F OR THE SECOND TIME in two years, the "political" leaders of the Department of' Health, Education and Welfare `downtown" have fired the supposedly "non- political" director of the National Institutes of Health "uptown" in Bethesda. After only 18 months at NIH, Dr. Robert S. Stone, formerly of the University of New Mex- ieo, has been asked to look for another job, reportedly because like his predecessor, Dr. Robert Q. Marston, he resisted drastic `cuts in medical research. "The scientific community has got to get its head out of the clouds and begin to live in the real world where funds of all kinds we limited," said Dr. Charles G. Edwards, the assistant secretary of HEW who did the firing (and who has since tigned Ihimlself to join a medical supply manufacturing `company). But the ~scientists at NlH say that is not quite the issue. The issue that seems to keep NIH in a state of demoral- ized turmoil is not that scientists are unebl'e to accept less research money, but that they are unwilling to accept more "unwarranted `and counterproductive politic,al con- trol," as six of them, including four Nobel prize winners, put it the `other day. They don't question that the na- tion's health services must be improved, that there are too few family doctors and too many super-specialists and that a well-functioning n*ational health insurance plan still needs a lot of thought and fact-finding. But scientists do questiqn almost unanimously that creative medical research in a given field can be pro- duced by "go6d management" like so many rolls of band- ages, as the political appointees in HEW's "downtown" offices seem to believe. The scientists feel :that exclu- sively "mission-oriented research'" can