
Medical and Scientific Research Makes America Great
While the Trump Administration's sharp increases in tariffs have received much of the political and economic attention in our public discourse, there is another subject that could have a far more profound and longer-term negative effect on America which deserves equal, if not greater, attention. This is the serious threat to America's basic, early stage medical and scientific research.
During World War II, Dr. Vannevar Bush took a leadership role in ensuring U.S. preeminence in science and research by creating the Office of Scientific Research and Development, which led to the creation of the National Science Foundation (NSF). Other similar scientific research institutions followed. And our academic, government, and business innovation collaboration has over time attracted some of the best talent—among both our own citizens and top scientists worldwide.
But now, support for basic science and medical research is in danger of flatlining. We have witnessed a decline in trust for basic research in recent years. This has been accompanied by significant cuts in government financial support leading to sharp cuts in vital personnel in critical scientific and medical research programs at universities, laboratories, and highly regarded medical and scientific centers throughout the country.
These cuts do not discriminate. They are occurring in red and blue states alike—in Middle America as well as along the East and West Coasts. And this is not just occuring in highly prestigious and heavily funded institutions, but also on a broader scale. As a second order effect, innovation and advanced research in this country is not, and should not be, a monopoly of a few schools and institutions; and we run the risk that these cuts could also be imposed on smaller universities and research institutions in a wide range of cities and regions.
Over a decade ago, as Undersecretary of State responsible for overseeing the Department's international economic policy, I wrote about the role of innovative, basic science in sustaining America's global economic power, enhancing domestic prosperity, producing lifesaving new medicines, modernizing the technology used by our military, and creating breakthroughs in many transformational technologies.
Advancements in these areas have been critical to the prosperity and wellbeing of our society, as they are now with accelerating advances in AI and quantum computing. The ultimate benefits of these advances—if sustained—could last for generations to come, potentially providing the basis for many successful new businesses in our country, attracting the world's top research talent to our nation, and generating millions of high quality jobs for those creating and applying new technologies.
Sustaining this progress will be especially vital to future domestic medical advances and the prosperity of millions of Americans in future generations. It could also enable this country to maintain a strong and technologically preeminent military—an ever more critical need today given the formidable technological competition from China—and shape the future of international scientific cooperation.
Preeminence in science, advanced technology, and medicine is also a key element of America's soft power, strengthening friendships and alliances with countries that want to develop closer collaboration with U.S. universities, companies, and research centers. It benefits not only Americans but also provides better health and faster economic progress for others around the world.
Preeminence is also needed for continued U.S. leadership in setting rules, norms, and common international practices to ensure that the results of this research are used for the good of our citizens—as opposed to doing harm to our national or global interests.
This dynamic created institutions, and an environment, in the U.S. which supports the best and brightest scientists and researchers from within this country and attracts many thousands who come here from around the world. Today, approximately 16% of all scientists and other STEM workers in the U.S. are foreign born. This is why leaders on both sides of the aisle have strategically prioritized research, as well as the cultivation and attraction of scientific and technological talent, during much of the post-war period.
Many German scientists who could, fled here before or during World War II. After the war, one of our most important innovative initiatives was the highly clandestine "Operation Paper Clip" which brought German scientists here. And during the Cold War era, many of these scientists were critical to our successes in space, nuclear, and broader military achievements. Albert Einstein, being a prime example, taught at America's advanced universities, but large numbers also taught in small colleges and junior colleges.
And over the past several decades, talented scientists from places such as India, Israel, Japan, China, South Korea and Eastern Europe came to the U.S. as well. Many of them became students and researchers across the country. Some, such as Andy Grove and Sergei Brim, founded, built, and ultimately ran America's most successful tech companies.
It was in part because of our pro-science, pro-innovation environment and openness to foreign talent, that so many brilliant scholars and researchers came to the United States. They did so for freedom and the opportunity to do innovative research. One did not see such foreign-born scientists falling over one another to go to the Soviet Union, a nation characterized by a heavy-handed and oppressive environment that was not conducive to this. In the end, many of these scientists—and the investment in American science in general—played instrumental roles in winning the Cold War and the Space Race.
But now, support for vital basic early-stage research is falling sharply. Recent, large, and sudden cuts seriously endanger American scientific preeminence and thus America's prosperity, social wellbeing, and national security. For example, as the result of NSF and NIH funding being dramatically cut, or placed on hold, we are seeing the reversal of talent out of the United States. Companies and governments in many countries are actively advertising to attract researchers being let go by our government institutions, our companies, and our universities due to funding and personnel cuts. Many are highly unlikely to return.
This it is hardly encouraging, considering how vital AI is to our future, that, as Nvidia 's CEO recently reminded us, roughly one half of all AI researchers in the world now are Chinese. We used to be the magnet for talent from around the world. Now China, Singapore, other countries in Asia and several European countries as well aim to be—and to create a reverse brain drain.
Those who care about America's global research and technology leadership, should be alarmed by the deep cuts we are witnessing in research funding, the firing of personnel with enormous scientific expertise, and a sharp shift away from the attraction of foreign scientists—many of whom are critical to our healthcare system, technological innovation, and entrepreneurial success.
For example, recent budget proposals call for a 40 % cut in funds for NIH, which would lead to similarly large terminations in vital medical research projects, and an over 50% cut in NSF funding, which will mean terminations in critical STEM education programs. Fortunately, business has significantly increased research and development over the last two decades, but only a small fraction of that goes to critical early stage, basic research.
I am a great believer in reducing this nation's debt and deficits, which endanger our economy and place an enormous burden on future generations. Cutting unproductive personnel from some parts of the government also makes sense and I commend those in both parties aiming to do this. These cuts, however, must be strategic, justified, and well placed to be effective.
Large and sudden across-the-board cuts, however, inevitably end up cutting or killing essential research funding and the firing of highly talented people. They frequently come at a cost to the health outcomes and economic wellbeing of large numbers of Americans now and for generations to come. Lastly, they threaten our country's research and technological preeminence on which our strategic and defense capabilities depend—which is especially troubling given the rapid rise of Chinese technical and military prowess.
These are not isolated events that have occurred only in the recent months of this administration or even in recent years. This broad erosion has been taking place for several decades during periods of both Democratic and Republican leadership. Large numbers of Americans have become skeptical about, and some openly hostile to, advanced science and basic research. Some groups are especially skeptical, in most cases due to a plethora of inaccurate information over social media, about immunizations and therapies produced by modern medicine.
This sadly stands in sharp contrast with the virtually unanimous social and bipartisan support and sense of national pride in America's scientific achievements in decades past, which have led to remarkable breakthroughs: the dramatically successful Salk polio vaccine, various lifesaving HIV/AIDs therapies, mapping the human genome, remarkable U.S. feats in the space race, military technologies that helped win the Cold War, computer and wireless communications technologies that have dramatically boosted business, and countless new medicines being developed in labs throughout our country that have cured or helped prevent, as in Operation Warp Speed, so many diseases in the last several decades.
We need to ensure renewed American leadership and dynamism in these areas. To do so we must reverse this downward course and ensure sustained U.S. leadership in basic medical and scientific research and 21st Century technology development.
President Donald Trump has an enormous opportunity to exercise world class leadership in this area, as American leaders did after World War II. The opportunity is now and the need is urgent, especially while the budget is being debated in Washington.
Making and keeping "America great" will depend heavily on a robust, well-funded, and multifaceted basic research effort by our institutions and scientists, sustaining America's already remarkable technological and medical advances.
By shifting their emphasis from sharply cutting back support for basic research to enthusiastically funding supporting it now, our leaders in Washington can transcend any one period, party, or administration and instead benefit large numbers of Americans now and for generations to come, who could enjoy opportunities for a longer, healthier and higher quality of life, better jobs, and more defense security.
If America is to have a new " golden age,' investing in research is an indispensably important path to achieve it.
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