Despite NIH's budget growing to nearly $45 billion, the cost of drugs is higher than ever, indicating declining returns on science spending.
Snapshot · Moonshots with Peter Diamandis
Despite NIH's budget growing to nearly $45 billion, the cost of drugs is higher than ever, indicating declining returns on science spending.
Where this was said
At 32:40 · chapter starts 31:15
The interview pivots to the substantive heart of the Golden Age Report: why, despite record budgets and better tools, is scientific productivity declining? Kratsios traces the problem to institutional inertia — a system designed decades ago that nobody wants to change, especially those who have succeeded within it. [1] — Michael Kratsios "The NIH budget has ballooned to $45 billion yet drugs are more expensive than ever. Researchers spend 45% of their time on grant paperwork.…" 31:30 The data is damning: the NIH budget has swelled to nearly $45 billion yet drugs are more expensive than ever. A National Academies study found researchers spend 45% of their time on grant administration. The median age of an intramural NIH scientist is 71 — while the average age of Nobel-winning scientific work is in a researcher's 20s. The scientific community, Kratsios observes wryly, is perhaps the community least interested in experimenting with new ways of doing science. The irony is not lost on either speaker.
The NIH budget has ballooned to $45 billion yet drugs are more expensive than ever. Researchers spend 45% of their time on grant paperwork. The median intramural NIH scientist is 71. Kratsios argues the problem isn't money — it's that the scientific enterprise refuses to experiment on itself.
A National Academies study found that researchers spend 45% of their time on administrative grant-related work rather than actual science.
Spencer Greenberg and Jeremy Stevenson analyzed almost 500 self-improvement techniques and found they all reduce to just 12 underlying psychological drivers.
Cold exposure has good short-term alertness benefits but the evidence base for long-term health benefits is much weaker than popularly believed.
In a randomized study of 20 habit-formation techniques run on hundreds of people, almost none of the techniques produced statistically meaningful results.
People given a tiny-habit fallback option (e.g. 10 squats instead of gym) were actually MORE successful at completing the full habit, not less.
The most effective habit-formation technique was 'habit reflection' — recalling a past successful habit, writing down what helped, then applying those lessons to a new habit.
A study found that simply scheduling enjoyable activities was as effective as standard cognitive behavioral therapy for depression, leading to its own therapy called behavioral activation.
The 'worry time' technique — deferring all worries to a designated time of day — helps people realize they have more control over worry than they thought and reveals it is less useful than it feels.
A study found that participants told to try to stay awake while in bed fell asleep faster than participants told to try to sleep — illustrating the paradox of direct effort.
Spencer Greenberg reduced his severe social anxiety dramatically in roughly 6 months through a structured exposure therapy hierarchy, culminating in asking strangers for hugs.
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