The state of health science in the US today is not weak, but it is under threat. The main problems: 1. p-value hacking. 2. commoditization of adjunct and postdoc labor. 3. disincentives of null value results or replication. All of these things threaten the foundations of the increasingly unsustaiunable edifice that is modern health science, and all of them derive in one way or another from the same root problem: the only source of objective funding, untainted by corporate interests, is the NIH. In essence, health science is a zero-sum game.

This is why the Trump Administration preliminary budget proposal is ominous: it specifies an unprecedented 18% cut to the NIH budget.

As the image above illustrates, grant applications have grown almost twice as competitive over the years as NIH funding stayed constant. An 18% cut in this context is like an amputation.

There is only one possible outcome of this: labs will shrink. Health science research is going to be dramatically curtailed. Maybe there are benefits, in the long run, to this – but in the short run it will only worsen – severely – the problems that health science research currently faces. The question is, how resilient is the health science establishment? We are going to find out.

Even though I left academia, I will be marching for science on Earth Day.

Related: great article at The Atlantic that points out how private funding is a drop in the bucket compared to government support. In my opinion, public science funding is as critical and as irreplaceable as national defense.