This could become a long discussion, but I would support NIH requiring institutions to always cover at least 50%. Provided it had a long adjustment period.
There are MANY setups that suggest or require from 0 to 35% from the institution. And these include MOST private med schools and hospitals.
In rough numbers, 700 of the 2000 academic neurosurgeons are in Central Park today to play softball.
Cost of one study section meeting, to the field, is about a half million dollars. Almost all of it is time from lab heads who perform the review, and lab heads who submit the proposals.
Not making new awards wastes TREMENDOUS resources.
Ready for softball
www.neurosurgery.columbia.edu/about-us/giv...
I spent 10 years at UCSF, and Howard Fields was there the entire time. He counseled me many times, and I truly appreciate that nearly every time we spoke, although he was 20+ years my senior and 20+ times my h-index, he spoke to me as a peer, and with the best of intentions.
I will miss him.