Safe Bets and Stalled Breakthroughs: How NIH's Grant Machinery Discourages the Science It Claims to Champion
The National Institutes of Health distributes tens of billions of dollars annually in the name of scientific discovery, yet structural features of its peer-review funding process systematically favor cautious, predictable proposals over genuinely transformative research. This investigation examines the institutional incentives shaping what scientists choose to study, why reviewers penalize ambition, and whether emerging alternative funding architectures offer a credible path forward.