Timely, unbiased scientific advice is essential for effective public policy, but the system now operating in the United States is in a state of dangerous disrepair. The danger takes two forms. First, we are missing critical benefits in health, education, economic productivity, national security, and many other areas that more effective management of science could deliver. Second, we risk being overtaken by dangers that could have been avoided or for which we could have been much better prepared, given stronger support (...) for analysis. It is easy to say that all of these problems could be easily corrected with a few elections. But in fact the difficulties are deep and structural. It will not be easy to rebuild the apparatus of science and technical advice in a way that can serve the needs of twenty-first century America. The discussion that follows will review the history of science and technology policy advice and use the lessons learned to propose a practical path forward. Indeed, there are a number of practical paths forward that build on strategies that have proved to be effective in the past and structures already in place. (shrink)