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Trump cuts to US medical research could slow breakthroughs, scientists warn of risks to patients
Trump cuts to US medical research could slow breakthroughs, scientists warn of risks to patients

Yahoo

time07-03-2025

  • Health
  • Yahoo

Trump cuts to US medical research could slow breakthroughs, scientists warn of risks to patients

The Brief Proposed NIH funding cuts would cap reimbursement for indirect costs at 15%, down from rates as high as 50%. Scientists warn the cuts could delay or halt research on cancer treatments, neurological disorders, and other medical advancements. Rural patients who rely on NIH-funded trials and treatments could lose access to cutting-edge care. A federal judge has blocked the cuts for now, but uncertainty is leaving labs and researchers in limbo. LOS ANGELES - Scientists across the country are warning that proposed cuts to US biomedical research funding could have devastating consequences—not just for jobs, but for the medical breakthroughs that impact millions of Americans. The Trump administration's plan to cap reimbursement for indirect costs—essential expenses like lab maintenance, safety oversight, and support staff—at 15% could leave universities and hospitals unable to sustain critical studies. By the numbers The cuts could stall cancer treatments in rural areas, neurological therapies for intellectual disorders, and key clinical trials across the country, researchers say. With many labs relying on National Institutes of Health (NIH) grants, the uncertainty has put life-saving work in jeopardy. NIH grants supported 412,000 jobs and generated $92 billion in economic activity in 2023. A 15% cap on indirect costs would cut at least 58,000 jobs nationwide, according to economic estimates. Most of the NIH's $35 billion budget funds research at universities, hospitals, and institutions in all 50 states. Rural cancer patients are 10% more likely to die than those in metropolitan areas, highlighting the importance of NIH-funded treatments. The cuts are not just numbers on a budget sheet—they could determine whether new medical treatments ever reach patients. What they're saying At Johns Hopkins University, neuroscientist Richard Huganir has spent years studying the SynGap1 gene, linked to intellectual disabilities, and developing a potential treatment. But without secure funding for clinical trials, his work may never reach the children it could help. "The problem is for the kids, there's a window of time to treat them. We're running out of time," Huganir told the Associated Press. The impact of these funding disruptions extends far beyond individual projects. Boston's Northeastern University neuroscientist Rebecca Shansky told the Associated Press that researchers across the country are uncertain about the future of their work. "Everyone I know is basically freaking out because we suddenly don't know how much longer we'll be able to keep our labs open," she said. The Associated Press also spoke with Dr. Otis Brawley of Johns Hopkins University, who warned that funding cuts could have life-and-death consequences by limiting research into underserved populations. "We're actually going to kill people is what it amounts to because we're not studying how to get appropriate care to all people," he said. Beyond immediate concerns, experts fear long-term damage to medical innovation in the US. Dr. Kimryn Rathmell, former National Cancer Institute director, told the Associated Press that halting funding now could derail breakthroughs for years. "Once you lose expertise and infrastructure, you can't just restart it overnight," she said. With no clear timeline for funding decisions, researchers warn that medical advancements—from cancer treatments to neurological therapies—may remain out of reach for the patients who need them most. Big picture view Scientists say the impact of these cuts goes far beyond labs and research institutions—it could delay treatments and clinical trials that directly affect patients. Cancer patients in rural states like Utah, Idaho, and Wyoming rely on NIH-funded programs to access new treatments. Without proper funding, fewer trials could be available for those in remote areas. At Johns Hopkins University, scientists studying the SynGap1 gene, linked to certain intellectual disabilities, are racing to get a promising treatment into human trials. Funding delays could mean missing the critical early treatment window for affected children. Pain and trauma research at Northeastern University is in limbo as researchers await NIH grant decisions that have been stalled by funding uncertainty. "Everyone I know is basically freaking out because we suddenly don't know how much longer we'll be able to keep our labs open," neuroscientist Rebecca Shansky of Northeastern University told the Associated Press. What's next A federal judge has temporarily blocked the NIH funding cap, but researchers remain uncertain about the future. Some scientists are already seeing their work caught in the administration's anti-diversity crackdown, further delaying critical studies. Lawmakers have pressed Dr. Jay Bhattacharya, Trump's nominee for NIH director, on how he will address the crisis. Bhattacharya has said he will review the issue but has not committed to reversing the changes. Without a resolution, scientists fear the US could lose its position as a global leader in medical research, with consequences reaching every corner of healthcare—from cancer treatment to neuroscience and drug development. The Source This report is based on data from the National Institutes of Health, economic impact estimates from United for Medical Research, and expert analysis from researchers cited by the Associated Press.

NIH Starts Cutting Parts of Research Grant Funding
NIH Starts Cutting Parts of Research Grant Funding

Yahoo

time11-02-2025

  • Health
  • Yahoo

NIH Starts Cutting Parts of Research Grant Funding

The main historical building of the National Institutes of Health (NIH) inside Bethesda campus Credit - Getty Images The U.S. National Institutes of Health (NIH) is the largest funder of biomedical research in the world, and its grants create the foundation of basic science knowledge on which major health advances are built. On Feb. 7, the NIH announced that it would cut "indirect expenses" in the funding it provides to research grants by nearly half. 'We were all just dumbstruck,' says Dr. Richard Huganir, professor and chairman of the department of neuroscience at Johns Hopkins University School of Medicine, who relies on NIH grants for his research into therapies for autism and intellectual disabilities. 'I'm calling it the apocalypse of American science. This will basically change science as we know it in the U.S.' "We're going to see health research kneecapped," says Dr. Otis Brawley, professor of oncology and epidemiology at the Johns Hopkins School of Medicine and the Bloomberg School of Public Health. Brawley has overseen grants at the National Cancer Institute (which is part of the NIH) as well as received them for his cancer research. The funding cut took effect on Feb. 9 and targets indirect costs, which include facilities and administration costs. In an immediate response, 22 states sued the NIH and the U.S. Department of Health and Human Services (which oversees NIH), calling the action 'unlawful' and saying it would 'devastate critical public health research at universities and research institutions in the United States.' Hours later, the Massachusetts Attorney General issued a temporary restraining order preventing the NIH from immediately cutting billions in the grants it issues to scientists and their institutions. Here's what to know about the ongoing funding turmoil at the NIH. NIH awards around $30 to $35 billion in grants each year to a wide range of disease-related research projects. It helped fund the mRNA technology that eventually led to the recent COVID-19 vaccines, for example. In a Feb. 7 post on X, the agency said about $9 billion of its annual research grant budget goes toward indirect costs, which are charged by academic institutions receiving the grants. Institutes that receive NIH grants negotiate indirect cost rates, taking into account how much they need to pay for things like heat, air conditioning, and electricity inside research facilities. Administrative costs include those required to comply with legal and regulatory requirements to conduct the research. Once a rate agreement is reached, it applies to all federal grants from NIH to that institution. Read More: Why Are So Many Young People Getting Cancer? It's Complicated Indirect costs can range from nearly 30% to 70% of a research grant, depending on the institution. Certain non-academic institutes that have fewer resources than academic universities tend to have higher indirect rates, from 90% to 100%, says Brawley. In its X post, the NIH says Harvard has charged 69%, Yale 67.5%, and Johns Hopkins 63.7% in indirect costs. (Johns Hopkins' rate recently changed to 55%, Brawley and Huganir say.) Under its new policy, the NIH would cap indirect costs for all institutions at 15%. Huganir says indirect costs are essential for modern-day research. In addition to keeping the lights on in labs, they cover maintaining and staffing critical scientific equipment and resources such as animal facilities, DNA sequencing, and imaging. 'Right now we are in the middle of developing therapies that could really cure certain forms of intellectual disability for millions of kids across the world,' he says. 'We are terrified that the research is going to stop.' The NIH did not immediately respond to a request about what prompted the change, directing journalists to the agency's Grants Policy Statement. However, Elon Musk—tasked by the Trump Administration to address efficiency in government spending—called out the high percentage of indirect costs that the NIH had been supporting. 'Can you believe that universities with tens of billions in endowments were siphoning off 60% of research award money for 'overhead?' he wrote on X on Feb. 7. The 15% cap puts NIH grants in line with those from private philanthropic agencies that support research. The NIH says that these entities—such as the Gates Foundation, the Rockefeller Foundation, and the Chan Zuckerberg Initiative—allow a maximum of 10% to 15% of a research grant for indirect costs. But philanthropic foundations and academic institutes aren't comparable to the federal government when it comes to funding science, Brawley and Huganir say, since foundations tend to support more focused and specific endeavors, such as individual faculty members or targeted projects. So far, it's unclear. In his post on X, Musk hinted that endowments should be part of the solution. But health experts say endowments aren't a consistent or practical source of funding for overhead costs, since many outline narrow purposes or projects for the funds that are legally allocated and can't be redirected to cover things like research expenses. Read More: 8 Ways to Shorten Your Wait for a Doctor's Appointment 'Nobody else can really afford to pay for it,' says Brawley. 'What's worked nicely over the last 50 to 60 years is that the NIH does a lot of basic science research, asking questions that people can't make money from. And the corporations, including biotech, can swoop in, and take that basic science information and do engineering and turn it into things you can sell and treat diseases with.' Without the funding to support indirect costs, much of the scientific work that has been a mainstay of the U.S. biomedical field may not happen, or would take much longer. 'The bottom line is that we are going to have a lot less resources, which obviously means we are going to have to lay people off, and research will be slowed down,' says Huganir. Brawley is also concerned about the quashing effect such actions will have on young scientists to remain in the field and create new labs. 'Nobody wins the Nobel Prize for what they did when they were 50,' he says. 'I'm worried about the loss of creativity from young people; that's where all the really good ideas come from.' Read More: 8 Symptoms Doctors Often Dismiss As Anxiety He also notes that while a lot of attention has been focused on large academic universities with big endowments and deeper financial resources, the policy will likely have an even stronger impact on smaller community hospitals that supply many of the patients who participate in clinical trials. 'People who are getting treated in clinical trials now for cancer will find many of those trials will close down,' he says. That will affect the pipeline of new treatments for diseases like cancer. Brawley says that drugs approved in the last six months have been tested in trials over the last decade, so curtailing funding in research today will slow down the pace of progress and eventually result in fewer drugs. 'I anticipate that the number of drugs approved is going to go down dramatically in the next five to 10 years,' he says. 'We have been working all weekend trying to calm faculty and students and everybody who is concerned about future careers in science,' says Huganir. 'We have lots of committees addressing different aspects of this, and we're trying to come up with ideas about how we can compensate for any losses we are experiencing." "That may mean laying people off and maybe putting hiring freezes on new faculty," he says. "We will have to make up for the difference through cost cutting in some way.' With the temporary restraining order, NIH grantees have some time to come up with a plan for how they will try to maintain the pace of scientific research with much less NIH support. 'Perhaps we need to reimagine or re-envision our entire system for how we fund science and how people make money off of science,' says Brawley. 'But the way to do that is not to threaten on Friday night to cut everybody's indirect [costs] down to 15%.' Ultimately, scientists say the American public will pay a price for the drastic funding cuts. 'The American people should know that this is going to impact them—the health of their families and their children,' says Huganir. 'And the economies of communities around these institutions that get a lot of NIH funding are going to be impacted as well.' Contact us at letters@

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