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Dear PIEN List Members
Please understand, I am merely reporting, as I did in the "Mandarin" dustup
(which just re-emerged on the List) that led one person to urge me to leave
the US.  Since Murray Charter's death I have tried in a small way,  using
Diane Wysak's great  posts to me, to help fill the news vacuum he left.  My
being bitter or angry is not the "news" or the "issue" nor does it change
the reality of what is happening or not happening in the world.
 Ray

Falling behind on stem-cell research
By Christopher Thomas Scott and Jennifer McCormick  |  April 18, 2006
FIVE YEARS ago, President Bush announced that funding from the National
Institutes of Health could not be used to develop stem-cell lines made from
newly donated embryos, a decision that has hobbled US researchers. His
action spurred conservative members of Congress to introduce legislation
that would criminalize both research with human embryonic stem cells and
their future therapeutic use. If passed, the measure will send scientists,
patients, and physicians to jail for up to 10 years and fine them $1
million. Competing legislation designed to overturn the ban was written a
year later. Both measures passed the House and are now before the Senate.
Bush has promised to veto any law that would override his policy.
The consequences of the Bush policy are profound and unambiguous. NIH
officials admit the agency has ceded leadership in the field. Scientists no
longer undertake hegiras to Washington to learn about important advances in
stem- cell biology. Instead, countries where the research is encouraged have
stepped into the breach, making new lines at an astonishing rate.
Their discoveries are increasingly showcased at scientific meetings. And
now, evidence confirms the nation is falling further behind its competitors.
One of the best measures of scientific productivity is publishing
peer-reviewed research in scientific journals. When categorizing human
embryonic stem-cell research papers according to where the work was done,
research has accelerated at a faster pace internationally.
In 2002, roughly one-third of the papers were from US research groups. By
2004, US groups accounted for only one-quarter of the publications.
Government policy may be among the factors contributing to the gap between
US and international publications in the field.
Why worry about this trend? The answer lies with our biomedical ''discovery
machine," which operates on a seven-step assembly line:
1.) An academic scientist designs an experiment to answer an important
question.
2.) The scientist applies to the government to fund the research.
3.) The money pays for students and fellows who conduct the research.
4.) The results are published in journals, which advance the field.
5.) An invention may result. This may lead to a patent, which then is
licensed to a start-up company.
6.) With a monopoly granted by the patent, the company attracts venture
capital. If it is successful, the company grows.
7.) Years later, the discovery becomes a therapy for patients.
It takes $28.8 billion, the annual budget of the NIH, to prime this machine.
Every year, the money generates an astonishing amount of fundamental
knowledge and thousands of biomedical discoveries. With no initial funding,
this apparatus stops at Step 1.
With no money, what do the scientists do? They choose other careers. Worse,
they leave to do research in other countries.
When scientists abandon their laboratories, a field can vanish. A scientific
discipline is designed to grow exponentially. A professor will train a
handful of students, some of whom go on to become professors and train more
students. Some PhDs enter industry, where they lead projects and hire more
trained workers. Funded properly, this collection of specialists becomes a
formidable force, building research centers, driving innovation, and
creating business sectors. The government front-loads the process; ingenuity
and free enterprise takes care of the rest.
Cutting off funding will stop science. And no scientist dares pin a career
on a discipline that could be outlawed at any moment. Other countries such
as Singapore, China, and the United Kingdom know this, and are raising money
to lure American scientists. The pioneering model we use to benefit our own
citizens is being hijacked, one laboratory at a time.
While these signs are troubling, American biomedical research is still
strong. Such states as California and New Jersey show resilience, shoring up
medicine's most promising frontier. Most embryonic stem-cell biologists hold
on mightily, waiting for Congress to vote. A vote that will send them back
to their labs, not to jail, where they can get on with the business of
keeping us at the furthest edge of medicine, where we belong.
Christopher Thomas Scott is executive director of the Stanford University
Program on Stem Cells and Society and author of ''Stem Cell Now: From the
experiment that shook the world to the new politics of life." Jennifer
McCormick is a postdoctoral fellow at the Stanford University Center for
Biomedical Ethics.
© Copyright 2006 Globe Newspaper Company.

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