A Bad Idea from Congress About How to Fund Science
forbes.com
forbes.com
The people who go down the wrong path in science are often performing an important service. It is obvious enough that we cannot know beforehand how to solve all of science's hard problems (they wouldn't be hard problems...) and of course the people who don't succeed still need to be paid.
The other, maybe less immediately obvious thing, is that a person or group who demonstrates the ways a previously plausible line of thought just doesn't work is performing a valuable service. Progress in science depends on what they publish, even if their work ends up being a dead end.
Dead end.
In the eyes of Congress, this whole affair was a waste of money, but for every scientist with the same idea, it means one less path to waste time and money on.
Incentives in science publishing generally work against the publication of negative results. The publication-based economy lies at the heart of most of what's wrong with science today.
It's not clear to what extent prize-based funding could change this culture. I'm not sure I agree with the size of the initial trial, but I do support experimenting with new models of government funding for science research.
It'll make it worse.
https://www.congress.gov/bill/114th-congress/house-bill/6/te...
Apparently a panel of 9 persons will be in charge of giving away $80 million in prize money for biomedical advancements every year to any person or company (even foreign).
The 9 people are primarily congressional appointments and the director of NIH (who is already appointed) and the administration of this program can be outsourced to a private company who can take 15% of the money.
Personally, I'd have to agree with the author that this is a pretty stupid idea.
We need not replace grants this way, of course - but we can supplement, because grants, as we all know, can't even begin to cover the cost of clinical trials, for the most part. This means that only large pharma companies can foot the bill, here. Then they walk off with a patent and collect monopoly rents from the American public to the tune of $300 billion a year, in excess of the market cost of drug production.
If, on the other hand, we can offer a large prize that covers the costs of development after the fact, then we get the goods - development already works this way, the "prize" is simply in the form of a drug company buying you out for your IP.
In the alternative, the US government "buys you out" for several tens of millions. The drug, instead of being patented, goes into the public domain. The developers walk off with tons of money. The public saves hundreds of billions of dollars. Income inequality lessens.
As far as I know, the government has minimal involvement / skin in the private development process as it stands currently, and only steps in to perform regulatory oversight and helps define trial design for regulatory approval. Almost all costs are borne by the private sector and all work is done by the private sector.
Doesn't every penny of "old people drugs" development come from selling drugs to old people paid solely by medicare? I'm just saying if you trace back where those supposed private sector $$ come from, don't almost 100% of them come from the Medicare program?
On the good side you'd cut out a lot of middlemen. No point paying them off thru multiple steps for doing basically nothing productive.
On the bad side you'd cut out a lot of middlemen. Their corporate owners finance a lot of re-election campaigns and PACs....
I'm not sure what this statement means. Drug development costs are accrued by the company before the drug goes to market. Costs are borne by the company's investors or offset using profits from previous ventures. Some of these profits may be from drugs meant for the elderly or they may not.
> I'm just saying if you trace back where those supposed private sector $$ come from, don't almost 100% of them come from the Medicare program?
No, much of the initial development capital comes from investors or from other profits which are from many sources. If you're talking about who is paying for the drug, then you're completely forgetting about private insurance companies, which spend at least as much each year on health care costs as medicare. You're also forgetting about the entire ex-US market.
> On the good side you'd cut out a lot of middlemen. No point paying them off thru multiple steps for doing basically nothing productive.
Government is not synonymous with efficiency, especially when there is no profit motive involved.
I don't have the numbers so I can't speak to the overhead, but I can point at the VA health care system as a counter to your statements about government health care being efficient.
> The entire NIH budget produces prodigious amounts of research, from the basic to the translational, for less than what the entire pharma industry spends just to refine their drug development. The private sector sucks at research spending.
There are a number of problems with this argument.
First, the NIH can afford to take a shotgun approach to research funding which pharma can't take because the risks of loss are so much lower. The NIH can give out large numbers of grants per year, have a large number of them fail to produce meaningful results, and call their work a success as long as some good work is being done. That model is untenable at the major clinical trial level because the losses would be astronomical. It's the same reason why the Y combinator investment strategy wouldn't work if you wanted to apply it to big private equity deals: You can't fail massively more than a few times before you're in trouble.
Second, the standards for "success" are completely different for drug development and basic / translational research. Most basic research is looking for (at best) proof of concept in an in vitro or in silico model; most translational research is looking for efficacy in an animal model using small populations. A pharma research project has to consider statistically significant efficacy, formulation, dosing, acute and chronic direct toxicity, delivery, off target effects, drug-drug interactions, manufacturing, storage, population differences etc and are held to much higher standards at every stage than your average research lab. By the way, even with these differences in requirements, it is well known that a lot of published, NIH funded research coming out of academia is not reproducible: http://www.nature.com/nrd/journal/v10/n9/full/nrd3439-c1.htm..., http://www.nature.com/news/announcement-reducing-our-irrepro... If this were to happen in pharma, you would have deaths and lawsuits.
http://report.nih.gov/categorical_spending_project_listing.a...
Also, it's wrong to suggest that the costs are borne by the "private sector" when all of that private sector money is coming from monopoly rents handed to them by the government. That isn't their money, it's ours.
You're assuming that the government is as good at choosing research directions, choosing which entities to bring to trial, and running the trials as private industry. My bet would be that this is not true.
> Also, it's wrong to suggest that the costs are borne by the "private sector" when all of that private sector money is coming from monopoly rents handed to them by the government.
A lot of new drugs come from start up pharma companies, who are exclusively funded by investors, not the government. They don't see much, if any money from the government until they bring a drug to market. Established companies may use a mixture of funding sources to offset their development costs.
Also, the notion that drug companies are purely profiting from the government is absurd. You're completely forgetting about private insurance company spending and the ex-US market, which account for enormous amounts of money.
Or, put another way, it looks like a new aircraft supercarrier would be cheaper than a cure for Alzheimer's. Whatever the true cost of drugs are, it's clearly not pennies.
> NO AWARDS TO COMPETITORS LIKELY TO REAP FINANCIAL BENEFIT FROM INNOVATION.—The Director of NIH may not, with respect to an innovation, award a prize under this section to any individual or entity that has a vested financial interest in any product or procedure that is likely to be developed or marketed because of such innovation.
One way to ensure that would be to require that any winning or better submitted innovations come with a royalty-free patent license. But
> (i) Intellectual Property.— “(1) PROHIBITION ON THE GOVERNMENT ACQUIRING INTELLECTUAL PROPERTY RIGHTS.—The Federal Government may not gain an interest in intellectual property developed by a participant in a prize competition under this section without the written consent of the participant. “(2) LICENSES.—The Federal Government may negotiate a license for the use of intellectual property developed by a participant in a prize competition under this section.”.
Clearly no such thing is mandated.
No doubt the decision process of awarding the prize would be dysfunctional; but it would be dysfunctional in a different way to the NSF's usual funding mechanisms, increasing the chance that at least one of the two would produce the right outcome in any given case.
I agree with the article and propose that we should be doing the exact opposite - finding a way to fund more garage tinkerers. Just add up the risk of failure in tech (at least 90%), the fact that so much of our daily workday is broken up into frivolous minutia, and that researchers spend on the order of half their time fundraising. It should be obvious that the problem is underemployment, and that the way to remedy that is to go from top-down to bottom-up organizational structures. In other words, recognize the dignity of work and not just the financial outcome.
I don't think this could work to fund blue sky research, though. It's asking for too much risk to be assumed by a researcher who probably doesn't have the resources to justify these kinds of attempts.
I don't think we should change the funding system from grants to prizes. The existence of my job relies almost entirely on NIH funded grants, and I am not worried about this in the least. When they start talking about replacing the other $23.9+ billion in NIH grants with prizes, then we should worry.
This being said, my priors are that it's a better funding model for engineering than for science. Engineering is more goal-oriented, whereas science is more exploratory. In science, it's not always a good idea to have a strongly desired outcome, because of problems associated with confirmation bias, or from spending too much time in the wrong rabbit hole. Apart from concerns about gaming the system (which are valid), the wrong phrasing of the goal could make it impossible to reach, or otherwise direct people in the wrong way. And it's not always clear that the understanding of some process or phenomenon will ever be done to some satisfaction; sometimes you get there and it's much more convoluted than anyone had previously assumed.
The economist Tim Harford discusses the merits of this funding model quite a bit in Adapt, and is quite supportive of it, as are other economists such as Alex Tabarrok. But it's really not clear that they understand the differences between engineering and science, either. Most of the DARPA/X-prize research, which are the typical examples of this funding model working effectively, are engineering research rather than science qua science, or the exploration of natural phenomena.
But given the NIH's aims (which are more practical than NSF's) and the recognition that blue-sky research needs to be funded differently, it might just be a great complement to the existing funding model. I would love to have a bit more of it for those of my own projects that are geared more towards tool/methods development than immediate phenomena understanding; I work on them in my spare time or in conjunction with scientific studies, and it'd be great if I could occasionally pay myself back for that time upon successful completion.
It's about 0.25% of the NIH's investment budget. Doesn't sound like that big a deal to me.
I haven't noticed any commentary at https://twitter.com/jamie_love (their director) or http://www.keionline.org/tracker on this bill yet, am I missing something?
http://www.darpa.mil/work-with-us/public/prizes
I think it could work in certain circumstances for NIH. It's been successful for DARPA, so it's worth a try.
Some people regard the DARPA prizes as successful because, in some cases, the technology to win the prize was developed.
> DARPA is also known (notoriously, one could say) for operating a good-old-boys system, where you have to butter up the DARPA program managers to get any funding.
Can you explain this a bit more in the context of the prize program? It looks like a criticism of their grant program, but you follow it with:
> So no, I don't agree that prizes have been successful for DARPA.
This point would be more powerful if he explained it in the context of the DARPA and XPRIZE competitions. Spaceships are surely expensive, but multiple teams were funded. Is there a reason that won't happen for the NIH prizes?
> NIH will give these prizes to foreign citizens–and companies! So apparently they will take some portion of NIH’s budget, and instead of awarding it in grants to U.S. scientists, they will give prizes to companies in, say, Russia. Don’t get me wrong: I think science should be supported in every country around the world. But each country has its own system, and the NIH is by far the most important source of funding for biomedical science in the U.S. We just can’t afford to have NIH give out prizes to the entire world.
I don't think it follows that because each country has its own science system, then the US can't afford to give prizes to the entire world. The prizes won't be higher if they're given to international teams; they just might be awarded earlier. Surely it would be more expensive (at least in time) to restrict it by country, because someone else might be able to make the advance faster than the US.
It appears that the author isn't motivated by advancing science, but by funding American scientists. If American scientists need or deserve more money, that should be addressed separately from how to advance scientific progress most quickly. There are probably ways to accomplish giving Americans more money that don't slow down scientific progress.