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Senior leaders in government science policy require a trifecta of skills: research expertise, proficiency in the art of interagency policy coordination, and a deep knowledge of the legislative budgeting process. (The science and technology policy fellowships offered by the American Association for the Advancement of Science and similar programmes perform a real national service.) A policy decision is a complex political calculus of risks and benefits, and scientific evidence is just one input. Kenneth Bernard is a retired US Public Health Service rear admiral and former assistant surgeongeneral who worked on biosecurity during the administrations of president Bill Clinton and president George W. Bush. e-mail: ken@bernard biosecurity.com Twitter: @RADMKenBernard