Interesting interview..it seems that for some..good health takes a back seat to politics and tribalism.
It's Dr. Francis Collins' last few weeks as director of National Institutes of Health after 12 years, serving three presidents. Collins made his name doing the kind of biomedical research NIH is famous for, especially running The Human Genome Project, which fully sequenced the human genetic code. The focus on biomedicine and cures has helped him grow the agency's budget to over $40 billion a year and win allies in both political parties.
Still, in a broad sense, Americans' health hasn't improved much in those 12 years, especially compared to people in peer countries, and some have argued the agency hasn't done enough to try to turn these trends around. One recently retired NIH division director has quipped that one way to increase funding for this line of research would be if "out of every $100 dollars, $1 would be put into the 'Hey, how come nobody's healthy?' fund."
In a wide-ranging conversation, Collins answers NPR's questions as to why — for all the taxpayer dollars going to NIH research — there haven't been more gains when it comes to Americans' overall health. He also talks about how tribalism in American culture has fueled vaccine hesitancy, and he advises his successor on how to persevere on research of politically charged topics — like guns and obesity and maternal health — even if powerful lobbies might want that research not to get done.
Selena Simmons-Duffin: After you announced you'd be stepping down from the director role, you told the New York Times that one of your "chief regrets" was the persistence of vaccine hesitancy during the pandemic. How are you thinking about the role NIH could play in understanding this problem?
Francis Collins: I do think we need to understand better how — in the current climate — people make decisions. I don't think I anticipated the degree to which the tribalism of our current society would actually interfere with abilities to size up medical information and make the kinds of decisions that were going to help people.
To have now 60 million people still holding off of taking advantage of life saving vaccines is pretty unexpected. It does make me, at least, realize, boy, there are things about human behavior that I don't think we had invested enough into understanding. We basically have seen accurate medical information overtaken, all too often, by the inaccurate conspiracies and false information on social media. It's a whole other world out there. We used to think that if knowledge was made available from credible sources, it would win the day. That's not happening now.
The NIH director on why Americans aren't getting healthier, despite medical advances
As he prepares to leave his post of 12 years, Francis Collins reflects on the agency's biomedical advances, the dangers of polarizing medicine and the huge health gaps that still exist in the U.S.
www.npr.org
It's Dr. Francis Collins' last few weeks as director of National Institutes of Health after 12 years, serving three presidents. Collins made his name doing the kind of biomedical research NIH is famous for, especially running The Human Genome Project, which fully sequenced the human genetic code. The focus on biomedicine and cures has helped him grow the agency's budget to over $40 billion a year and win allies in both political parties.
Still, in a broad sense, Americans' health hasn't improved much in those 12 years, especially compared to people in peer countries, and some have argued the agency hasn't done enough to try to turn these trends around. One recently retired NIH division director has quipped that one way to increase funding for this line of research would be if "out of every $100 dollars, $1 would be put into the 'Hey, how come nobody's healthy?' fund."
In a wide-ranging conversation, Collins answers NPR's questions as to why — for all the taxpayer dollars going to NIH research — there haven't been more gains when it comes to Americans' overall health. He also talks about how tribalism in American culture has fueled vaccine hesitancy, and he advises his successor on how to persevere on research of politically charged topics — like guns and obesity and maternal health — even if powerful lobbies might want that research not to get done.
Selena Simmons-Duffin: After you announced you'd be stepping down from the director role, you told the New York Times that one of your "chief regrets" was the persistence of vaccine hesitancy during the pandemic. How are you thinking about the role NIH could play in understanding this problem?
Francis Collins: I do think we need to understand better how — in the current climate — people make decisions. I don't think I anticipated the degree to which the tribalism of our current society would actually interfere with abilities to size up medical information and make the kinds of decisions that were going to help people.
To have now 60 million people still holding off of taking advantage of life saving vaccines is pretty unexpected. It does make me, at least, realize, boy, there are things about human behavior that I don't think we had invested enough into understanding. We basically have seen accurate medical information overtaken, all too often, by the inaccurate conspiracies and false information on social media. It's a whole other world out there. We used to think that if knowledge was made available from credible sources, it would win the day. That's not happening now.