Is it really the case that we’ve made no substantial progress on cancer? The current age-adjusted mortality rate is the same as in 1930, and the recent decline only tracks the fall in smoking.https://blogs.scientificamerican.com/cross-check/the-cancer-industry-hype-vs-reality/ …
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Does he think we could be improve this with a different funding model? Or is this just the power law at work over a grand scale? Eg instead of betting on specific ideas or teams funding infrastructure (like let’s make micropipetting as cheap and automated as possible)
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In short, yes. NIH is screwed up (he agreed with all the usual critiques) but also more constrained by patient advocacy groups than might be obvious.
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I guess you have read SSC's take on this as linked herehttps://twitter.com/varma_ashwin97/status/1228778007558529025?s=19 …
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Also, I will die on the hill that population statistics are a *bad* way to measure medical innovation. By population-level metrics, the only two useful medicinal approaches were vaccines and antibiotics. But I'll then ask you to very kindly experience cardiac surgery in 1945.
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Maybe
@VPrasadMDMPH can weigh in? He's generally a skeptic (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695531/ …). - 4 more replies
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