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posted by on Tuesday December 06 2016, @05:03PM   Printer-friendly
from the a-billion-here-and-a-billion-there dept.

The 21st Century Cures Act, a bill to provide billions of dollars of funding to the US National Institutes of Health (NIH), the Federal agency responsible for biomedical research, sailed through the US House of Representatives last week with a rare showing of strong bipartisan support. It is expected to pass the US Senate and to be signed by President Obama, a strong backer, later this month.

The $4.8 billion in funding for NIH is targeted at three areas: cancer research (as in Joe Biden's "cancer moonshot"), brain research (including Alzheimer's, Parkinson's and PTSD) and precision medicine (treatment informed by patient genomes).

However, $3.5 billion in funding of the bill will be redirected from Obamacare's Prevention and Public Health Fund, which is chartered to research Alzheimer's and other infectious diseases, so it could be argued that the bill reduces the Federal government's commitment to Alzheimer's research.

While the NIH employs thousands of researchers, most of the new funds are expected to be distributed to researchers at universities, hospitals, and other external labs.

The bill also authorizes $1 billion to fight the nation's opioid crisis, and $500 million in additional funding for the Federal Drug Administration (FDA).

As part of the compromise needed to attract Republican support, the bill loosens the guidelines on the FDA needed to approve a new drug or medical device; the industry and some patient advocates have complained about red tape in getting new drugs approved. However, the new approach has troubled some doctors who have followed the legislation.

Senators Elizabeth Warren (D-MA) and Bernie Sanders (I-VT) have attacked the bill as a giveaway to the pharmaceutical and medical device industries, at the expense of the health of consumers and patients. Some conservative groups also oppose the bill as a waste of public funds.

Legislation text; political analysis from StatNews.


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  • (Score: 2) by ikanreed on Tuesday December 06 2016, @05:14PM

    by ikanreed (3164) Subscriber Badge on Tuesday December 06 2016, @05:14PM (#437849) Journal

    $1 Billion to "fight" the opioid epidemic could be money into a memory hole, or worse: counterproductive and make things worse, depending on exactly what it's going towards.

    More law enforcement would just make things worse. A billion towards researching it might actually be excessive. A billion towards non-punishment treatment and rehabilitation would do a lot of good.

    I know I'm being a bit lazy, but a text search for "Heroin", "Opi*", and "Pain killers" yielded no results, so I couldn't easily find what their plan was.

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  • (Score: 2) by takyon on Tuesday December 06 2016, @05:26PM

    by takyon (881) <takyonNO@SPAMsoylentnews.org> on Tuesday December 06 2016, @05:26PM (#437860) Journal

    I'm not sure what NIH plans to do about it, but you can find some of our past coverage here:

    https://www.google.com/?gws_rd=ssl#q=site:soylentnews.org+opioid [google.com]

    I also read recently about some non-addictive opioid. It's not related to suboxone/buprenorphine, but a safer painkiller. I'll look for it later.

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  • (Score: 3, Interesting) by MichaelDavidCrawford on Tuesday December 06 2016, @05:33PM

    by MichaelDavidCrawford (2339) Subscriber Badge <mdcrawford@gmail.com> on Tuesday December 06 2016, @05:33PM (#437869) Homepage Journal

    states that have legalized marijuana have seen a dramatic decrease in opioid deaths.

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    • (Score: 2) by ikanreed on Tuesday December 06 2016, @05:46PM

      by ikanreed (3164) Subscriber Badge on Tuesday December 06 2016, @05:46PM (#437884) Journal

      This would not surprise me to learn, but I'd also be wary of deriving strong conclusions from it because, in general, marijuana has been legalized in more liberal places with better GDP per capita, and the opioid epidemic has hit hardest in places with lower average incomes, worse medical care, and less diversity.

      • (Score: 3, Informative) by dlb on Tuesday December 06 2016, @06:02PM

        by dlb (4790) on Tuesday December 06 2016, @06:02PM (#437896)
        Yes, demographics are a consideration. Demographic and Substance Use Trends Among Heroin Users — United States, 2002–2013 [cdc.gov]:

        There was a significant increase in the rate of past-year heroin use in the United States between 2002–2004 and 2011–2013. Rates remained highest among males, persons aged 18–25 years, persons with annual household incomes [less than] $20,000, persons living in urban areas, and persons with no health insurance or with Medicaid.

      • (Score: 2) by tathra on Tuesday December 06 2016, @06:08PM

        by tathra (3367) on Tuesday December 06 2016, @06:08PM (#437900)

        so what you're saying is that the opioid epidemic is a symptom of bigger problems. but nobody wants to address those, because then we'd have to admit that our society is broken. the opioids themselves are a problem too, but things like increasing access to naloxone [huffingtonpost.com], putting a focus on education and harm reduction efforts, including needle exchanges, and ending prohibition are whats necessary to fight it.

        • (Score: 2) by ikanreed on Tuesday December 06 2016, @06:15PM

          by ikanreed (3164) Subscriber Badge on Tuesday December 06 2016, @06:15PM (#437908) Journal

          That's certainly a big part of what I'm trying to say, yes. In general, I'd like to see evidence-based approaches, rather than moralizing approaches to drug problems.

    • (Score: 3, Informative) by dlb on Tuesday December 06 2016, @05:54PM

      by dlb (4790) on Tuesday December 06 2016, @05:54PM (#437891)
      You bring up a good point. However, it is a tad more subtle. Source, Johns Hopkins Bloomberg School of Pubic Health, State Medical Marijuana Laws Linked to Lower Prescription Overdose Deaths [jhsph.edu]:

      In states where it is legal to use medical marijuana to manage chronic pain and other conditions, the annual number of deaths from prescription drug overdose is 25 percent lower than in states where medical marijuana remains illegal, new research suggests.

      • (Score: 0) by Anonymous Coward on Tuesday December 06 2016, @06:46PM

        by Anonymous Coward on Tuesday December 06 2016, @06:46PM (#437936)

        Except opiods cause chronic pain. It may be that MJ is a good drug to ween off the dependence, which stops the pain in the long run. I hate medical-marijuana crusaders and their foot-in-the-door nonsense a lot, but this could be useful.