Abstract

This month marks one year since the National Institutes of Health began a major reorganization to make room for the newest of its 27 institutes and centers—the National Center for Advancing Translational Sciences. Focused on overcoming bottlenecks in the drug development process, an area traditionally supported by the private sector, NCATS has been mired in controversy since NIH announced its plans to create the center in early 2011. Now under the leadership of its first permanent director, Christopher P. Austin, who took the helm last September, NCATS is trying to improve its image. But the $575 million center is struggling to get people to understand the role of NIH in turning fundamental discoveries into tangible products. Some scientists and members of Congress continue to question whether scarce taxpayer dollars should be used to fund drug R&D instead of basic research. At a congressional hearing last year, Republicans on the House ...

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