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@ S a v e d S t a t u s s a v e d " G * Ax T i m e s N e w R o m a n 5 S y m b o l 3& * Cx A r i a l 7& @ C a l i b r i 5& . [` ) T a h o m a =5 j @ M S M i n c h o 95 @ C o n s o l a s ; W i n g d i n g s ?5 * Cx C o u r i e r N e w A $ B C a m b r i a M a t h I A r i a l U n i c o d e M S @ " h G ? 8d r4 d 2 H $P }{z C C : \ P r o g r a m F i l e s \ M i c r o s o f t O f f i c e \ T e m p l a t e s \ B D T e m p l a t e s \ B l a n k . d o t x q u i q u e a u t c o n c u m tQ u a e e s s i m p o r u m q u e q u i q u i d u n d e l i b e a q u i s q u i a t i n u s c i u r ? T e m v e r u n t . U p i e n t q u e d o l u p t i a s p i c t u r ?
Q u i a c o r u m q u i n u l l i a n u s u t e v o l u t v o l o r a u t q u e n i s i n t i s e a d o l u p t a m d o l u p t a m d o l o r e n i s a p i c t e m n e t v e r u m r e r i b e a r u m v o l o d o l o r e s t i a s p i t a m e o s a d q u i s u n t v i t a t u r , c u p t a t .
E c e p t a t e i p s a n t a u t u t e x c e r n a t e x p e d i s s i t r e s a u d a e o m m o t e m f u g i t a e t e t u r r e s c u m e n o n c u s . B a k e r & D a n i e l s L L P u s e r U n k n o w n !` M AWN 6400 >` > > $" 9 / / 0 0 0 0 / 0 0 0 0 8 <0 , h0 $ 0 U 0 1 : Z1 Z1 3 3 3 U sX h Z U 0 03 03 @ 3 0 0 Z1 Z1 ^ 03 Z1 p3 R Z1 U . iX
3 2 bS 03 3 " T . U $U \ 0 3 3 3 3 U U U U U U U U U U U U U U U U U U U U U U U U U U U U S e q u e s t r a t i o n a n d t h e N I H
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A l l i s o n E . D u r h a m N i c k M a n e t t o E r i n O ' M a l l e y
T h e c u r r e n t u n c e r t a i n t y s u r r o u n d i n g t h e i m p a c t o f t h e s e q u e s t e r o n f u n d i n g f o r g r a n t s a n d r e s e a r c h t h r o u g h t h e N a t i o n a l I n s t i t u t e s o f H e a l t h ( N I H ) , w h i l e d e e p l y u n s e t t l i n g f o r t h e b i o m e d i c a l r e s e a r c h e n t e r p r i s e , b r i n g s n e w o p p o r t u n i t i e s f o r c l o s e e n g a g e m e n t w i t h t h e N I H I n s t i t u t e s a n d C e n t e r s a s t h e y m a k e d i f f i c u l t d e c i s i o n s a f f e c t i n g t h e i r r e s e a r c h p o r t f o l i o s . T h e t o u g h c h o i c e s o n p r o g r a m m a t i c p r i o r i t i e s a n d d e c i s i o n s t o s u s t a i n o r a r r e s t i n v e s t m e n t s i n g i v e n a r e a s w i l l u n f o l d a t t h e l e v e l o f t h e I n s t i t u t e s a n d C e n t e r s . A d d i n g y o u r p e r s p e c t i v e t o t h i s d e c i s i o n m a k i n g p r o c e s s a n d a s s u r i n g t h a t t h e t e s t e d w o r t h o f c u r r e n t p r o g r a m s i s u n d e r s t o o d a n d p r o t e c t e d i s m o r e c r i t i c a l n o w t h a n e v e r .
W h i l e t h e f u l l e f f e c t o f t h e a c r o s s - t h e - b o a r d s p e n d i n g c u t s , o r t h e s e q u e s t e r , o n t h e N I H b u d g e t h a s y e t t o b e m e a s u r e d , c e r t a i n s i g n a l s a r e e m e r g i n g :
A s n a p s h o t o f t h e m u l t i p l e f o r c e s a t p l a y . B y v i r t u e o f t h e s e q u e s t e r t h a t t o o k e f f e c t o n M a r c h 1 , 2 0 1 3 [ 1 ] , f e d e r a l s p e n d i n g w i l l b e r e d u c e d b y s t a t u t o r i l y s e t p e r c e n t a g e s o v e r t h e n e x t 7 m o n t h s t h r o u g h t h e e n d o f t h e g o v e r n m e n t ' s f i s c a l y e a r ( F Y ) o n S e p t e m b e r 3 0 , 2 0 1 3 . O n t o p o f t h e s e q u e s t e r , C o n g r e s s a n d t h e A d m i n i s t r a t i o n m u s t e n a c t b y M a r c h 2 7 t h a b i l l t o f u n d t h e g o v e r n m e n t t h r o u g h t h e r e m a i n d e r o f F Y 2 0 1 3 , a s t h a t i s t h e d a t e t h e c u r r e n t s t o p g a p f u n d i n g b i l l e x p i r e s . T h e c o m b i n e d e f f e c t s o f t h e s e q u e s t e r a n d t h e l a c k o f c e r t a i n t y i n t h e f e d e r a l b u d g e t l e a v e t h e N I H a n d t h e v a s t r e s e a r c h c o m m u n i t y t h a t r e l i e s h e a v i l y o n a g e n c y f u n d i n g g r a s p i n g f o r c l a r i t y .
I M P A C T : T h e N I H w i l l a b s o r b $ 1 . 5 4 5 b i l l i o n i n n o n d e f e n s e d i s c r e t i o n a r y c u t s t o i t s b u d g e t a n d $ 8 m i l l i o n i n m a n d a t o r y c u t s , r e d u c i n g t h e N I H b u d g e t f r o m M a r c h 1 , 2 0 1 3 t h r o u g h S e p t e m b e r 3 0 , 2 0 1 3 b y $ 1 . 5 5 3 b i l l i o n .
I m p a c t o f b u d g e t u n c e r t a i n t y o n N I H . T h e N I H I n s t i t u t e s a n d C e n t e r s h a v e b e e n a w a r d i n g i n v e s t i g a t o r s w i t h o n g o i n g m u l t i y e a r g r a n t s o n l y 9 0 p e r c e n t o f a p p r o v e d g r a n t f u n d i n g t o c o n s e r v e f u n d s w h i l e t h e y a w a i t f i n a l b u d g e t n u m b e r s . M a n y n e w g r a n t p r o p o s a l s t h a t h a v e b e e n r e v i e w e d a n d t h a t e a r n e d h i g h m a r k s w i l l n o t b e f u n d e d u n t i l C o n g r e s s f i n a l i z e s t h e F Y 2 0 1 3 s p e n d i n g p l a n . [ 2 ] A d d i t i o n a l l y , s i g n a l s f r o m N I H i n d i c a t e t h a t t h e 9 0 p e r c e n t f u n d i n g f o r o n g o i n g g r a n t s m a y b e c o m e t h e s t a t u s q u o i n s t e a d o f a t e m p o r a r y m e t h o d o f s h o r i n g u p r e s o u r c e s a g a i n s t b u d g e t u n c e r t a i n t i e s a s t h e I n s t i t u t e l o o k s f o r w a y s t o a b s o r b t h e s e q u e s t e r c u t s .
I M P A C T : O n l y 9 0 p e r c e n t f u n d i n g f o r e x i s t i n g g r a n t s a n d d e l a y e d f u n d i n g f o r n e w g r a n t s p e n d i n g t h e c o n t i n u i n g r e s o l u t i o n .
A p p l y i n g t h e s e q u e s t e r c u t s a c r o s s t h e N I H . D i r e c t o r D r . F r a n c i s C o l l i n s h a s b e e n c l e a r t h a t c u t s w i l l b e t a k e n b y t h e I n s t i t u t e a n d C e n t e r s a c r o s s t h e b o a r d r a t h e r t h a n t h r o u g h a p r o c e s s o f s e l e c t i v e r e p r i o r i t i z a t i o n . A c c o r d i n g t o D r . C o l l i n s , e a c h o f N I H ' s 2 7 i n s t i t u t e s a n d c e n t e r s w i l l b e c u t b y 5 . 1 p e r c e n t , s o r e s e a r c h i n a r e a s s u c h a s c a n c e r , h e a r t d i s e a s e a n d d i a b e t e s w i l l b e h i t e q u a l l y h a r d . " W e d o n ' t e v e n h a v e t h e f l e x i b i l i t y t o m a k e t h o s e d i f f i c u l t c h o i c e s a m o n g s t t h o s e , " h e s a i d r e c e n t l y , " B u t e v e r y t h i n g w i l l t a k e a h i t . " [ 3 ]
I M P A C T :
E s t i m a t e s a r e t h a t N I H w i l l f u n d a p p r o x i m a t e l y 2 , 3 0 0 f e w e r r e s e a r c h g r a n t s i n F Y 2 0 1 3 d u e t o t h e s e q u e s t e r . [ 4 ]
I n s t i t u t e d i r e c t o r s w i l l h a v e f l e x i b i l i t y w i t h i n t h e i r b u d g e t s t o d e c i d e h o w t o d i s t r i b u t e t h e c u t a m o n g p r o g r a m s s u c h a s s i n g l e - i n v e s t i g a t o r g r a n t s , c e n t e r s a n d i n t r a m u r a l r e s e a r c h .
P e r S e c r e t a r y S e b e l i u s , " a c t u a l f u n d i n g r e d u c t i o n s w i l l d e p e n d o n t h e f i n a l m i x o f p r o j e c t s c h o s e n t o b e s u p p o r t e d b y e a c h I n s t i t u t e a n d C e n t e r w i t h i n a v a i l a b l e r e s o u r c e s . " [ 5 ]
E a c h N I H I n s t i t u t e a n d C e n t e r ( I C ) w i l l a s s e s s a l l o c a t i o n s w i t h i n t h e i r p o r t f o l i o t o m a x i m i z e t h e s c i e n t i f i c i m p a c t . [ 6 ]
I m p a c t o f N I H c u t s o n t h e e c o n o m y . T h e r i p p l e e f f e c t o f t h e c u t b a c k s i n f e d e r a l f u n d i n g f o r a c a d e m i c i n s t i t u t i o n s w i l l s p r e a d a n d b e f e l t a c r o s s r e g i o n a l e c o n o m i e s .
I M P A C T :
A 5 . 1 p e r c e n t s e q u e s t e r i s e s t i m a t e d t o c u t t h e t o t a l n u m b e r o f j o b s s u p p o r t e d b y N I H e x t r a m u r a l s p e n d i n g b y m o r e t h a n 2 0 , 5 0 0 a n d r e d u c e n e w e c o n o m i c a c t i v i t y b y $ 3 b i l l i o n . [ 7 ]
S i n c e e a c h r e s e a r c h a w a r d s u p p o r t s u p t o s e v e n r e s e a r c h p o s i t i o n s , s e v e r a l t h o u s a n d j o b s c o u l d b e l o s t .
T h e r e a l i t y o f a c a d e m i c r e s e a r c h i s t h a t m a n y p r o j e c t s w o u l d b e d i f f i c u l t t o p u r s u e a t r e d u c e d l e v e l s a n d w o u l d n e e d t o b e c a n c e l e d , p u t t i n g p r i o r y e a r i n v e s t m e n t s a t r i s k . [ 8 ]
I m p a c t o v e r t h e l o n g e r t e r m . F o r m e r N I H D i r e c t o r D r . E l i a s Z e r h o u n i r e c e n t l y r e f l e c t e d o n w h a t t h e i m p a c t o f t h e s e q u e s t e r c o u l d b e o v e r t h e c o m i n g y e a r s . A c c o r d i n g t o Z e r h o u n i , t h e d e e p i m p a c t a n d s u d d e n o n s e t o f t h e s e q u e s t e r w o u l d b e p r o f o u n d g i v e n t h a t r e s e a r c h i s n o t a n a c t i v i t y t h a t c a n b e " t u r n e d o n a n d o f f f r o m y e a r t o y e a r . " S a i d Z e r h o u n i : " B e c a u s e t h e m o s t i m p a c t e d a r e t h e y o u n g , n e w i n v e s t i g a t o r s c i e n t i s t s , t h e r e c o u l d b e a g e n e r a t i o n a l g a p c r e a t e d . G r a n t s w i l l b e w o r t h l e s s . " D r . Z e r h o u n i s u g g e s t e d o n e o p t i o n m a y b e f o r t h e N I H t o e l i m i n a t e t h e i n f l a t i o n i n c r e a s e o r c u t e v e r y g r a n t b y t w o t o t h r e e p e r c e n t i n a n e f f o r t t o a w a r d a s m a n y g r a n t s a s p o s s i b l e . [ 9 ]
F a r f r o m b e i n g r e s o l v e d , t h e d e c i s i o n s o f h o w t h e s e q u e s t e r c u t s w i l l b e r e a l i z e d w i t h i n e a c h i n s t i t u t e h a v e y e t t o b e f i n a l i z e d . O p p o r t u n i t i e s f o r c l i e n t s t o p a r t i c i p a t e a t t h e i n s t i t u t e l e v e l r e m a i n , a n d w e c o n t i n u e t o e n c o u r a g e a c t i v e a n d p o s i t i v e e n g a g e m e n t w i t h i n s t i t u t e a n d c e n t e r l e a d e r s h i p t o e n s u r e t h e b e s t r e s u l t s a c h i e v a b l e a s t h e s e d i f f i c u l t d e c i s i o n s u n f o l d .
[ 1 ] T h e s e q u e s t e r o r i g i n a t e d f r o m t h e B u d g e t C o n t r o l A c t o f 2 0 1 1 a n d i s t h e r e s u l t o f t h e 2 0 1 1 C o n g r e s s i o n a l " S u p e r C o m m i t t e e ' s " f a i l u r e t o c r a f t a d e f i c i t r e d u c t i o n p l a n t h a t w o u l d r e d u c e t h e f e d e r a l b u d g e t b y $ 1 . 2 t r i l l i o n o v e r t h e n e x t d e c a d e . I n t h e a b s e n c e o f s p e c i f i c s a v i n g s f r o m t h e C o m m i t t e e , t h e a u t o m a t i c s e q u e s t r a t i o n c u t s w o u l d k i c k i n . D e s p i t e a t w o - m o n t h d e l a y o f t h e s e q u e s t e r , p a s s e d v i a t h e A m e r i c a n T a x p a y e r R e l i e f A c t o n J a n u a r y 1 , 2 0 1 3 , C o n g r e s s a n d t h e A d m i n i s t r a t i o n h a v e b e e n u n a b l e t o n e g o t i a t e a b u d g e t d e a l t o r e p l a c e t h e c u t s o f t h e s e q u e s t e r .
S e q u e s t r a t i o n i m p a c t s p r o g r a m s a c r o s s t h e g o v e r n m e n t d e f e n s e p r o g r a m s , n o n - d e f e n s e p r o g r a m s , a n d M e d i c a r e p r o v i d e r r e i m b u r s e m e n t s r e d u c i n g s p e n d i n g i n e a c h a r e a b y 7 . 7 p e r c e n t , 5 . 2 p e r c e n t a n d 2 p e r c e n t r e s p e c t i v e l y f o r t h e c u r r e n t f i s c a l y e a r . S e q u e s t r a t i o n a p p l i e s t o a l l f e d e r a l p r o g r a m s n o t s p e c i f i c a l l y e x e m p t e d b y C o n g r e s s i n t h e B u d g e t C o n t r o l A c t o f 2 0 1 1 . E x e m p t e d p r o g r a m s i n c l u d e :
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[ 2 ] H Y P E R L I N K " h t t p : / / n e w s . s c i e n c e m a g . o r g / s c i e n c e i n s i d e r / 2 0 1 3 / 0 2 / n i h - d i r e c t o r - s e n a t o r - m i k u l s k i - w a . h t m l " \ t " _ b l a n k " h t t p : / / n e w s . s c i e n c e m a g . o r g / s c i e n c e i n s i d e r / 2 0 1 3 / 0 2 / n i h - d i r e c t o r - s e n a t o r - m i k u l s k i - w a . h t m l
[ 3 ] H Y P E R L I N K " h t t p : / / w w w . a p p r o p r i a t i o n s . s e n a t e . g o v / w e b c a s t s . c f m ? m e t h o d = w e b c a s t s . v i e w & a m p ; a m p ; i d = f 5 b 8 e 1 2 4 - 2 2 b d - 4 1 9 a - a 0 2 f - 3 1 b d 0 6 2 6 c 0 f 1 " \ t " _ b l a n k " D r . F r a n c i s C o l l i n s , U . S . S e n a t e T e s t i m o n y b e f o r e t h e A p p r o p r i a t i o n s S u b c o m m i t t e e o n L a b o r , H e a l t h a n d H u m a n S e r v i c e s a n d E d u c a t i o n , H e a r i n g o n F Y 1 3 N I H B u d g e t , 2 0 1 2
[ 4 ] H Y P E R L I N K " h t t p : / / w w w . a p p r o p r i a t i o n s . s e n a t e . g o v / w e b c a s t s . c f m ? m e t h o d = w e b c a s t s . v i e w & a m p ; a m p ; i d = f 5 b 8 e 1 2 4 - 2 2 b d - 4 1 9 a - a 0 2 f - 3 1 b d 0 6 2 6 c 0 f 1 " \ t " _ b l a n k " D r . F r a n c i s C o l l i n s , U . S . S e n a t e T e s t i m o n y b e f o r e t h e A p p r o p r i a t i o n s S u b c o m m i t t e e o n L a b o r , H e a l t h a n d H u m a n S e r v i c e s a n d E d u c a t i o n , H e a r i n g o n F Y 1 3 N I H B u d g e t , 2 0 1 2
[ 5 ] H Y P E R L I N K " h t t p : / / w w w . a p p r o p r i a t i o n s . s e n a t e . g o v / h t - f u l l . c f m ? m e t h o d = h e a r i n g s . v i e w & a m p ; a m p ; i d = 1 7 d 3 d c 9 9 - c 0 6 5 - 4 b e c - a 7 c 8 - c f d 3 7 4 b f 4 1 a 3 " \ t " _ b l a n k " T h e I m p a c t o f S e q u e s t r a t i o n A g e n c y L e t t e r s a n d T e s t i m o n y , F e b r u a r y 1 4 , 2 0 1 3
[ 6 ] H Y P E R L I N K " h t t p : / / g r a n t s . n i h . g o v / g r a n t s / g u i d e / n o t i c e - f i l e s / N O T - O D - 1 3 - 0 4 3 . h t m l " \ t " _ b l a n k " N I H O p e r a t i o n P l a n i n t h e E v e n t o f a S e q u e s t r a t i o n , N o t i c e N u m b e r : N O T - O D - 1 3 - 0 4 3 , F e b r u a r y 2 1 , 2 0 1 3
[ 7 ] H Y P E R L I N K " h t t p : / / w w w . u n i t e d f o r m e d i c a l r e s e a r c h . c o m / w p - c o n t e n t / u p l o a d s / 2 0 1 3 / 0 2 / U M R _ I m p a c t _ o f _ S e q u e s t r a t i o n _ 2 0 1 3 . p d f " \ t " _ b l a n k " h t t p : / / w w w . u n i t e d f o r m e d i c a l r e s e a r c h . c o m / w p - c o n t e n t / u p l o a d s / 2 0 1 3 / 0 2 / U M R _ I m p a c t _ o f _ S e q u e s t r a t i o n _ 2 0 1 3 . p d f
[ 8 ] H Y P E R L I N K " h t t p : / / w w w . w h i t e h o u s e . g o v / t h e - p r e s s - o f f i c e / 2 0 1 3 / 0 2 / 0 8 / f a c t - s h e e t - e x a m p l e s - h o w - s e q u e s t e r - w o u l d - i m p a c t - m i d d l e - c l a s s - f a m i l i e s - j o b " \ t " _ b l a n k " h t t p : / / w w w . w h i t e h o u s e . g o v / t h e - p r e s s - o f f i c e / 2 0 1 3 / 0 2 / 0 8 / f a c t - s h e e t - e x a m p l e s - h o w - s e q u e s t e r - w o u l d - i m p a c t - m i d d l e - c l a s s - f a m i l i e s - j o b
[ 9 ] H Y P E R L I N K " h t t p : / / w w w . w a s h i n g t o n p o s t . c o m / b l o g s / w o n k b l o g / w p / 2 0 1 3 / 0 2 / 2 1 / f o r m e r - n i h - d i r e c t o r - t h e - s e q u e s t e r - w i l l - s e t - b a c k - m e d i c a l - s c i e n c e - f o r - a - g e n e r a t i o n / " \ t " _ b l a n k " h t t p : / / w w w . w a s h i n g t o n p o s t . c o m / b l o g s / w o n k b l o g / w p / 2 0 1 3 / 0 2 / 2 1 / f o r m e r - n i h - d i r e c t o r - t h e - s e q u e s t e r - w i l l - s e t - b a c k - m e d i c a l - s c i e n c e - f o r - a - g e n e r a t i o n /
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