How Bureaucracy and Budgets Shape American Medical Research

How Bureaucracy and Budgets Shape American Medical Research

President Donald Trump’s proposed budget for the 2026 fiscal year has made drastic cuts to the National Institute of Health’s (NIH) budget, sparking alarm among many. While the level of proposed cuts is unprecedented, calls for efficiency are nothing new. In fact, they echo decades-old efforts to make publicly funded science more accountable. What has gone largely unnoticed, however, is how these reforms reshaped how NIH research is managed—as w…