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MEDICINE AND HEALTH

Heather Mac Donald Racist—But Underfunded? Universities have gone from arguing that science is biased to claiming that even the overhead on their massive federal research budgets must not be cut.

https://www.city-journal.org/article/nih-university-funding-research-budgets-indirect-costs

It seems like just yesterday that medical institutions were touting their antiracism efforts. In October 2020, the American Association of Medical Colleges published “Framework for Addressing and Eliminating Racism at the AAMC, in Academic Medicine, and Beyond.” The publication calls for “individual self-reflection on systemic racism,” “anti-racism efforts within the AAMC,” “anti-racism efforts within the academic medical community,” and “anti-racism efforts within the broader community.” In 2021, the David Geffen School of Medicine at UCLA launched an initiative called “Anti-Racist Transformation in Medical Education.” The initiative aims to “mitigate racism in the learning and work environment of medical schools through a formal management change process.” In January 2023, an antiracism committee at the University of Pennsylvania Perelman School of Medicine offered a Facing Microaggressions in the Workplace training, part of the school’s Action for Cultural Transformation. ACT aims to eliminate “structural injustice across Penn Medicine”; it is overseen by the medical school’s vice chairs for Inclusion, Diversity, and Equity.

Now the University of Pennsylvania, the University of California, and the AAMC are telling a different tale about science and medicine. These fields are unqualified civilizational triumphs, they say, jeopardized not by racism but by MAGA ignorance. What changed?

On February 7, 2025, the National Institutes of Health, the nation’s biggest funder of biomedical research, declared that henceforth it was limiting the amount that it would pay universities for the indirect costs of NIH-funded science. Indirect costs (also known as overhead, or facilities & administration) might include the salaries of administrators across the university, campus-wide building and equipment maintenance and depreciation, utilities across the university, janitorial services, and general office equipment. Direct costs, by contrast, are grant-specific, covering particular researchers’ salaries, lab materials, animal specimens, cell lines, and the like.

Previously, the NIH was adding up to 69 percent of a research grant to cover the facilities & administration infrastructure that allegedly undergirded subsidized research. For every dollar that a university received to support a particular project, NIH would throw in as much as an additional 69 cents for indirect costs, say, bringing the total amount of the grant to $1.69. The NIH negotiated indirect cost rates individually for each university in a complex, resource-consumptive process; after a university’s rate was determined, that rate applied for the next three to four years to every NIH research grant that that particular university might receive, as well as to grants from other federal agencies.

Zeynep Tufekci We Were Badly Misled About the Event That Changed Our Lives

https://archive.is/CQzbl#selection-723.0-731.59

Since scientists first began playing around with dangerous pathogens in laboratories, the world has experienced four or five pandemics, depending on how you count. One of them, the 1977 Russian flu, was almost certainly sparked by a research mishap. Some Western scientists quickly suspected the odd virus had resided in a lab freezer for a couple of decades, but they kept mostly quiet for fear of ruffling feathers.

Yet in 2020, when people started speculating that a laboratory accident might have been the spark that started the Covid-19 pandemic, they were treated like kooks and cranks. Many public health officials and prominent scientists dismissed the idea as a conspiracy theory, insisting that the virus had emerged from animals in a seafood market in Wuhan, China. And when a nonprofit called EcoHealth Alliance lost a grant because it was planning to conduct risky research into bat viruses with the Wuhan Institute of Virology — research that, if conducted with lax safety standards, could have resulted in a dangerous pathogen leaking out into the world — no fewer than 77 Nobel laureates and 31 scientific societies lined up to defend the organization.

So, the Wuhan research was totally safe and the pandemic was definitely caused by natural transmission: It certainly seemed like consensus.

We have since learned, however, that to promote the appearance of consensus, some officials and scientists hid or understated crucial facts, misled at least one reporter, orchestrated campaigns of supposedly independent voices and even compared notes about how to hide their communications in order to keep the public from hearing the whole story. And as for that Wuhan laboratory’s research, the details that have since emerged show that safety precautions may have been terrifyingly lax.

Dr. Marty Makary’s ‘Blind Spots’ Book Is At Odds With Established Findings By Benjamin Rushe

https://www.americanthinker.com/articles/2025/03/dr_marty_makary_s_blind_spots_book_is_at_odds_with_established_findings.html

Marty Makary is well-known for writing informal autobiographical books critiquing medical practice in America. Given that he is poised to lead the FDA, it should concern people that his book, Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health, has some serious biased presentation of data inaccuracies. How can Dr. Makary claim he is qualified to run the FDA when he presents controversial data in such a biased style?

Blood pressure

In Blind Spots, Makary rhetorically asks: “Can we lower high blood pressure by improving sleep quality and reducing stress instead of throwing antihypertensive medications at people?”

While that sounds like a good idea to someone who doesn’t know any better, it leaves something out. According to the NIH, essential hypertension makes up 95% of hypertension cases and has no modifiable cause (i.e., it’s not sleep or stress-related, it’s genetic). In other words, it exists in people who already get plenty of sleep and are at a good weight, et cetera. That is fundamental knowledge known by medical students and non-degreed ancillary healthcare workers. To the extent Makary implies otherwise, he’s just wrong.

Blind Spots promotes using silicone and other breast implants for cosmetic surgery. Makary states in his book chapter titled “Silicone Valley” that “…evidence was never presented that silicone breast implants caused any woman to suffer lupus, cancer, or another condition” (emphasis added). That is a statement so outrageously wrong that suggests that he never actually reviewed the data, and/or raises the possibility that Makary’s book or chapter was ghostwritten by a nonscientist.

Here are the actual facts: The largest ever study performed (nearly 100,000 patients) at the University of Texas showed that silicone breast implants are associated with a higher risk of certain autoimmune disorders, as well as stillbirth, scleroderma and melanoma.

Jay Bhattacharya’s promise on vaccine safety By Matthew Williams

https://www.americanthinker.com/blog/2025/03/jay_bhattacharya_s_promise_on_vaccine_safety.html

Dr. Jay Bhattacharya is best known for his dissent from the establishment during the pandemic response. He famously — some may say infamously — drafted, signed, and fervently supported the Great Barrington Declaration, which opposed Draconian-style lockdowns and mask mandates. Dr. Bhattacharya warned of the long-term consequences these policies would inflict on mental and physical health. He predicted a surge in cancer cases due to delayed diagnoses, as well as an economic downturn that would far outweigh any perceived benefits of quarantining the entire population. Instead, he advocated a more targeted approach: protecting high-risk individuals while allowing low-risk populations to sustain economic and social stability.

Unfortunately, his predictions proved correct. Cancer diagnoses surged post-lockdown, with many cases detected at later stages. The lockdowns and subsequent economic interventions, such as stimulus checks, have wreaked havoc on the economy.

Dr. Bhattacharya’s appointment to the National Institute of Health (NIH) has sparked controversy, particularly among those on the political Left. One of the most contentious aspects of his leadership is his call for additional studies on vaccine safety, including potential links to autism. The medical establishment has long dismissed this topic.

From a purely data-driven perspective, the case for new vaccine studies may seem unnecessary. Vaccines are among the most rigorously tested medical interventions, backed by not only decades of research but also historical accounts of their success. As Senate Minority Leader Mitch McConnell aptly pointed out, he witnessed the transformative power of the polio vaccine firsthand. Given the prevailing public distrust in scientific institutions, revisiting vaccine safety — if only to reaffirm their efficacy — could be crucial to restoring confidence.

John Tierney Jay Bhattacharya’s Confirmation Hearing Was an Embarrassment for Democrats Senators who once denounced the NIH nominee’s ideas had nothing to say about pandemic lockdowns, mandates, or lessons learned.

ttps://www.city-journal.org/article/jay-bhattacharya-nih-senate-confirmation-hearing-covid-pandemic

Jay Bhattacharya’s confirmation hearing in the Senate last week was as close as we may ever get to a formal surrender in the long war over Covid-19 pandemic policies. While some public-health officials, academics, and journalists continue to defend the Covid restrictions and oppose Bhattacharya’s nomination to direct the National Institutes of Health, Democrats at the hearing unanimously abandoned the fight against his supposedly “fringe” ideas.

Bhattacharya, a Stanford professor of medicine and economics, had been a leading opponent of Covid measures supported by Democrats on the committee, including the Biden administration’s vaccine mandates for federal employees and for workers at private companies. One of the senators, Edward Markey of Massachusetts, had been so worried about the “dangerous” policies in Florida and other states that he advocated a national mask mandate in 2020 and introduced legislation to prod recalcitrant states. Last week, however, Markey and his Democratic colleagues studiously avoided discussing the mandates or any issue related to Covid. Pandemic? What pandemic?

Instead, they used their time to rail at Donald Trump and Elon Musk, leaving it to the committee’s Republicans to address the most consequential public-health edicts ever imposed on Americans. The Republican senators catalogued the costs of the lockdowns, the learning loss from school closures, and the ineffectiveness of the restrictions. They praised Bhattacharya for coauthoring the Great Barrington Declaration opposing lockdowns and school closures, and they thanked him for his court testimony opposing mask mandates for students. They criticized social media platforms’ censorship of his views and the smear campaign egged on by Anthony Fauci and the former NIH director, Francis Collins, who dismissed Bhattacharya and his coauthors as “fringe epidemiologists.”

“You showed incredible courage in speaking the truth about Covid-19 when much of the rest of the world stayed silent about it,” Indiana senator Jim Banks told Bhattacharya. “It’s remarkable to see that you’re nominated to be the head of the very institution whose leaders persecuted you.” Banks then asked him to define the role of the NIH director during a pandemic.

“The proper role of scientists in a pandemic is to answer basic questions that policymakers have about what the right policy should be,” Bhattacharya replied.

The vindication of a heretic Jay Bhattacharya is right: ‘scientism’ is a menace to truth and liberty. Brendan O’Neill

https://www.spiked-online.com/2025/03/07/the-vindication-of-a-heretic/

He might not be as brash as Elon Musk. He might not wield his sword of reform with as much gleeful abandon as Donald Trump does his. Yet Jay Bhattacharya, Trump’s pick to run the National Institutes of Health (NIH), is nonetheless fighting an essential fight. His target? Scientism. The tyrannical trend whereby ‘science’, in his words, ‘stands on top of society and says “You must do this, this and this or else”’. He wants to restore science’s older, nobler goal of providing people with ‘knowledge and freedom’. Everyone who values reason should hope he succeeds.

Bhattacharya gave us a glimpse of his beliefs at his Senate confirmation hearing this week. In his humble, professorial style – anyone hoping for a rerun of RFK’s fiery confirmation hearing will have been sorely disappointed – he outlined his plans for the NIH. He wants it to be a freer, more open-minded place. For too long, he said, scientists at the NIH and elsewhere have displayed a ‘lack of tolerance for ideas that differed from theirs’. Now, under me, there’ll be ‘a culture of respect for free speech in science’, he promised.

That Bhattacharya is even heading to the NIH, never mind taking it over and shaking it up, is extraordinary. He was a target of its invective once. In 2020, he went from being a ‘low-profile researcher at Stanford University’ – in the snooty words of the Guardian this week – to being a headline-making heretic. His blasphemy? He co-authored the Great Barrington Declaration, which posited that ‘focussed protection’ of the elderly and vulnerable might be a better way to combat Covid-19 than the blanket shutdown of society.

The stake was readied. Insults flew. He was damned as ‘dangerous’, ‘reckless’, ‘fringe’. That last slight came from the NIH itself. Its then director, Francis Collins, fired off an email in October 2020 branding Bhattacharya and his ilk as ‘fringe epidemiologists’. Collins called for a ‘quick and devastating’ rebuttal of their dissenting declaration. That shameful cry for scientists to act like a latter-day priestly elite, to go out and issue ‘devastating’ edicts against the Barrington apostasy, is no doubt what Bhattacharya had in mind when he told the Senate that the NIH has become infected by ‘a culture of cover-up, obfuscation and a lack of tolerance’.

Now, amazingly, the heretic is taking power. The man on the ‘fringe’ is off to the beating heart of scientific endeavour: the NIH is the world’s largest public funder of biomedical research, with an annual budget of more than $47 billion. The only thing being ‘devastated’, Mr Collins, is the old NIH that you and others helped to turn into a political machine. But Bhattacharya’s mission is less one of personal vengeance than of scientific restoration. He told his hearing that he wants to bring back ‘the very essence of science’ to the NIH. And what might that be? ‘Dissent’, he said.

The Medical Establishment’s Persistent Zeal to Impose DEI in Education By Wesley J. Smith

https://www.nationalreview.com/corner/the-medical-establishments-persistent-zeal-to-impose-dei-in-education/

No matter election outcomes, presidential executive orders, and the ebbing support for the “woke” agenda among the general public, the medical establishment — epitomized by the New England Journal of Medicine — continues to push DEI ideology in medical school admissions policies.

A recent advocacy article in the NEJM pledges fervid fealty to DEI, primarily focusing on gender ideology. From, “Facing Political Attacks on Medical Education — The Future of Diversity, Equity, and Inclusion in Medicine” (citations omitted):

In recent years, the United States has seen an onslaught of legislation aimed at dismantling diversity, equity, and inclusion (DEI) initiatives in higher education, including medical education. Although these legislative actions are often construed as focusing only on race, they also explicitly or implicitly target members of sexual and gender minority (SGM) groups. The deluge of legislative and policy attacks, including a slew of executive orders in the current administration, is a component of a larger political movement that seeks to exclude people who have been historically underrepresented and marginalized in many sectors of society, including medicine.

Baloney. Opposing the invidious DEI agenda isn’t about excluding anybody from a fair shot at personal achievement. It’s about ensuring that the doctors of tomorrow are the most excellent practitioners we can license, and so students’ acceptance into medical school should be based on merit. In other words, capability should matter most. Identity should be irrelevant.

The authors believe otherwise:

The goal of DEI in health care and public health is to ensure that leaders of health care systems value all people equally and that all people can obtain the power, knowledge, resources, conditions, and opportunities that enable them to achieve optimal health. In medical education, this goal requires addressing disparities in recruitment and retention of people who have historically been excluded from the profession, as well as directly addressing inequities in patient outcomes. In health care, a diverse workforce including people with a range of racial, ethnic, sexual, and gender identities can serve patients better than a workforce that is far more homogeneous than the population itself.

We Can’t Afford Timidity in Revamping Medicaid Sally Pipes

https://www.newsmax.com/sallypipes/medicaid-cuts-entitlement/2025/03/05/id/1201567/

Last week, the House of Representatives passed a budget resolution by the narrowest of margins. The most controversial component of the bill concerns Medicaid.

Democrats have castigated the resolution on the grounds that it would make steep cuts to the joint federal-state public healthcare entitlement. Even some Republicans have expressed unease about that possibility.

But the hand-wringing about Medicaid cuts is misplaced.

The program is bloated and rife with fraud and waste, and it has veered significantly from its original intent of caring for the poor and disabled. It’s long overdue for paring.

First, some background.

Back in 2010, Obamacare loosened the eligibility requirements for Medicaid, extending coverage to all Americans earning up 138% of the federal poverty level, or $44,367 for a family of four as of this year. In order to entice states to go along with this scheme, Obamacare stipulated that the federal government would cover 90% of the cost of covering this “expansion population” in perpetuity.

The rest of the Medicaid population — which is to say, even poorer people and disabled Americans — receive much less federal support. For these beneficiaries, the feds cover anywhere from half to a little over three-quarters of the cost, leaving the rest to the states.

Will NIH Cuts Boost Public Health—or Destroy It?By David Andorsky and Vinay Prasad

https://www.thefp.com/p/trump-nih-cuts-debate?utm_source=substack&utm_medium=email

Two cancer doctors debate whether Trump’s slashing of billions to the National Institutes for Health will boost public health or destroy it.

During his testimony before the Senate Committee on Health, Education, Labor and Pensions hearing on Wednesday, Jay Bhattacharya, President Donald Trump’s nominee to run the National Institutes of Health, seemed to side with the president’s plan to cut billions of dollars from the nation’s scientific research budget, most of which is controlled by the NIH.

“I have a background as an economist as well as being a doctor,” Bhattacharya told the committee. This helps him “understand that every dollar wasted on a frivolous study is a dollar not spent. Every dollar wasted on administrative costs that are not needed is a dollar not spent on research. The team I’m going to put together is going to be hyper-focused to make sure that the portfolio of grants that the NIH funds is devoted to the chronic disease problems of this country.”

Some of Trump’s cuts have already been made, including the firing of over 1,000 “probationary” workers, and the blocking of this year’s grants through a bureaucratic loophole. The Trump administration also wants to stop paying indirect costs for building space, expensive equipment, and oversight of medical research, though so far that has been stopped by a judge’s temporary order.

What should we make of these cuts? Are they a sensible way to make medical research even more efficient? Or will they threaten the development of cures that could save millions of lives?

We asked two oncologists we trust to debate this important issue.

Sally Satel Medical Schools’ Botched Pass-Fail Experiment The early results of the United States Medical Licensing Exam’s new grading process are worrisome.

https://www.city-journal.org/article/united-states-medical-licensing-exam-pass-fail-grading

Medical schools and institutions are now among the zealous champions of progressive ideology. Within days of George Floyd’s death in May 2020, the Association of American Medical Colleges demanded that the nation’s medical schools “employ anti-racist and unconscious bias training.” The following year, the American Medical Association called on physicians to “dismantle white supremacy, racism, and other forms of exclusion and structured oppression.” But efforts to enhance diversity among the medical student body—too often by compromising standards of excellence—have long been in place at America’s medical schools, from affirmative action policies to pass-fail grading of courses and clinical rotations.

In a recent Journal of the American Medical Association commentary, however, four Stanford University-affiliated scholars pushed back on these changes—a ripple that suggests a potential academic shift. In their essay, Drs. James Agolia, David Spain, and Jeff Choi, and medical student Allen Green, denounce the “diminishing objectivity” of the residency-admissions process. “We believe that some objective standards are necessary,” they write, “for programs to identify candidates who best fit their program in a fair, consistent, transparent, and efficient fashion.”

Specifically, the authors lament that the United States Medical Licensing Exam made its initial test pass-fail. The USMLE, which all would-be doctors take, is administered in three parts. Step 1 is taken after the second year in medical school to test pre-clinical medical knowledge; Step 2 is taken after the fourth or final year to assess clinical knowledge; and Step 3 is taken after the first year of residency to evaluate clinical decision-making.

The change was several years in the making. The exam’s co-sponsors, the National Board of Medical Examiners and the Federation of State Medical Boards, first recommended making Step 1 pass-fail in 2019. Other groups, including the AMA and AAMC, collaborated in developing the proposal, which was eventually adopted in 2022.