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In a message dated 98-04-14 09:52:02 EDT, you write:

<<
 Is there a better way to administer NIH funding of research than constant
 competitive wrangling and multiple bills coming out of Congress?  Maybe.
 Maybe not.

 The point is do not accept the anti-earmarking arguments at face value.
 Too much earmarking can lead to waste and poor science when special
 interests groups wield an inordinate amount of power.  However, leaving all
 of the critical decisions on health research spending to the scientific
 boards and administrators at NIH has its own drawbacks.

 Those involved with the NIH have their own agenda.  They sometimes fund
 studies which are a forgone conclusion in order to make sure they have
 successful results.  This is less risky, but may not always promote the
 best science.

 Members of scientific boards have their own constituency.  Top scientists
 who get to know other top scientists tend to fund research in a narrower
 range within a smaller subset of the academic and scientific elite.  This
 can lead to conservatism.

 Basing NIH funding decisions purely on "the best science"  may have a nice
 aesthetic ring to it but it does not necessarily serve the greatest public
 interest.  If the NIH only funded "the best science" without regard to
 public demand would we have seen the monumental advances in AIDS research
 that will hopefully stem the tide of a potentially devastating worldwide
 plague?

 Those of us with Parkinson's and those who have family members with
 Parkinson's have every right to advocate as often and as loudly as we see
 fit to halt the persistance of this insidious illness.  Don't sit back and
 accept the notion that the government and the NIH is looking out for your
 best interest without a reasonable amount of skepticism.

 Advocacy for your own self-interest may not necessarily be discreet or
 genteel but if you don't do it who will?

 How does the quote go?  If I am not for myself, then who will be for me?
 I'm not sure I know what that means but it seems appropriate here.

 Regards,
 Ken Aidekman

Ken,

This is the most elegant (genteel even) statement of the NIH problem that I
have seen.  A few years ago when I had sold some investments, I set out to
find someone who was researching a cure for PD.  I planned to send a
contribution.

What I found was that who was doing what research was among the closest kept
of secrets. However, i found a guy at the NIH that was doing serial "drug
holidays." He was spending  taxpayer money trying to discover the optimum
Sinemet regimen to recover after one of those. I bought a car.

Regards,
WHH