The health of Americans and future generations is at risk. This seems incredulous given our track record in medical discoveries that improved health care and saved lives over the years. But our nation’s research ecosystem is now in a precarious state as a result of federal policies and proposals that continue to undermine medical innovation.
Sequestration, the across-the-board spending cuts for federal agencies, is a self-inflicted wound on our country and the pain is acutely felt by patients who cannot afford unnecessary delays in the development of new therapies and cures for their illnesses.
Slashed by sequester
The National Institutes of Health budget has been stagnant for a decade relative to inflation and now has been slashed, along with the budgets of other health and science agencies under sequestration. A House appropriations committee proposal would cut health, health research and other discretionary programs 18 percent in Fiscal Year 2014, inflicting more damage to institutions that conduct basic research that drives commercial applications from innovation to adoption. Basic research is a catalyst for the development of drugs and new therapies that have made diseases that were previously a death sentence into manageable conditions.
How will we ever find cures for Alzheimer’s, cancer and other life-threatening illnesses under this scenario? If we continue on this trajectory, patients and their families will bear the brunt of these heavy-handed spending cuts.
The baby boomer population is aging, raising the specter of runaway health-care costs and out-of-control deficits in the not-so-distant future. The number of Americans afflicted with dementia, currently 4 million, is expected to double by 2040 along with costs. Dementia’s direct costs are $109 billion a year compared to $102 billion for heart disease and $77 billion for cancer.
Consequently, the cost of treating disease has far outweighed the investments we have made to biomedical and health research. As was famously said by Mary Lasker, a champion of medical research, “If you think research is expensive, try disease.”
Fewer research grants
The NIH budget was cut by approximately $1.5 billion in Fiscal Year 2013 under the sequester. That means 700 fewer competitive research grants awarded this year.
More than 80 percent of the NIH’s funding is awarded to more than 300,000 researchers at universities, medical schools and other research institutions in every state and around the world. The odds that biomedical researchers will score an NIH grant have fallen below one in five in the past decade, a historical low. With fewer grants available for innovative research that could lead to medical breakthroughs, young scientists will inevitably gravitate to other careers or in some cases to countries that have ramped up their investments in research and development.
Due to our leadership in research and development, many countries are taking a page from our playbook, rapidly increasing their investments and building an infrastructure to lure skilled workers with advanced degrees. China, for example, has identified biotechnology as one of seven “strategic and emerging pillar” industries and has pledged to invest more than $300 billion — or more than 10 times NIH’s annual budget — in biotechnology during the next five years.
This is all good news, for China. But we should ask ourselves if we’re prepared to cede leadership in science and technology to other countries. All signs point to that conclusion unless we address the flaws in our political and governmental system that lead to partisan rancor and gridlock.