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Black Days for Research: The NIH Admissions Tax

Daniel X. Freedman, MD
Arch Gen Psychiatry. 1993;50(7):514-516. doi:10.1001/archpsyc.1993.01820190012002.
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A CONSPIRACY OF SILENCE?  For some months I have, in agonized perplexity, gloomed about a "conspiracy of silence." There is an unannounced, current crisis for biomedical and behavioral research supported by the former ADAMHA institutes. I had assumed that this would be a central focus of the academic and professional communities. That has not been the case.The hush is not a conspiracy, of course. It is a consequence of multiplex distractions that sap will and hope and blur focus. All are mesmerized by change and the plethora of uncertain directives and unpredictable outcomes entailed in health-care reform.1 With pressing local and personal agendas plus the mega-issues of change absorbing leadership energies, the scope of the current functional disaster has simply eluded attention.I do not address the looming budget cuts for all "braininvolved" institutes at NIH for the next fiscal year, which begins October 1993 (called the FY


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