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Shattuck lecture - biomedical research enters the steady state

Article Abstract:

The US government and population should find a way to fund the National Institutes of Health (NIH) such that their budget increases at the rate of inflation. Since 1989, increased support of biomedical research has been threatened by the national debt, efforts to balance the budget, and a distrust of government. Research is moving from a growth period to a steady state period in which new grants cannot be created but must replace expired grants. In response to this steady state, the NIH is attempting to run more efficiently. In addition, PhD programs need to train people for a broader range of careers, and administrators need to learn how research has responded to recent financial changes. Congress and the president are yet to determine if the NIH budget will be cut and capitated until 2002. The NIH budget should not be cut significantly because biomedical research is an investment that supports industrial growth, can reduce health care expenditure, and improves the health of the nation.

Author: Varmus, Harold E.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1995
Biological research

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The relation between funding by the National Institutes of Health and the burden of disease

Article Abstract:

Most diseases probably receive NIH funding in proportion to their impact on society. NIH funding pays for most biomedical research in the US. Researchers analyzed the level of NIH research funding received by 29 different diseases, including AIDS, several types of cancer, chronic lung disease and coronary heart disease. Most of the diseases received funding in proportion to their impact on society and the health care system. The exceptions were AIDS, breast cancer, diabetes and dementia which received very generous funding, and peptic ulcer, chronic obstructive lung disease and perinatal conditions, which were underfunded.

Author: Powe, Neil R., Anderson, Gerard F., Gross, Cary P.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999
Economic aspects, Chronic diseases

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Evaluating the burden of disease and spending the research dollars ot the National Institutes of Health

Article Abstract:

The director of the National Institutes of Health discusses how the agency tries to fund research on diseases in proportion to their impact on society and the healthcare system. A 1999 study found that research on most of the 29 chronic diseases analyzed was funded in proportion to their impact. Some diseases such as AIDS received more funding but this reflects the agency's wish to reduce the burden of future disease. The agency will create an office of public liaison to enhance its ability to respond to members of the public.

Author: Varmus, Harold E.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999
Editorial

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Subjects list: Finance, Medical research, United States. National Institutes of Health
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