the-federal-funding-freeze-will-cause-lasting-damage-to-medical-research

The Federal Funding Freeze Will Cause Lasting Damage to Medical Research

For much of living memory, the United States has been a global leader of scientific research and innovation. From the polio vaccine, to decoding the first human chromosome, to the first heart bypass surgery, American research has originated a seemingly endless list of health care advances that are taken for granted.

But when the Trump administration issued a memorandum Monday that paused all federal grants and loans—with the aim of ensuring that funding recipients are complying with the president’s raft of recent executive orders—US academia ground to a halt. Since then, the freeze has been partially rescinded for some sectors, but it largely remains in place for universities and research institutions across the country, with no certainty of what comes next.

“This has immediate impact on people’s lives,” says J9 Austin, professor of psychiatry and medical genetics at the University of British Columbia. “And it’s terrifying.”

The funding freeze requires agencies to submit reviews of their funded programs to the Office of Management and Budget by February 10. The freeze follows separate orders issued last week to US health agencies—including to the National Institutes of Health, which leads the country’s medical research—to pause all communications until February 1 and stop almost all travel indefinitely.

The confusion is consummate. If the funding freeze continues through February, and even beyond, how will graduate students be paid? Should grant applications—years long in the writing—still be submitted by the triannual grant submission deadline on February 5? What does this mean for clinical trials if participants and lab techs can’t be paid? Will all that research have to be scrapped thanks to incomplete data?

Even if Trump fully reverses the freeze on research funding, the damage, multiple sources say, has been done. Although for now the funding freeze is temporary, the administration has shown how it might wield the levers of government. The implication is that withdrawing funding could be done more permanently, and could be done to individual institutions, individual organizations, both private and public. This won’t just set a precedent for the large East Coast or West Coast universities, but those located in both red and blue states alike.

While always an imperfect arrangement, science in the US is largely funded by a complex system of grant applications, reviews by peers in the field (both of which have had to be halted as part of the communications pause), and the competitive distribution of NIH funds, says Gerald Keusch, emeritus professor of medicine at Boston University and former associate director of international research for the NIH. According to its website, the NIH disburses nearly $48 billion in grants per year.

When it comes to medical research, America truly is first, and if it abdicates that position, the void left behind has global ramifications. “In Canada, we have always looked to NIH as an exemplar of what we should be trying to do,” says Austin, speaking to me independently of any roles and affiliations. “Now, that’s collapsed.”

Science is, in its very nature, collaborative. Many consortiums and alliances within scientific fields cross borders and language barriers. Some labs may be able to find additional funding from alternative sources such as the European Union. But it is unlikely that a continued withdrawal of NIH funding could be plugged by overseas support. And Big Pharma, with its seemingly endless funds, is unlikely to step up either, according to sources WIRED spoke with.

“This can’t be handed off to drug companies or biotech, because they’re not interested in things that are as preclinical as a lot of the work we’re discussing here,” says a professor of genetics who agreed to speak anonymously out of fear of retribution. “Essentially, there’s a whole legion of university-based scientists who work super damn hard to try to figure out some basic stuff that eventually becomes something that a drug company can drop $100 million on.”

The millions of dollars awarded to high-achieving labs is used to fund graduate students, lab techs, and analysts. If the principal investigator on a research team is unsuccessful in obtaining a grant through the process Keusch describes, often that lab is closed, and those ancillary team members lose their jobs.

One of the potential downstream effects of an NIH funding loss, even if only temporary, is a mass domestic brain drain. “Many of those people are going to go out to find something else to do,” the professor of genetics says. “These are just like jobs for anything else—we can’t not pay people for a month. What would the food service industry be like, for example, or grocery stores, if they don’t pay somebody for a month? Their workers will leave, and pharma can only hire so many people.”

WIRED heard over and over, from scientists too fearful for their teams and their jobs to speak on the record, that it won’t take long for the impact to reach the general population. With a loss of research funding comes the closure of hospitals and universities. And gains in medical advancement will likely falter too.

Conditions being studied with NIH funding are not only rare diseases affecting 1 or 2 percent of the population. They’re problems such as cancer, diabetes, Alzheimer’s—issues that affect your grandmother, your friends, and so many people who will one day fall out of perfect health. It’s thanks to this research system, and the scientists working within it, that doctors know how to save someone from a heart attack, regulate diabetes, lower cholesterol, and reduce the risk of stroke. It’s how the world knows that smoking isn’t a good idea. “All of that is knowledge that scientists funded by the NIH have generated, and if you throw this big of a wrench in it, it’s going to disrupt absolutely everything,” says the genetics professor.

While some are hopeful that the funding freeze for academia could end on February 1, when the pause on communications and therefore grant reviews is slated to lift, the individuals WIRED spoke with are largely skeptical that work will simply resume as before.

“When the wheels of government stop, it’s not like they turn on a dime and they just start up again,” says Julie Scofield, a former executive director of NASTAD, a US-based health nonprofit. She adds that she has colleagues in Washington, DC, who have had funding returned to their fields, and yet remain unable to access payment through the management system.

Austin says that already the international scientific community is holding hastily arranged online support groups. Topics covered range from the banal—what the most recent communication from the White House implies—to how best to protect trainees and the many students on international visas. But mostly they’re there to provide support.

“I’ve had a lot of messages from people just expressing gratitude that we could actually get together,” Austin says. “There’s just so much unaddressable need. None of us has the answers.”

Scientists, perhaps more than any other profession, are trained to “learn and validate conclusions drawn from observation and experimentation,” says Keutsch. That applies to the current situation. And what they observe during this pause of chaos does not portend well for the future of the United States as a pinnacle of scientific excellence.

“If people want the United States to head toward being a second-class nation, this is exactly what to do. If the goal is, in fact, to make America great, this is not a way to do it,” says the genetics professor. “This is not a rational, thoughtful, effective thing to do. It will merely destroy.”

This story has been written under a pseudonym, as the reporter has specific and credible concerns about potential retaliation.