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Medical Research Got More Money Over Last Decade

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By THE ASSOCIATED PRESS

Published: September 21, 2005

CHICAGO, Sept. 20(AP) - Total spending on medical research in the United States

has doubled in the past decade to nearly $95 billion a year, though whether the

money is being well spent needs much better scrutiny, a study has found.

" If we're soon going to be spending $100 billion a year, we'd better have

treatments that work over a long period of time against diseases that are

important today and will be more important tomorrow, " said Dr. Hamilton Moses

III, co-author of the study in today's issue of the Journal of the American

Medical Association and chairman of the Alerion Institute, which conducts

studies on research policy.

The authors call on the medical industry, government and foundations to do

better at investing in research on diseases with fewer effective treatments,

like Alzheimer's, and at translating basic research into new treatments and

cures.

The imbalance between late-stage and early-stage research is growing, the

authors wrote, and is due partly to lengthy clinical trials required for

approving drugs and partly to marketing. Companies often run costly studies to

show that their drugs work better than competitors' drugs.

In their funding analysis, Dr. Moses and his colleagues found that the industry

sponsors 57 percent of medical research and that the National Institutes of

Health pays for 28 percent. That proportion has remained unchanged over the past

decade.

The analysis also found that the United States spends about 6 cents of every

health care dollar on medical research. But it spends only one-tenth of a cent

of every dollar on longer-term evaluation of which drugs and treatments work

best at the lowest cost.

" The data in this article make it plain that we are spending huge amounts of

money, more than any other country, to develop new drugs and devices and other

treatments, " said M. Fox, president of the Milbank Memorial Fund, a

philanthropic group that works on health policy issues. " But we are not spending

as much as we could to disseminate the most effective treatments and practices

throughout the health system. "

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