Agency for International Development (USAID), 1963-1965; III. Department of Health Education and Welfare (DHEW), 1965-1969; IV. Chancellor, University of California San Francisco, 1969-1973; V. Health Policy Program/Institute of Health Policy Studies, 1973-1983; VI. Organization files, circa 1970-2000; VII. Person files, circa 1970-2000; VIII. Talks and presentations, 1961 - 2007; IX. Clippings, biographical material, and other miscellaneous files, 1940 - 2010; X. Native American health, 1990 - 2007; XI. Assistant Secretary for Health, Department of Health and Human Services, 1993 - 1998; XII. Physician Payment Review Commission, 1986 - 1998; XIII. Book collection.