Toward a new social compact for health research.


Over thepast 10years,USpublic investment in health research has been erratic. This recent pattern reverses decades of increasing support, initiated by the convictionandpersuasivenessofvisionary leaderssuchasMary Lasker andSidney Farber and realized through the continuedcommitmentof legislativechampionsofbiomedical science.Between 1999and2003, congressional appropriatorsdoubledthebudgetof theNational Institutes of Health (NIH) from about $15 billion to nearly $30 billion.Thenominalbudget then remained flat for thenext 5 years, until the American Recovery and Reinvestment Act (ARRA) injected another $10 billion over 2 years, 2009-2010, a financial pulse that has since dissipated. Viewed in constant dollars, apart from the 2-year ARRA infusion, the budget of the NIH has declined everyyear since2003.1 TheNIH issued 10 393newandrenewed competitive research awards in 2003, compared with 8765 in 2011. The proportion of grant applications receiving supportdeclined frommore than 30% in 2003 to less than 19% in 2011.1 Industry spends about twice asmuchas governmentonhealth research

DOI: 10.1001/jama.2013.282368

Cite this paper

@article{Fineberg2013TowardAN, title={Toward a new social compact for health research.}, author={Harvey V. Fineberg}, journal={JAMA}, year={2013}, volume={310 18}, pages={1923-4} }