U.S. Risking its Scientific Research Edge?

21 Aug 2025 · 31 min · 22 chapters

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In short

The episode argues the U.S. is undermining its federal research “edge” by (1) canceling already-peer-reviewed grants tied to disfavored topics (e.g., DEI, vaccine hesitancy/misinformation, climate research), (2) capping university indirect costs at 15% despite long-standing ~50% reimbursement, and (3) proposing large budget cuts/zeroing research areas (including climate research at NOAA), risking halted trials and a loss of young scientists.

Guests

Lisa Larimore Ouellette, Stanford Law School professor focused on innovation policy and medical research; appointed to a National Academies committee co-authoring a report on aligning therapeutic development investment with therapeutic need.

Key claims

These actions cross from setting priorities into viewpoint discrimination; indirect-cost caps violate the Administrative Procedure Act; budget cuts will reduce both basic and applied research capacity.

Notable examples

Canceled cancer/medical trials; stopped PhD admissions and euthanized lab animals; Massachusetts judge citing racial discrimination; Reagan-appointed judge; Operation Warp Speed as a success built on prior basic science; mRNA platform work as an example of long-horizon, uncertain-benefit research.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Impact of Stopped Clinical Trials

0:00 to 0:15

Learn about the devastating consequences of halted clinical trials for cancer patients.

Promising Research on Hold

0:15 to 0:26

Explore how suspended research impacts scientific progress.

“This is a lot of research that could be very promising and is now being put on hold.”

Federal Investment in Science

0:45 to 1:58

Understand the historical context of federal science funding since WWII.

“the 20th and then into the 21st century is just how much of our economy and how much of the way we live is a function of federal investment in basic science in all sorts of ways.”

The Structure of Research Funding

1:58 to 3:26

Learn about the competitive process for federal research grants.

“So I want to welcome you to the show, Lisa.”

Understanding Basic Research

3:26 to 4:10

Discover what constitutes basic research and its long-term benefits.

“Today, the federal government's total annual research budget is around$200 billion.”

Indirect Costs in Research

4:10 to 5:50

Examine the role of indirect costs in funding and conducting research.

“Or understanding things like basic physics, which has led to all kinds of technologies and modern computing and things we use today.”

Challenges to the Research Funding System

5:50 to 6:41

Discuss the systemic issues affecting U.S. research funding today.

“Yeah, and that 50 % goes to everything from keeping the lights on in the building where the scientist is working, or having a custodial crew that cleans the building, or the fringe benefits for the employees who work.”

Blacklisted Research Topics

6:41 to 7:59

Explore the implications of targeted funding cuts on specific research areas.

“And I want to go through them kind of one by one and start with the one that you call blacklisting research topics.”

Legal and Ethical Implications

7:59 to 9:56

Analyze the legal ramifications of the government's funding decisions.

“So they're now being canceled because of the viewpoint of what the grant is about, which unsurprisingly has led to legal challenges to these cancellations.”

Future of Research Funding Litigation

9:56 to 11:16

Understand potential outcomes of ongoing legal battles regarding funding.

“And that's led to injunctions from the district courts so far that have determined this.”
Show all 22 chapters

Indirect Cost Controversy

11:16 to 13:44

Discuss the significant changes to indirect cost funding and their consequences.

“It was the case in SDNY against the NSF.”

Impact of Indirect Cost Caps on Research

14:00 to 14:56

Learn about the implications of capping indirect costs on research funding.

“This is a very short opinion that makes a number of fundamental mistakes.”

Government Leverage Over Universities

14:56 to 16:30

Explore how the government uses funding to influence university operations.

“And they've done this at the same time that the so-called Big Beautiful Bill has increased the tax on university endowments.”

Attacks on Research Institutions

16:30 to 17:07

Discuss the broader implications of budget cuts on research institutions.

“And then we come to your kind of third bucket, which is what you call attacking institutions and agency budgets.”

Future of Research Funding

17:07 to 19:14

Analyze potential outcomes for research funding amidst proposed cuts.

“Yeah, I mean, there are a bunch of things you can put under this bucket.”

Long-term Risks to Scientific Workforce

19:14 to 20:24

Understand the risks to the scientific workforce from funding cuts.

“increase in the NIH budget, even though Trump had asked for an$18 billion decrease.”

Aligning Investments with Therapeutic Needs

20:24 to 23:24

Examine the report on aligning drug development with public health needs.

“Yeah, I don't think we want them all to turn into people who do crypto modeling instead of disease modeling and the like.”

Challenges in Research Investment

23:24 to 24:58

Delve into the lack of data on research investments and health impact.

“With all of these billions of dollars that have been going to this, how is it that we don't know something that seems that fundamental?”

Value of Basic Research

24:58 to 27:24

Discuss the societal benefits of investing in basic research.

“of incentive for any private firm to be investing.”

Return on Research Investment

27:24 to 28:00

Discover the significant returns on investment from research funding.

“I mean, you and I could not have taught law students 10 years earlier.”

The Value of Research Investment

28:00 to 29:21

Discover how federal investment in research yields significant societal benefits.

“In the article, you actually have a dollar number, if I remember it correctly, that's funny.”

The Role of Federal Courts in IP

29:21 to 30:27

Learn about the intersection of federal courts and intellectual property claims.

“It's supposed to fund this kind of long-term risky research that private companies won't touch because the payoff may be decades away or too uncertain.”
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Transcript

Automatic transcript. May contain errors.

0:00Professor Lisa Larrimore Ouellette:There are clinical trials that have been stopped, which if there's someone who has cancer and they're in a trial that's giving them a drug that may be helping them, that is devastating consequences for their lives and for the people working in these labs. This is a lot of research that could be very promising and is now being put on hold.

0:26Professor Pamela Karlan:This is Stanford Legal, where we look at the cases, questions, conflicts, and legal stories that affect us all every day. I'm Pam Carlin. Please subscribe or follow this feed on your favorite podcast app. That way you'll have access to all our new episodes as soon as they're available. Well, one of the things that's most striking, I think, about the United States in the 20th and then into the 21st century is just how much of our economy and how much of the way we live is a function of federal investment in basic science in all sorts of ways. Public investment in medicine, in technology, everything from the internet to the drugs we use is a product of that kind of investment.

1:09Professor Pamela Karlan:And in a recent Just Security essay, my colleague here at the law School, Lisa Larimore Ouellette, looks at how since World War II, the federal government has set a standard for public investment, and then what's been happening during this second Trump administration. Lisa's interest in these areas stems from many articles she's written about innovation policy, particularly in the medical context. Based on her work, she was appointed last year to a committee for the National Academies of Sciences, Engineering, and Medicine, which recently released a report on the fact that some of the diseases causing the most suffering and death in the United States don't always attract investment in new treatment.

1:48Professor Pamela Karlan:Today, we're going to dive into this topic of federal investment in research and what we're seeing now that's quite new and different. So I want to welcome you to the show, Lisa. Thanks for joining us.

2:02Professor Lisa Larrimore Ouellette:Thanks for having me. Yeah.

2:03Professor Pamela Karlan:So in this just security piece, which I think people should just Google just security in your name, because it's a very accessible piece, even for people who aren't steeped in these issues, you make a point about some really fundamental changes, I think, to how the federal government has been treating research. And I thought maybe we should start with the baseline of what used to be the rule before this Trump administration came in. How did things used to operate? Sure.

2:33Professor Lisa Larrimore Ouellette:I mean, so the current structure has been in place since World War II, when Vannevar Bush and other scientists convinced FDR to fund a lot of science research that might be relevant for the war effort. And that was really the first time the federal government provided substantial external funding to researchers at universities and firms. And it led to all kinds of key technologies, like not just the atomic bomb, but also medical breakthroughs like penicillin and malaria treatments, plus radar and early computing. And the success was so obvious that after the war, there was bipartisan agreements to keep it going, which is how we got the National Science Foundation or NSF and a much bigger NIH.

3:15Professor Lisa Larrimore Ouellette:And the basic model that we use today, where the government funds a lot of competitive research at universities while giving professors the freedom to see where that research leads. And the amount of money we're talking about is enormous. Today, the federal government's total annual research budget is around$200 billion. A lot of that's for research at government labs, but over$50 billion of this goes to universities largely for basic research.

3:41Professor Pamela Karlan:And when you say basic research, what does that mean?

3:45Professor Lisa Larrimore Ouellette:It means research where it's not clear exactly what we're going to get out of it. It's the exact technological application. We're not trying to make a particular widget. it. It's more trying to understand the fundamental mechanisms of how the world works. So in the medical context, it's understanding basic cell biology or the mechanisms behind the disease, which maybe will lead to breakthroughs like a particular drug, but it's less directed than that. Or understanding things like basic physics, which has led to all kinds of technologies and modern computing and things we use today.

4:21Professor Pamela Karlan:So the way this money was handed out was through, as I understand, was through a competitive process. How did that process work?

4:29Professor Lisa Larrimore Ouellette:So Congress appropriates money to the federal funding agencies, which define priorities, general areas of research, like the NIH might say, we want to study things generally related to cancer. And then scientists at universities will submit grant proposals for specific projects of what aspect of cancer research they want to learn about. And that pool of grants is then all evaluated by peer review by other experts who rank proposals based on their scientific merit and potential impact. And then the grants that rise to the top of that peer review process get funded.

5:06Professor Pamela Karlan:Yeah, and as I understand it, when you get one of these grants, there's money for the basic thing you're doing. And then there's something called indirect costs that comes on top of that. What's that about?

5:20Professor Lisa Larrimore Ouellette:Yeah, so the indirect costs, they fund all the things that aren't specific to a project, like the lab space or the computing or the utilities or the regulatory compliance to deal with all the federal regulations related to that. And for over 60 years, the NIH and other grant making agencies have reimbursed universities for these indirect costs. And it's based on the actual negotiated costs, based on audits of what the university's costs are. And that averages now over 50%.

5:53Professor Pamela Karlan:Yeah, and that 50 % goes to everything from keeping the lights on in the building where the scientist is working, or having a custodial crew that cleans the building, or the fringe benefits for the employees who work. So it kind of makes it possible to do the research at essentially no cost to the researcher. Yeah, that's exactly right. Yeah. So this system has worked really well overall. I mean, the United States, the universities in the United States are the envy of universities everywhere in the world. the number of inventions coming out of U.S. universities and the number of kind of basic understandings of, as you say, the way the world works.

6:38Professor Pamela Karlan:It's been a pretty successful system overall. And yet one of the things that your just security piece points out is that we're seeing three really huge changes to this system that have been kind of just kind of thrust onto the system really in quite a catastrophic way. And I want to go through them kind of one by one and start with the one that you call blacklisting research topics. What's this about? I mean, I've only heard like anecdotal stories. Like I have a friend in the medical school who studies basically the germs and bacteria that are in people's mouths. And he said that he got held up for a while because he talked about the diversity of the oral biome or something like that.

7:24Professor Pamela Karlan:I mean, what's going on here?

7:26Professor Lisa Larrimore Ouellette:Yeah, I mean, I think the funding is being cut for a variety of reasons. And one of them has been to target blacklisted research topics that the administration doesn't like. A lot of the canceled grants have been related to DEI or vaccine hesitancy or misinformation or climate research. And the grants that have been targeted have been found through over-inclusive searches for words like diversity or equity in the grant proposal. I mean, I think this has been a super troubling development. And these are grants that have already gone through this rigorous peer review process we've talked about and been approved for funding.

8:05Professor Lisa Larrimore Ouellette:So they're now being canceled because of the viewpoint of what the grant is about, which unsurprisingly has led to legal challenges to these cancellations. And there was one Reagan appointed judge in Massachusetts who said that he's never seen government racial discrimination like this in the way that the government was just canceling grants based on things like talking about diversity.

8:32Professor Pamela Karlan:Yeah, I mean, you and I talked about this kind of offline once and kind of interesting question. You know, clearly the government has the right to say we want you to do cancer research with this money rather than doing acne research with this money. Or we want you to look at climate change rather than at economic inequality or whatever. I mean, they're kind of big content things in the government. Obviously, it's the government's money. They should make a decision through whatever process they make it. But then there's what sometimes is referred to as viewpoint discrimination, which is, you know, should the government be deciding, well, we care more about the cancers that disproportionately strike men or we care more about the kind of cancer that disproportionately strikes Caucasians or something like that.

9:19Professor Pamela Karlan:We're not interested in doing any more research on sickle cell because that's a disease that's primarily afflicts people who are black. Yeah. So what's really going on here is the government is taking a side in sort of scientific disputes.

9:34Professor Lisa Larrimore Ouellette:Yeah, I think it's doing more than simply setting broad research priorities. And obviously, as you just indicated, it's a tricky line, this line between when is it setting an overall goal and defining the scope of a program versus discriminating based on viewpoint and people who are applying for that program. But I think what they've been doing here has been crossing that line. And that's led to injunctions from the district courts so far that have determined this. And the government's raised the defense that, oh, this is government speech. We can spend our money how we want. And so far, the courts that thought about that have said, no, you're not just defining the scope of a program.

10:13Professor Lisa Larrimore Ouellette:You are targeting specific programs because of them talking about things you don't like.

10:19Professor Pamela Karlan:Well, and these, as you pointed out just a moment ago, these are actually grants that were already given. And the government is now saying, actually, no, we're not going to give you this money that we already sort of signed a deal with you on. And after you published your piece, which, again, I just want to commend to our listeners, because I think it does a terrific job of laying this all out. There's actually a decision last Friday from a Trump-appointed judge who said, I'm not going to decide whether this is okay or not. This was in a lawsuit brought by a number of states. I'm going to tell you, you have to go to what's called the Federal Court of Claims, which is a special court when you sue over government contracts, as opposed to what's been going on in Massachusetts, or as you say in the article with Judge Lynn out here in the Northern District of California.

11:08Professor Pamela Karlan:Is this going to just gum up the work so it's going to take even longer to figure out whether the government has to stand by its word or not?

11:15Professor Lisa Larrimore Ouellette:It may. I saw that. It was the case in SDNY against the NSF. And I think it's a tricky issue.

11:23Professor Pamela Karlan:I should say SDNY is the Southern District of New York, and NSF is the National Science Foundation. Yes.

11:29Professor Lisa Larrimore Ouellette:And the district court there, as you say, they denied this preliminary injunction and said they likely don't have jurisdiction. The case ought to be filed in the Court of Federal Claims as a suit for money damages under what's called the Tucker Act, which is basically the law that governs when you can sue the government for money. And I think that will make it harder. I mean, if there are more courts and this, this Supreme Court may be sympathetic to that argument that some of these suits that are being filed against the grant making agencies really belong in the court of federal claims. But if it requires everyone who has received a grant to go to the court of federal claims and ask for their money, that's not really remedying the underlying concern that the government is engaged in viewpoint discrimination in these cases or engaged in violations of the Administrative Procedure Act and things like that.

12:18Professor Pamela Karlan:Yeah. And one of the things I think some of the people who are doing biomedical research sort of pointed to this is while they're not getting the money, what's the effect of this in the short term of not getting the money that you were already promised?

12:32Professor Lisa Larrimore Ouellette:I mean, it's enormous. There are clinical trials that have been stopped, which if there's someone who has cancer and they're in a trial that's giving them a drug that may be helping them, that is devastating consequences for their lives and for the people working in these labs. I mean, this is a lot of research that could be very promising and it's now being put on hold.

12:53Professor Pamela Karlan:And I mean, it's like they're not bringing, they're not admitting people to graduate programs, you know, PhD programs. They're euthanizing lab animals that were having drugs, you know, that were being given these drugs. They're stopping clinical trials. And this is all in the context of things that could take years to work their way through the system. And these are on the grants that have already been given. And, you know, we'll get in a moment, I think, to your third bucket, which is what about the stuff that hasn't yet been given and what's going to happen there. But I wanted first to actually turn to your second bucket, which is about what's sometimes called the indirect cost controversy.

13:37Professor Pamela Karlan:And what's happened there?

13:39Professor Lisa Larrimore Ouellette:Yeah, so I think this has gotten less media attention, but it could be truly devastating. We've already talked about how indirect costs cover these non-project specific costs, like keeping the lights on in the lab or covering other people involved in lab administration. and how these have been for 60 years based on these negotiated rates, currently averaging over 50%. This spring, a number of the grant-making agencies, the National Institute of Health, the National Science Foundation, the Department of Energy, the Department of Defense, they all announced that they are capping indirect costs at just 15%, which doesn't even come close to covering the real costs of doing research.

14:18Professor Lisa Larrimore Ouellette:and so far the courts have blocked this like all of these have been enjoying for now and i actually worked with some of the leading economists on this dan gross bovin sampat and pierre azale to file an amicus brief in the pending appeal in the first circuit because we'll see what happens on appeal and i think there is a good argument that the way all of these agencies did this is a violation of the Administrative Procedure Act and not being kind of reasoned at all. This is a very short opinion that makes a number of fundamental mistakes. But we'll see what the First Circuit does.

14:55Professor Pamela Karlan:Yeah, so it's kind of taking a meat axe to the money that's traditionally gone into this. And they've done this at the same time that the so-called Big Beautiful Bill has increased the tax on university endowments. So universities are getting kind of hit from both sides. That is, the money that's theirs, they're taking some of that away. And then on the money that they're supposed to give, do you think the government's theory here is that the universities will just suck it up and eat this cost? Or are they trying to use this as another way of stopping research they don't like? Because the university will just look and say, well, if you can't cover the indirect cost of this research, we're not going to let you do the research at all.

15:40Professor Pamela Karlan:It's hard to know. It's probably some of both. I mean, I think some of what's been going on is general leverage over universities.

15:48Professor Lisa Larrimore Ouellette:We've seen the administration trying to use federal funding as leverage for other things that are not really related to the canceled grant at all, like trying to get them to adopt their view of viewpoint diversity and have more government oversight over university operations.

16:04Professor Pamela Karlan:It seems odd to say we're going to take away several hundred million dollars of your medical school funding because we don't like what your Department of Mid-East Studies is teaching.

16:15Professor Lisa Larrimore Ouellette:Yeah, exactly. But it is putting institutions in impossible positions where they, like in some ways, have to trade off the academic freedom of scientists who are working on these threatened projects with the academic freedom of other aspects of university operations.

16:30Professor Pamela Karlan:And yeah, it's a it's a it's a just a kind of amazing assault on one of the you know, it's part of, I guess, from my perspective, a series of assaults on various aspects of civil society, on the media, on universities, on law firms, on scientific knowledge generally. And then we come to your kind of third bucket, which is what you call attacking institutions and agency budgets. And this is not just attacking institutions like universities, but attacking the government's own institutions, like some sort of weird autoimmune response.

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17:07Professor Lisa Larrimore Ouellette:Yeah, I mean, there are a bunch of things you can put under this bucket. I mean, there's the proposals going forward, like the proposed budget cuts for all the grant making agencies are just staggering, like 40 percent for the National Institute of Health. than 57 % from the National Science Foundation, and they want to completely zero out climate research at the National Oceanic and Atmospheric Administration. But there's also a lot of attacks on agencies that aren't giving out grants, but that are deeply involved in research, like USAID. And collectively, all of this has been just blow after blow for the U.S.

17:45Professor Lisa Larrimore Ouellette:research enterprise. Yeah.

17:46Professor Pamela Karlan:And so if you think about all of this happening, what's going to when we sort of look forward from all of these huge attacks, what does this mean for the future of research in the United States? I think it's unclear.

18:29Professor Lisa Larrimore Ouellette:Congress simply appropriates much less funding for research in the future, or even if agencies do a less sloppy job in setting their priorities to insulate them for some of these legal vulnerabilities.

18:41Professor Pamela Karlan:Yeah, I mean, when you say that the NOAA has had its climate change budget zeroed out, well, then we don't have to worry about whether there's viewpoint discrimination or whether they're not giving enough in the way of indirect costs to a grant recipient, because there's going to be no grant recipient at all.

19:00Professor Lisa Larrimore Ouellette:Yeah, though it's unclear whether those budgets will be approved. And I think that is why it is essential for universities and researchers to not just be challenging the illegal actions in courts, but also lobbying to preserve long-term federal investment. I saw at the end of July, the Senate Appropriations Committee voted for a 400 million increase in the NIH budget, even though Trump had asked for an$18 billion decrease. And they rejected the White House's proposals for eliminating some of the NIH institutes and kept the statutory language on preventing the administration from changing how it pays for indirect costs.

19:37Professor Lisa Larrimore Ouellette:We'd still have to see what the House does. Some reporting I've seen so far suggests that they maintain this. Research funding has historically been something that's had widespread bipartisan support. And that's true even in surveys I saw this spring that a majority of voters and even Trump voters support federal funding of scientific research, particularly in the medical context. So it is possible that some of these impacts may not be as severe as what Trump is asking for. But there's still a real risk to our long-term welfare as a country. And some changes will be hard to undo, especially if we lose a cohort of young scientists who look at this funding environment and decide to either choose other careers or choose other countries to do their work in.

20:26Professor Pamela Karlan:Yeah, I don't think we want them all to turn into people who do crypto modeling instead of disease modeling and the like. I wondered if we could kind of now turn to the report that you were just one of the co-authors on about aligning investment in therapeutic development with therapeutic need, because that seems to go to both basic and applied research in a way. Can you tell us a little bit about that? Sure.

20:54Professor Lisa Larrimore Ouellette:I mean, I think this report really gets at a fundamental problem that existed even before the current crisis, which is that while our drug development system has produced a lot of amazing discoveries, it could be doing even better because it's not systematically prioritizing the diseases where we have the biggest unmet needs. So this National Academies Committee I was a part of found that both public and private funders have a lot of considerations that pull them away from focusing on what would actually help the most people. And some of these problems are scientific, like not having enough research on the basic science biological mechanisms underlying certain diseases.

21:33Professor Lisa Larrimore Ouellette:And some of the problems are about the market forces not aligning with public health needs. So you end up with gaps where important diseases don't get the research attention they deserve, while other areas might be overinvested in relative to their actual impact on health.

21:51Professor Pamela Karlan:So can you give us an example of each of those kinds of diseases?

21:54Professor Lisa Larrimore Ouellette:Well, the report is not actually about identifying which diseases get under overinvestments, and that's for two different reasons. One, the ultimate judgment there requires some ethical value judgments about how to prioritize different health needs. But I think more importantly, there's just a shocking lack of good data here. And that's why one of the key recommendations of the report is creating a better data infrastructure to systematically track unmet therapeutic needs and compare that against current investments.

22:26Professor Pamela Karlan:So maybe just if we can't get a sort of, well, this is where the money should be going rather than here. Can you give me, because I think it'll help the listeners, an example of what you mean by an unmet therapeutic need.

22:38Professor Lisa Larrimore Ouellette:Diseases where if you look at the amount of health impact on the U.S. of people who are dying from disease or affected by it in ways that negatively affect their lives, it seems like the amount of investment in it is not proportional at all to what that health impact is.

22:58Professor Pamela Karlan:So for example, for some points in our history, it would be something like lots of people in a particular industry are coming down with a disease, you know, minors and black lung in the 1950s and 1960s. And we're just not putting any resources into figuring out how do we treat this or how do we prevent this sort of like, or some mental health conditions maybe even today would be like that.

23:23Professor Lisa Larrimore Ouellette:Yeah, exactly.

23:24Professor Pamela Karlan:Yeah. And so, you know, one of the things that's amazing there is that the point that you're making in part, you say, in the essay, but also just right here, is we don't even know whether we're investing enough in some of these areas or not. How is it that we don't know that? With all of these billions of dollars that have been going to this, how is it that we don't know something that seems that fundamental?

23:48Professor Lisa Larrimore Ouellette:I mean, we don't do a good job of tracking either disease burden or where money is going. We have a good sense of where money is going through public funding mechanisms. And there, the report does some work at comparing NIH investment with disease burden, and that isn't always aligned. But more importantly than the outcome, just the process of how we're thinking about NIH funding. Currently, as we've discussed, Congress allocates money to different NIH institutes, which is partly based on lobbying and political considerations. And then researchers apply for grants based on their expertise and interests.

24:27Professor Lisa Larrimore Ouellette:And grants are selected for funding primarily based on their scientific significance and rigor. And there's really nowhere in that process that thinking about how much is this the kind of thing that the market isn't going to be providing where there's currently underinvestment, where there is a huge unmet need, like those aren't explicitly part of the process now. And so that's one of the key recommendations of the report that this process of allocating funding should explicitly consider unmet need and social significance in addition to scientific merit, and including research on new methods and platforms that could be applicable across disease areas, but where there's not a lot of incentive for any private firm to be investing.

25:07Professor Pamela Karlan:So what's an example of that?

25:09Professor Lisa Larrimore Ouellette:Like new techniques for making a drug or manufacturing them or platform technologies Things like the mRNA technology that led to COVID vaccines and was so successful there. Scientists had been working on that for well over a decade before COVID without any clear sense of what it might end up being good for.

25:30Professor Pamela Karlan:Yeah, this takes us kind of back to where we were starting, which is it seems so ironic that if you think about like what was the biggest kind of policy triumph of the first Trump administration, It was Operation Warp Speed, which got us from a complete shutdown of the country to basically COVID now being kind of an endemic but not catastrophic at the kind of macro level disease in a very short order. And what made that possible was the fact that we had all of these researchers who'd been doing all of this basic research for years and years. and we had a huge amount of government funding that went into it.

26:15And now what we're seeing is the Trump administration returns to office and seems to want to spit on the thing that was its largest triumph the first time around.

26:27Professor Lisa Larrimore Ouellette:Yeah, it's hard to understand. You're exactly right. Like from the first Trump administration, that was an enormous success that I wish Trump would take credit for and celebrate going forward. I mean, the fact that we got those vaccines developed in that amount of time was a miracle. No one thought that was going to be possible, but it illustrates that what you can do when the government's putting sufficient resources behind something and building on that kind of foundation we had of the basic science there. And that's the kind of success that we should take going forward that saved millions and millions of lives.

27:02Professor Pamela Karlan:And probably trillions of dollars, if you think about the economy. me. I mean, I felt like, and this is more on the technology side than the medicine side, that if it hadn't been for all of the basic research that went into things like DARPA, and then the internet, and like, we also couldn't have done any of what we did while we were in COVID lockdown. I mean, you and I could not have taught law students 10 years earlier. And yet, I don't think anybody was thinking when they started developing what turned into the internet. Oh, this will be a way of delivering instruction to law students if we ever have an epidemic that requires us to shut down schools for a year and a half.

27:43Professor Lisa Larrimore Ouellette:Yeah, that's exactly right. And that's why this kind of basic research, the outcomes are unclear. We don't know what exactly the benefit is going to be. But we know that on average, historically, we have as a society gotten huge benefit from all of these technologies.

28:00Professor Pamela Karlan:In the article, you actually have a dollar number, if I remember it correctly, that's funny.

28:08Professor Lisa Larrimore Ouellette:For every dollar we invest in research, it gives us back somewhere between$5 and$20 in societal benefits. Things like economic growth and more jobs and better health outcomes and the ability to benefit from all these technologies, including the internet and life-saving drugs and lots of smartphone components, GPS. I mean, there's entire industries that have come out of federal funding of research.

28:33Professor Pamela Karlan:Well, yeah. And that when you say it, you know, for every dollar you invest, it gives you$20 back. That's$20 of the things we measure in dollars. It's not$20. You know, if we also ask, how much does it mean that somebody is alive in order to see their child graduate from college or to, you know, go and watch a beautiful sunset or just more years of healthy living as opposed to being mobility impaired and the like, that doesn't even get measured in there. Right. I mean, so I just I guess, you know, after I read your piece, I thought to myself, how could anybody be doing what we're now seeing the government do?

29:13Professor Pamela Karlan:That is, I just it does kind of baffle me. Yeah, it is hard to understand.

29:20Professor Lisa Larrimore Ouellette:I think part of it is this kind of broader ideological push to shrink the federal government and run it more like a business, which really completely misses the point of public research funding because the NIH isn't supposed to turn a profit. It's supposed to fund this kind of long-term risky research that private companies won't touch because the payoff may be decades away or too uncertain. I mean, that's exactly the kind of research that ends up creating entire new industries and having enormous benefits for all of us.

29:49Professor Pamela Karlan:I would love to have you come back and we could delve more deeply into the IP side of your work. I mean, one of the things that's amazing is, you know, I was thinking about this when you said, well, the cases are going to maybe go to the federal court of claims. because you spent a lot of time thinking about the federal circuit from the IP side of things. That's the court that adjudicates patent issues and the like. But it also adjudicates these claims, contract claims against the government. And so you're sort of perfectly positioned at this intersection.

30:20Professor Lisa Larrimore Ouellette:Yeah, when I was clerking at the federal circuit, we heard some of the appeals from the court of federal claims.

30:26Professor Pamela Karlan:Yeah, I think everybody who goes there goes there for the IP. But now it may turn out in some ways that even for the intellectual property, or at least for innovation and like understanding that other side of the of the federal circuit may turn out to be almost equally important. That's right. So I want to thank our guest, Lisa Laramore-Wallat. This is Stanford Legal. If you're enjoying the show, please tell a friend and leave us a rating or review on your favorite podcast app. Your feedback improves the show and helps new listeners to discover us. I'm Pam Carlin. See you next time.

From the publisher

In this episode of Stanford Legal, host Professor Pamela Karlan interviews her Stanford Law School colleague Professor Lisa Larrimore Ouellette about actions by the Trump administration that Ouellette says are undermining scientific research and jeopardizing America’s longstanding global leadership in medicine and innovation. Drawing on an essay she penned for Just Security, Ouellette explains how decades of bipartisan support for federally funded science—an engine of American innovation since World War II—is now at risk. From canceling grants already approved through peer review, to capping essential “indirect cost” reimbursements, she details how these moves threaten not just labs and universities but also patients, whose clinical trials are being abruptly halted.  

Ouellette also highlights a second front in her current scholarship: how drug development policy can be better aligned with public health needs. As a member of a National Academies committee, she recently co-authored a report showing that both private investment and federal funding often fail to prioritize diseases causing the greatest suffering. 

Links:

Connect:

(00:00) Research Funding 

(05:01) The Competitive Grant Process 

(15:01) Addressing Disease Burden 

(20:00) Impacts of Stopped Clinical Trials 

(25:01) The Role of Federal Investment in Innovation 


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