I’ve spent 40 years in research. I have never seen a threat to science like the new grantmaking rule - Scorecard - MDSpire

I’ve spent 40 years in research. I have never seen a threat to science like the new grantmaking rule

  • By

  • David J. Skorton

  • June 12, 2026

  • 0 min

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Clinical Scorecard: After four decades in research, I have never encountered a challenge to science as significant as the recent grantmaking regulations.

At a Glance

CategoryDetail
ConditionFederal grantmaking regulations impacting scientific research integrity
Key MechanismsProposed revisions to the Uniform Guidance affecting research grant review and oversight processes
Target PopulationScientists, researchers, and patients in the United States
Care SettingHigher education, research institutions, and clinical settings

Key Highlights

  • Proposed rule could politicize federally funded research
  • Historical peer review process may be undermined
  • NIH funding generates significant economic activity
  • Concerns over international competitiveness in research
  • Call for stakeholder engagement during comment period
  • Potential impact on international collaboration in research

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

      • Monitor the effects of proposed regulations on research outcomes

      Risks

      • Potential loss of scientific progress and leadership
      • Fear among scientists regarding project viability based on political alignment

      Patient & Prescribing Data

      Children with leukemia and other patients benefiting from cancer research

      Advancements in cancer immunotherapy and genetic disease repair, potentially impacted by funding changes

      Clinical Best Practices

      • Maintain a scientist-led peer review process
      • Ensure funding decisions are based on scientific merit, not political considerations
      • Engage stakeholders in discussions about research funding and priorities
      • Advocate for maintaining funding levels amidst regulatory changes

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