An Operational Vision for
NIH Reform: Rebuilding the
Scientific Core
Turning a $45 Billion Bureaucracy into a Transparent, Outcomes-Driven Scientific Engine
“The only advocacy we should reward is for objectivity in science and measurable ROI in health outcomes.
I have already outline the scientific research priorities I see as necessary and good to help America meet its goals of becoming healthy again. Now I want to share my vision as a hard-nosed strategic reformer.
The NIH is no longer trusted. Not by its researchers. Not by physicians. And not by the public. The problem isn’t just perception—it’s structural. We’ve built a $45 billion machine that diagnoses symptoms while ignoring systems. That needs to end.