Information Trading How Information Influences the Health Policy Process (1997) / Chapter Skim
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5 Information Trading, Politics, and Funding for the National Institutes of Health in the 104th Congress
5 Information Trading, Politics, and Funding for the National Institutes of Health in the 104th Congress
Pages 88-98
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From page 88... ...
in the 104th Congress provides a Winslow on the political process that drives biomedical research funding in this era of limited federal budgets. NTH continues to be an icon of the American health care system and its research establishment.
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From page 89... ...
THE ENVIRONMENT FOR BIOMEDICAL RESEARCH FUNDING NIH was founclec3 in 1930. It moved to Bethesda, Maryland, in 1938 as extramural funding of medical research began to expand.
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From page 90... ...
, generally by a ratio approximating 3:2. This has broac3 political as well as policymaking implications a kind of budgetary Hobson's choice as research competes with elclerly, clisablecl, and poor people for public support, to maintain steady state, biomedical research will require a persistent anc3 disproportionate claim on federal resources.
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From page 91... ...
The second was the tension between proponents of clinical research versus proponents of basic research. On both issues, NTH found itself on the opposite sicle of well-organizec3 and articulate advocacy groups in the research community.
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From page 92... ...
An aclclitional concern unclerlying resistance to earmarkocl research funding reflects the expectation that, going into a future markocl by severe budgetary restraint, newly authorized earmarkocl funding may not necessarily be matched by appropriation of aclequately increased clolIars. This could leave NTH with the dilemma of relatively fixed appropriation levels that are spread over an expanclecl array of programs provided by ambitious authorizing legislation.
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From page 93... ...
In addition to the push by Parkinson's disease advocates, there were energetic efforts by advocates from other representatives of the biomedical research community and the personal commitment of Senator Kassebaum to see the adoption of administrative efficiencies that were proposed in her bill. These all contributed to the ultimate passage of S
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From page 94... ...
As the queue for limited research clolIars has lengthened because of these new and productive areas of inquiry, clinical investigators have found themselves nearer the back of the line. The issues surrounding funding for clinical research received considerable attention in a hearing before the Senate Committee on Labor and Human Resources in May 1996.
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From page 95... ...
ShouIc3 this component of the reauthorization bill survive in future versions, it is likely that further issues, including the role of health insurers in funding clinical care associated with clinical research, will find their way into these discussions. Other Issues Surrounding Biomedical Research Funding in the 104th Congress Information tracing playoff a role in the 104th Congress in two other areas: the influence of small business and abortion politics, including fetal tissue research and human embryo research.
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From page 96... ...
1897, the issue did not materialize in the Labor and Human Resources Committee markup. CONCI~USION Despite an increasingly budget-driven environment and more stringent competition for a portion of the ever-smaller discretionary slice of the federal budget, NTH continues to benefit from its special favored status in Congress.
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From page 97... ...
1996. Statement before the Senate Committee on Labor and Human Resources, Hearing on NIH Revitalization Act of 1996 Examining Support for Biomedical Research in the Era of Health Care Reform and Budget Constraints, S
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From page 98... ...
1995. Shattuck Lecture: Biomedical research enters the steady state.
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