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Opinion: Proposed cuts to federal funding put the stars out of reach for Alaska science students
For students at UAA and across the state, federal research support can be the difference between opportunity here and leaving for good.
Invisible Narratives Bolsters Leadership Team with Veteran Entertainment Executives Across Content, Franchise Development, Partnerships, and Finance
Invisible Narratives, a leading entertainment company dedicated to helping digital creators build global franchises, today named three senior leaders to its ...
Supreme Court upholds bans on transgender athletes participating in women and girls' sports
Justice Brett Kavanaugh, who has long coached his daughters' and other girls basketball teams at school, wrote the court's majority opinion.
A New Way to Uncover How Science Is Under Attack
Science is being threatened at a pace and scale we’ve never seen before in the federal government. It’s nearly overwhelming—but we’ve built a new system to help us monitor and explain what’s happening, looking both incident by incident and at the larger pattern. Last week, the Union of Concerned
Reaching communities close to hostilities in Ukraine
Primary health care teams in Ukraine are reaching 121 locations within 60 km from active hostilities. This is part of the largest primary health care intervention in frontline areas in the country. European Union (EU)-supported teams are delivering essential services to people trapped by constant shelling and severe security constraints in 7 regions where no pharmacies operate, no health facilities function and evacuation remains impossible for residents.
Supreme Court to rule on birthright citizenship and rights of transgender athletes
The Supreme Court will hand down the final opinions of its term today. Follow for live news updates.
Grand Theft Auto workers seek union recognition after mass firings
Exclusive: Staff at Rockstar Games hope move can be completed before release of GTA VI scheduled for November
CWA union says Xbox workers are not "disposable" as layoffs loom
"The money is there. Leadership is simply choosing where it goes and who pays"
Company that made a Steam Machine wrap based on Valve intellectual property without asking forced to take it down
Dbrand's Portal-themed Companion Cube wrap for the Steam Machine won't be seeing the light of day for a very good reason.
Opinion | Protect the workers who protect our health
Massachusetts lawmakers should pass bipartisan workplace violence reforms before the legislative session ends.
Samsung hints the Galaxy Ring 2 could do something no Galaxy wearable has done before
A senior Samsung executive has revealed that the next-generation Galaxy Ring will bring a promising compatibility upgrade.
Encina Private Credit Provides $90MM First Out Tranche for Healthcare Business
Encina Private Credit (EPC) served as the administrative and collateral agent on a senior secured credit facility supporting a dividend recap and refinance
Use of artificial intelligence for mental health splits opinion
Two-thirds of those aged 25 to 34 have asked chatbots for wellbeing support
Accessory Company Yanks Companion Cube Steam Machine Case Because It Never Actually Asked Valve For Permission
“We’re going to regret that decision for a very long time”
Dbrand Forced To Pull Steam Machine Companion Cube
Mere after the reveal of the Valve Steam Machine, accessory maker Dbrand announced that it was releasing the "Companion Cube," a Steam Machine accessory that was modelled after the Portal weighted companion cube storage box. Following massive interest in the Companion Cube in the week since its anno...
Peptides are the latest US health craze. But what exactly are they?
While peptides are taking the health and wellness category by storm for various use cases, what exactly are they? Leerink Partners senior research analyst Michael Cherny helps break down what a peptides are, how people are choosing them for personal health and recovery reasons, and who the biggest winners in consumer pharmaceuticals could be if their popularity continues to grow.
George Gresham, Health Care Union Powerhouse, Dies at 71
Until he lost an election last year amid accusations of self-enrichment, he was a longtime influential force in Democratic politics in New York.
Rocket Lab expands satellite business with Iridium deal
Yahoo Finance Senior Autos Reporter Pras Subramanian joins Market Domination to discuss Rocket Labs' (RKLB) deal to purchase Iridium Communications (IRDM), how the deal expands its satellite capabilities, and whether it strengthens the company's position against SpaceX (SPCX).
Better Business Bureau urges seniors to watch for scams as fraud losses quadruple since 2020
The Better Business Bureau is warning older adults to be more cautious.
The CWA and 3,500+ Unionized Xbox Employees Are Ready to Fight Back Against Xbox’s Reported Imminent Mass Layoffs
The CWA and over 3,500 unionized Xbox employees are ready to fight against the reported layoffs coming from Microsoft yet again.
Singham funding one of 'most subversive political networks' in America: former senior Treasury advisor
Sam Lyman, former Treasury Secretary Scott Bessent speechwriter, called the Department of Justice grand jury probe into the Neville Roy Singham network an "enormous development."
Primaries expose America’s drift toward political extremism
Opinion: The greatest casualty of this primary season was the political center, writes Bobby Zirkin.
Companion Cube Steam Machine canceled after Dbrand angers Valve
I'm making a note here, "Huge blunder"
Valve doesn’t let Dbrand’s coolest Steam Machine accessory leave the testing facility
Dbrand announced that users who ordered the Companion Cube skin for the Steam Machine will not, in fact, find companionship...
Opinion | America Is the Land of Endless Choice, Except in Politics
There’s a case to be made for a two-party system, but what do you do when your party loses its mind?
Opinion | The Political Dilemma for Jews Today
Repelled by the GOP, they are attacked in the Democratic Party.
Contest announce: Put your horse race sponsor in the trailer
Create a sponsor for the Hippodrome races and have it featured in the trailer for the DLC
Nhouyvanisvong, Green Among Attendees at NCAA Career in Sports Forum
Macalester College rising senior Adi Nhouyvanisvong (Wayata, Minn./Minnetonka) of the women's soccer team and rising junior Jay Green (Roseville, Minn./Mounds Park Academy) attended the NCAA's Career in Sports Forum, held May 27-30 at the NCAA headquarters in Indianapolis, Ind.
Union Pacific And Norfolk Southern: How Politics Can Have A Body Count
Advances in goods shipment must be achieved not to bring harm to the trucking industry, but to protect increasingly acquisitive Americans from death born of their wealth.
Supreme Court issues opinions
Major rulings are anticipated this week in cases involving presidential power, birthright citizenship and transgender rights.
Wa-Hi junior Lars Sandven selected for prestigious national science camp
The residential summer camp provides academic and leadership experience in STEAM fields.
How Lenders Evaluate Small Business Loans
Jeanette Mack from Navy Federal Credit Union is here to help you understand what lenders are looking at when considering your small business loan application.
My wait for a psychiatric bed in Denver highlights this nation’s overburdened system (Opinion)
Just before my birthday, a Denver doctor placed me on an involuntary 72-hour mental health hold. What came next wasn’t treatment but a drawn-out search for a bed, as the U.S. grapples with a shortage for those in crisis.
Opinion | The Trump Vibe Shift Was Just a Mirage
The country does not love its president.
Iraqi Officials Arrested in Green Zone Corruption Raid, Deepening Political Tensions
Iraqi security forces arrested several senior political figures in a series of overnight raids inside Baghdad's heavily fortified Green Zone.
House committee advances radiology-backed legislation to curb prior authorization
The Improving Seniors’ Timely Access to Care Act seeks to streamline the “often cumbersome and time-consuming” task of approving requests for medical imaging in Medicare Advantage.
Opinion: Bring back respect in politics
No matter your party or political persuasion, it is undeniable that American politics has taken on a tenor of anger and pessimism. This national mood has made American politics atoxic stew of rage, discontentment and despair. Many Americans don’t feel that the reforms they would like to see in their government are possible. These...
We turned 80-year-olds into trained health monitors to save lives and boost senior dignity
As a career geriatrician, I’ve long known that some of society’s finest minds are being underappreciated while living in senior communities. So I helped to develop a new health program to help put older adults on the watch as health monitors.
Lagos school emerges winner of 10th Edition of Tolaram Science Challenge
By Efe Onodjae Iwerekun Community Senior High School, Ibeju-Lekki, has emerged the winner of the 10th edition of Tolaram Science Challenge (TSC), marking their third consecutive win. The school triumphed over Magbon-Alade Senior Grammar School in a keenly contested grand finale of the competition. The Tolaram Science Challenge, sponsored by Lagos Free Zone, is an annual […]
Ted Cruz bill to regulate college sports in NIL era advances
The Texan said he hopes the proposed changes, written with a Democratic senator, can save athletics from a stark separation between the haves and have-nots.
Efzimfotase alfa demonstrated improvements in bone health in treatment-naïve pediatric patients with hypophosphatasia achieving median difference of 1.67 vs placebo in RGI-C Score at week 25 in MULBERRY Phase III trial
Positive results from the MULBERRY Phase III trial showed that efzimfotase alfa (ALXN1850), an investigational enzyme replacement therapy, demonstrated a statistically significant and clinically meaningful improvement in bone health in children (2 to
La Jolla Business Roundup: Goop, expansion and closure, Michelin status, more
Gwyneth Paltrow’s Goop Kitchen, coming soon to UC San Diego’s new Triton Center, is among local business updates
Austria lobbies EU to host Anthropic AI after US curbs, Bloomberg News reports
Austria is pushing the European Union to consider hosting Anthropic AI system within its borders to counter efforts by the U.S. to block foreigners from using the company's most advanced models, Bloomberg News reported on Sunday.
National City weighs business tax overhaul amid mounting budget pressures
Council to hear proposal June 30. It faces significant opposition from business community.
Only one workout helped older adults lose fat without losing muscle
A six-month study of more than 120 adults in their 70s found that high-intensity interval training (HIIT) may offer a key advantage over other forms of exercise: it helped reduce body fat while preserving valuable muscle mass. While moderate and low-intensity workouts also led to some fat loss, only HIIT maintained lean muscle, which becomes increasingly important with age.
Only one workout helped older adults lose fat without losing muscle
A six-month study of more than 120 adults in their 70s found that high-intensity interval training (HIIT) may offer a key advantage over other forms of exercise: it helped reduce body fat while preserving valuable muscle mass. While moderate and low-intensity workouts also led to some fat loss, only HIIT maintained lean muscle, which becomes increasingly important with age.
Science & Medicine: Scanning the brain to improve treatment for traumatized teens
Around 20% of teens who have experienced emotional trauma don't respond to talk therapy. UT Health San Antonio is using neuroimaging to track brain changes in traumatized teens during a course of therapy to see if they can figure out why, which could lead to the development of more personalized treatments that will help more teens heal.
Reporter talks environmental, health impacts of mining efforts near Boundary Waters
WTIP spoke to Benji Jones, Senior Correspondent at Vox Media, about what environmental and health experts are saying about the proposed Twin Metals mining project in the Boundary Waters Watershed. Jones’ article “Mining these metals could be a boon for the climate — but there’s one big catch,” is currently available at vox.com. Below is...
Opinion | Trump’s Science Cuts Betray America’s Past Since Lewis and Clark
America has funded scientific research since 1804 — and remembers that first project as a national glory. Cutting similar funding today is a betrayal.
Iraq detains politicians, officials in anti-corruption crackdown
Iraqi security forces arrested politicians and senior officials early on Sunday as part of a broader anti-corruption campaign ordered by Prime Minister Ali al‑Zaidi, a government spokesperson said.
Carman: Tuesday’s election is more than just a primary. It’s a colossal opportunity to change history.
The template for tyrants goes back at least to Ancient Rome and, as Nero discovered, generally ends badly.
Vikas Sehdev: Starting a New Chapter as Senior Medical Science Liaison at BioNTech SE
Vikas Sehdev: Starting a New Chapter as Senior Medical Science Liaison at BioNTech SE / AstraZeneca, BioNTech SE, cancer, OncoDaily, Oncology, Vikas Sehdev
Caminero to the moon: Rays 4, D-Backs 2
Before you could grab your hot dog, popcorn, and preferred pilsner beverage, the Diamondbacks took a 1-0 lead on a Geraldo Perdomo double, Corbin Carroll single, and a whiff of a tag from catcher Hunter Feduccia. In the bottom half of the first, Junior Caminero hit a thunderous, sky-scraping blast for his sixth homer in […]
Eugenio Suárez rescues Reds in 9-7 win over Pirates
The Reds got a 9th inning homer from the slugger they hope can carry them through the season’s second half.
Back in business: Blue and White Snack Bar owners vow to uphold tradition of Hollidaysburg mainstay
HOLLIDAYSBURG — A local Hollidaysburg landmark is back as Blue and White Snack Bar, 905 Union St., reopened for business May 12. “The Blue and White is a landmark in Hollidaysburg and really all of Blair County. To say that people are excited to see it open again is an understatement,” Mayor Chad Repko said. […]
San Antonio Pride festival celebrates LGBTQ+ community, raises money for local nonprofits
Thousands of people were expected at Crockett Park on Saturday for the Pride Bigger Than Texas Festival, an eight-hour celebration of LGBTQ+ history, resilience and community support.
Mary Means Business: Raising Cane's eyes Starkville location
I’m about to act a fool, because it looks like Raising Cane’s is finally on its way to Starkville. The, in my opinion, premier chicken joint is officially
Free health clinic aims to expand care access on city's West Side
Free preventive care is coming to San Antonio’s West Side Saturday. The Health Collaborative’s Neighborhood Clinic offers 3D mammograms, screenings, vaccines, dental checks, food and help connecting to ongoing care.
Brewers Continue Testing Jacob Misiorowski's Limits
After touching triple digits with a record-shattering 105.5 mph heater, the Milwaukee Brewers flamethrowing ace escaped a bases-loaded jam to prove his elite resilience and Cy Young caliber endurance.
Maliq Brown Arrives In San Antonio & Finds Something Familiar
Brown is in a great situation, but it should also seem familiar
Germany news: Heat soars as political reforms split opinion
As Europe's heatwave rages, Germany continues to swelter with new records expected Saturday. Elsewhere, politicians bicker over reforms and industry blames train operator DB for billions in losses. DW has the latest.
CARE AT HOME GUARANTEE CORPORATION FILES PATENT APPLICATION FOR PROPRIETARY BUSINESS MANAGEMENT SYSTEM
Miami, FL, June 27, 2026 (GLOBE NEWSWIRE) -- CARE AT HOME GUARANTEE CORPORATION ('the Company'), a Florida-based Senior Care Solutions company, ...
Politics Unplugged Podcast: Headlines with Stacy Pearson and Marcus Dell’Artino
The Politics Unplugged panel breaks down a possible Arizona special session tied to ESA vouchers, union protections and ballot measures. The discussion centers on whether lawmakers could unwind late-night legislation that angered teachers, police and firefighters. They also examine Gov. Katie Hobbs’ political leverage and why both parties may have reasons to cut a deal. Later, the podcast turns to Trump tax cuts, Democratic Socialists, the White House reflecting pool controversy and the World Cup.
California is in for a summer of wild billionaire spending
OPINION: With competing tax measures on the ballot, California billionaires will be spending like... billionaires, political columnist Joe Garofoli writes.
Fleet Science Center unveils two new exhibition spaces after renovation
The $5.6 million renovation expands exhibit space and adds new interactive visitor experiences.
AI-assisted colonoscopy enhances polyp detection at UT Health San Antonio Multispecialty and Research Hospital
Contact: Steven Lee, (210) 450-3823, lees22@uthscsa.edu Content provided by Kristen Zapata SAN ANTONIO, June 29, 2026 – A routine colonoscopy may last less than an hour. But what happens during that procedure can change, or even save, a life years before cancer ever has a chance to develop. Physicians at The University of Texas at San […]
Health system CEO fired without cause in wake of class-action lawsuit over unnecessary surgeries
Reese Jackson, the former president and CEO of Chesapeake Regional Healthcare was unceremoniously dismissed from his role on June 1. Jackson has been named as a defendant in a pending class-action lawsuit filed by 900 women.
iPhone 18 Pro and Pro Max May See $200 Price Increase
Apple's iPhone 18 Pro models could be up to $200 more expensive, according to a prediction from analytics firm IDC. IDC expected Apple to raise iPhone 18 prices, but prior to yesterday's Mac and iPad price hike, the prediction was a $100 increase for the 18 Pro and Pro Max, and a $50 increase for the base models. IDC Senior Director of Data & Analytics Nabila Popal says the magnitude of the Mac and iPad price increase points to even higher iPhone 18 prices.
Newsom urges a national 'billionaires' tax' while fighting one in California
The governor announced his agenda a day after an influential health care union in California pledged to go forward with a ballot measure that would impose a one-time 5% tax on the assets of billionaires living in the state as of Jan. 1, 2026. Newsom opposes that measure.
PlayStation Is Deleting Terminator 2 And 550 Other Movies
Movies like Rambo: First Blood, Bridget Jones' Diary and The Deer Hunter are all being unceremoniously removed
Disagreements between Supreme Court justices bubble into public view as major rulings loom
The Supreme Court is handing down major opinions at a rapid clip, but even with some of the biggest decisions yet to come there are signs of tension between the justices.
Evoke Entertainment Signs Tribeca-Honored Filmmaker Elisee Junior St. Preux
EXCLUSIVE: Evoke Entertainment has signed Haitian American filmmaker Elisee Junior St. Preux, whose debut feature The Tropic Sun and His Eyes world premiered in Tribeca’s Viewpoints section and earned...
Elisee Junior St. Preux Signs With Evoke Entertainment (EXCLUSIVE)
Filmmaker Elisee Junior St. Preux has inked with Evoke Entertainment for management, Deadline can report exclusively.
Democrats call on Mills administration to settle pay dispute
The MSEA is seeking a 2.5% wage increase in the first year, with a $1,250 signing bonus. For year two, the union wants a 3% increase.
Michael T. Cooney and Matthew Quinlan
Calamos Wealth Management announces the addition of two seasoned wealth management professionals. Michael T. Cooney joins the firm as a SVP, Senior Wealth Advisor, and Matthew Quinlan joins as a Wealth Advisor.
Business Leader Tim Giroux Announces Candidacy for Nevada Joint Union High School District Trustee
GRASS VALLEY, Calif. – June 26, 2026 – Tim Giroux, a business leader and community member rooted in the Auburn/Grass Valley area since 1999, today announced his candidacy for Trustee of the Nevada Joint Union High School District. The election will be held in November 2026. Giroux brings more than 40 years of business ownership […]
Sweden and WHO launch new long-term initiative to transform Ukraine’s health system
WHO and the Swedish International Development Cooperation Agency (Sida) have launched a new multi-year cooperation project to support the long-term recovery and transformation of Ukraine’s health system. The new project, “Ukraine’s Health System Transformation Initiative: Strengthening Health Governance, Health Financing and Service Delivery for Long-Term Recovery”, was launched at the Ukraine Recovery Conference 2026 in Gdansk, Poland on 26 June, and will run from June 2026 to 2029. Sweden will contribute approximately US$ 26 million (240 million Swedish krona) to support this project. This contribution forms part of Sweden’s broader support to Ukraine through the Team Europe approach, which brings together the European Union, its Member States, and key partners such as the European Commission’s Directorate-General for Enlargement and Eastern Neighbourhood and Enabel, and WHO as lead health agency, to support Ukraine’s recovery, reform agenda and European integration.“Ukraine’s health recovery cannot be measured only by what is rebuilt, but by whether people can count on the health system when they need it most. The scale of the task is immense, with health reconstruction and modernization needs estimated at US$ 19.4 billion over the next decade. Sweden’s US$ 26 million contribution to Ukraine’s Health System Transformation Initiative is a timely investment in the institutions, financing and services that will support Ukraine’s long-term recovery and European integration. WHO remains a trusted partner of the Government of Ukraine in advancing this process. I am deeply grateful to Sweden for its consistent support and partnership,” said Dr Hans Henri P. Kluge, WHO Regional Director for Europe. More than 4 years of war have placed unprecedented pressure on Ukraine’s health system, creating 3 interconnected challenges. The first is responding to the immediate consequences of the war and the urgent health needs of the population. The second is recovering and modernizing health services today. The third is continuing reforms and aligning the health system with European standards in the context of Ukraine’s future accession to the European Union. The war has led to large-scale population displacement, an increasing need for trauma care and rehabilitation, and shortages of health workers. High out-of-pocket payments in Ukraine make access to health services more difficult. Around 46% of total health expenditure is paid directly by individuals, placing a significant financial burden on many households and underscoring the need for reforms in health financing. Older people, persons with disabilities, women, children and veterans continue to face the greatest difficulties in accessing health services. “Ukraine is demonstrating that health system transformation can continue even during war. Ukraine is also continuing to align its health system with European norms and standards. WHO is committed to supporting Ukraine on this journey. We provide technical support, help coordinate partners’ efforts and support the institutional changes needed to strengthen the system. We are grateful to Sweden for its support. Through this partnership, we can help Ukraine build a more resilient, accessible and people-centred health system,” said Dr Jarno Habicht, WHO Representative in Ukraine. About the Health System Transformation InitiativeThe new initiative will support Ukraine through 3 interconnected areas: strengthening governance and coordination of health sector reforms through more inclusive coordination platforms and structured policy dialogue; transforming service delivery by reinforcing a primary health care-centred model that integrates family medicine, nursing and midwifery; and improving financial sustainability by supporting reforms that ensure the long-term viability of the national health system and reduce out-of-pocket payments for households. Overall, these reforms are expected to make the health system more coherent and easier to navigate, improve the quality and continuity of care, and ensure more equitable access to services, particularly for those who need them most. They will also support Ukraine’s progress towards a more modern health system aligned with European standards. “We are convinced that long-term recovery is not possible without strong, high-quality, person-centred health services that are accessible to everyone. Our partnership with WHO is designed to support deep and lasting systemic changes. Investments in human capital especially autonomous midwives, whose role for maternal, newborn and adolescent sexual and reproductive health cannot be understated, stronger governance, digital transformation and the financial sustainability of the health system are investments in Ukraine’s future. We are proud to support this process,” said Malin Perhult, the Head of the Ukraine Unit at Sida. Focus throughout implementation will be given to the most vulnerable population groups, including older people, women and children, and persons with disabilities, who have been affected by the war and face greater health-care needs. The initiative will be implemented in close cooperation with the Ministry of Health of Ukraine, the National Health Service of Ukraine, the Public Health Centre of Ukraine, regional authorities and international partners. This project will help Ukraine move towards a system where everyone can access the health care they need. It will strengthen primary care, make the health finance system more stable and predictable, and reduce the out-of-pocket costs that Ukrainians face when using health services. As a result, the Ukrainian health system will become more aligned with European standards and more sustainable in the long run.
Grand Theft Auto 6 demand may be so high it will "likely outstrip supply" this holiday season, a video game retailer warns
Speaking to The Game Business, a major senior games buyer has warned that stocks might not survive the spending frenzy this fall.
NFL legend reveals real reason why Antonio Brown left Steelers
NFL legend LeSean McCoy shared the real reason Antonio Brown left the Pittsburgh Steelers following the 2018 season.
Opinion | Don't apply politics to scientific research
Under recently proposed rules, federal grants could be terminated midstream for reasons having little to do with science or merit.
How an Iowa junior college became a sports giant
DMACC athletic programs are quietly dominating through coaching and player performance
As Colorado votes, rural voter politics could influence key races
Rural doesn’t necessarily mean conservative, and the opinions of these 10 voters run the gamut.
AI Assistant Tool QED Scores bioRxiv Preprint Quality
QED, an AI assistant tool, evaluates the originality and validity of bioRxiv preprints, assigning them QED Scores. Researchers report that its rankings often align with expert opinion.
California unions, hospitals strike deal — but billionaire tax heads to ballot
Two healthcare ballot measures are gone. One very contentious wealth tax isn't.
NBA fans troll Victor Wembanyama after MVP chants in France
Victor Wembanyama is back in France after leading the San Antonio Spurs to the NBA Finals. While his team failed to win the championship, he still received a lot of love from his countrymen. The 7-foot-4 center entered a club…
Trump likely to ‘lose’ on birthright citizenship case, political analyst says
Fox News senior political analyst Juan Williams discusses the Supreme Court set to issue a ruling on birthright citizenship on ‘Special Report.’
Vice President JD Vance talks faith and politics in Orange County
Vance largely talked about his grandmother’s influence at the sold-out event, which came on the heels of his new memoir, “Communion: Finding My Way Back to Faith.”
UT Health San Antonio researcher receives $400,000 Komen grant to study therapeutic yoga for breast cancer survivors
UT Health San Antonio researcher receives $400,000 Komen grant to study therapeutic yoga for breast cancer survivors
City council members request special meeting on planned Sports and Entertainment District
San Antonio Council Districts 1, 5 and 7 want a special meeting before Aug. 7 to guide public input on the Spurs arena’s $75M Community Benefits Agreement as the city considers a $489M Sports and Entertainment District.
UT Health San Antonio researcher receives $400,000 Komen grant to study therapeutic yoga for breast cancer survivors
Amelie G. Ramirez, DrPH, MPH, to work with Hispanics in South Texas Contact: Steven Lee, (210) 450-3823, lees22@uthscsa.edu Content provided by Cliff Despres SAN ANTONIO, June 25, 2026 – Amelie G. Ramirez, DrPH, MPH, a cancer researcher at UT Health San Antonio, the academic health center of The University of Texas at San Antonio, is […]
Making Our Own Luck
We are cross-posting a piece that former NIH official Kris Willis wrote for Macroscience. Kris is now the President and Founder of the Woodley Park Institute, for which I’m a board member. Picking winners or hedging bets? Federal science agencies have long wrestled with the question of how to ensure their billions of dollars of grants and contracts result in maximum benefits for Americans. On the surface, it might seem that a goal-oriented, interventionist style of management would be the best policy: prioritize our most pressing problems and distribute funding accordingly.This top-down strategy creates a unique hazard, though: bad choices can send resources in the wrong direction, resulting in slow progress that impedes the delivery of tangible benefits to citizens. Moreover, if decision makers pursue an applied advance when the underlying scientific principles remain poorly understood, they risk costly failures and a loss of support for the research enterprise at large. Examples include Nixon’s 1971 War on Cancer, undertaken on the premise that a cure could be achieved in less than a decade, the drive to build an operational commercial fusion plant by the mid-1990s, and the National Plan to Address Alzheimer’s Disease, which failed to produce the effective treatments and prevention strategies promised by 2025. The contrasting laissez-faire approach is to hedge your bets. If the path to an advance is impossible to predict, then the wisest choice might be to distribute funding to as widely as possible. The main risk of this strategy is that spreading funding thinly may limit the resources available to the most promising research, resulting in the same negative outcomes as the interventionist approach: limited support for the most promising topics, slow progress, and delayed returns. In reality, at science agencies like the National Science Foundation and National Institutes of Health, program managers navigate between these two extremes, setting some funds aside to target high-priority areas and using the rest to cover the widest possible range of meritorious proposals. This middle path seems like the most rational way to proceed, but it still requires making choices. How much should be set aside for high priority topics? What should those topics be? How should we define merit? Expert opinion can provide a helpful guide, but leading experts can have remarkably different opinions about what matters and what should be prioritized. Moreover, experts and administrators alike can be risk averse, giving an edge to high-profile, well-established concepts. What’s really needed is a data-driven framework to help guide decision-making, one that doesn’t simply repackage prestige or incumbency. Recognizing breakthroughs years in advance Many breakthroughs fail to attract funding or recognition at the earliest stages of development. Katalin Karikó, for example, spent years struggling to win grants for work on mRNA that would eventually win her and Drew Weissman a Nobel Prize. Similar stories can be told about Jim Allison’s groundbreaking studies leading to the development of cancer immunotherapy, Stan Pruisner’s demonstration that prions can self-replicate without DNA, or Robin Warren and Barry Marshall’s proof that Helicobacter pylori, not stress, causes ulcers. Yet at some point, the scientific community recognizes and responds to transformative breakthroughs like these. How does that change happen? And what if science funders could identify the areas that are on the cusp of a breakthrough? Those questions led my collaborators and me to study how scientists responded to past breakthroughs. Based on patterns in that data, we developed a means of predicting future breakthroughs, using biomedicine as a proof of concept. It’s worth taking a moment to describe how our approach works. Briefly, our prediction process begins by grouping the 18 million or so peer-reviewed papers in PubMed, the authoritative database of biomedical research, into roughly 50,000 unique topics. A small subset of these topics are so widely acclaimed as breakthroughs that they have been recognized with a major prize like a Nobel or a Lasker Award. We theorized that studying the development of these outliers over time, especially before they gained acclaim, was the key to identifying future instances of them. After defining topics, we chose 21 representative breakthroughs and asked what they looked like before they won prestigious prizes. To answer that question, we re-ran our topic-mapping algorithm repeatedly, winding back the clock one year each time, stringing together the years to follow the progress of each field as it grew and advanced. We found that in each case, the years leading up to a discovery followed a pattern: a burst of papers on a new, rapidly evolving topic, many of which quickly became influential. These characteristics—the percent of papers that are new, the percentage of papers that are brought in from other topics, and the influence of each individual paper—can all be measured separately for any given topic. Together, they act as a predictive signal that is detectable an average of five years before a transformative discovery is made, and up to thirty years before the discovery receives a major prize. Scanning the current research landscape for topics that display this signal allows us to predict what work will likely produce a future breakthrough. Each year we analyzed includes four or five signals, a number that appears to have remained constant across a twenty year time frame. In their classic work on the sociology of science, Bruno Latour and Steve Woolgar established that the desire to participate in a major discovery is an important motivator for scientists as they consider whether they should take up (or abandon) a research problem. Although further work is needed, the simplest explanation for our results is that this behavior is widespread enough to detect at scale. A foundational advance, or something like it, draws the attention of scientists and causes them to change the direction of their research. They vote with their feet, staking their own reputation and careers by publishing on and citing the new idea. That upswell of interest is the foundation of our breakthrough signal. What kind of research does our model identify as a breakthrough? After building a model based on the patterns in our 21 preselected breakthroughs, we tested it by identifying all early signals of discovery from 1994 through 1997. Of the 18 signals we found in that time period, 17 can be traced forward in time to a breakthrough. Examples include super-resolution fluorescence microscopy (see the image above), the directed evolution of proteins and enzymes (Chemistry Nobel, 2018), and sequencing the human genome (National Medal of Science, 2008). The discovery of the role of leptin signaling in obesity is a particularly interesting case study. Around 1950, scientists noticed the existence of a type of lab mouse that suffered from a unique inherited form of obesity. When given the freedom to choose their own diet, these mice ate more than normal and preferred food that was high in fat. Researchers had few clues as to why the animals overate; early experiments pointed to the existence of a soluble ob factor found circulating in the bloodstream that regulated appetite, but its identity was unknown. In 1994, Jeffrey Friedman and colleagues identified and sequenced the ob gene, noting that the protein it encoded appeared to fit the profile of a circulating factor. A year later, a trio of high-profile publications demonstrated that ob was a hormone that regulated body weight and fat deposition by regulating appetite. One of these was co-authored by Friedman, who christened it leptin from the ancient Greek word for thin. Using our model, the data from 1996 make it clear this advance would become a breakthrough. Scientists had flocked to study the biology of the new hormone, generating the flurry of new papers and citations required to produce a signal. One of these demonstrated that serum leptin concentrations reflected the amount of adipose tissue in the human body, providing clinical validation of the earlier mouse studies. Before the identification of leptin, scientists were unable to point to a specific molecule that controlled appetite and adiposity, so that it was impossible to rule out non-physiological causes of obesity; its characterization fundamentally changed our concept of weight gain. In 2010, Friedman and fellow pioneer Douglas Coleman were awarded a Lasker for the discovery. Our work also identifies breakthroughs in clinical practice and behavioral and social sciences, even though these areas are less likely to draw the attention of major prize committees. One example that falls into this category is the introduction of endovascular aneurysm repair, a minimally invasive surgical procedure for the treatment of abdominal aortic aneurysm, a leading cause of death among Americans over the age of 65. Relative to the previous standard of care, it reduces in-hospital mortality by almost four-fold. In 2017, Timothy Chuter received the American College of Surgeons’ prestigious Jacobsen Innovation award for his multiple refinements to the technique. Another under-recognized breakthrough identified by our model is the development of standardized survey instruments to assess the quality of life for HIV+ patients. The antiretroviral cocktails introduced in the mid-1990s reduced AIDS mortality, but treatment came with serious side effects. The new evaluations showed that patients whose disease progressed had worse physical functioning than Americans with other chronic diseases, while those who were asymptomatic maintained a health-related quality of life on par with the overall US population. This evidence made it possible for patients and activists to argue that even in the absence of a total cure, and in spite of the side effects, alleviation of symptoms was a worthwhile priority for clinicians. My colleagues and I have failed to identify any significant recognition for the physicians and health policy experts who pioneered this advance, although in 2016, researchers called for the World Health Organization to set targets for good health-related quality of life as part of its framework to end the AIDS pandemic. From forecasting to funding How should science funders use our predictions? Any serious discussion of what we should do with this new capability needs to begin with an understanding of its limitations. We can’t (and shouldn’t) invest all of our resources in the small number of topics predicted to produce breakthroughs. Innovative new fields are born from existing ones; they rarely arise de novo. If funders don’t maintain a diverse portfolio, the breakthroughs of tomorrow will have no antecedents. Think of this as eating the seed corn, or killing the goose that lays the golden egg. There are also multiple goals of funding beyond basic scientific discovery, including translating discoveries into clinical practice, developing new technologies, supporting economic development, and training new scientists. The investments needed to accomplish these goals are likely different from those required to support emerging breakthroughs. Finally, we must be aware that we may not capture every instance of a breakthrough. The concept is fuzzy, and not every significant discovery is recognized with a major award. Further, breakthroughs are rare, meaning that our dataset is, by necessity, small. This makes formal estimates of accuracy challenging. Although our overall success rate appears to be high, any one signal may turn out to be a false positive. We found one apparent example: the development of the third generation COX-2 inhibitors, Vioxx and Celebrex, which were much celebrated in the early 2000s as effective but non-addictive pain relievers, meets all the algorithmic criteria of a breakthrough. Five years after it received FDA approval, researchers demonstrated that Vioxx was associated with serious cardiovascular complications, and the manufacturer voluntarily pulled the drug from the market. Celebrex remains available, although like other NSAIDs, it carries an FDA warning for increased cardiovascular risk. Decision makers who were overly focused on the breakthrough potential of this research might have wasted substantial resources nurturing an area that ultimately proved to be a failure—but so would those who relied on expert opinion at the time. That said, the potential benefits of funding the next mRNA vaccine or cancer immunotherapy years earlier than we might have are large. When we can’t assume the outcome of an action, it’s worth conducting an experiment. Can targeted support for areas that are poised to produce a breakthrough increase the return on scientific investment without cannibalizing future advances? With the necessary administrative infrastructure in place, conducting this experiment would be straightforward. First, identify all the breakthrough signals between 2018 and 2023, select half at random, and commit to a decade of investment. For biomedicine, a six year window should yield about 30 topics with the potential to produce a breakthrough. Providing strong support to half of these might be accomplished for $300 million a year. That’s roughly half of the recent annual budget of the NIH Common Fund or around 20% of the fiscal year 2025 budget for ARPA-H. After five years, then again at ten, compare to see which group — the one that was actively managed, or the control — produced more breakthroughs, and on what timescale. Although we used biomedicine as an example, the same experiment could just as well be run for physics, materials science, or any other discipline. Any attempt to undertake such an experiment should keep three points top of mind. First, we can predict the topic of future breakthroughs, but the people and vision for how to move the work forward are still important. In practice, this means success requires active program managers with the expertise to develop the science and the authority to do so, including by recruiting investigators. Second, we would be wise to learn from the failures of past attempts to fund transformative research. High among these are funding modestly repackaged work, confusing the genuinely novel with the merely unfamiliar, and relying too much on incumbent investigators. All of these risks can be mitigated by thoroughly and intelligently integrating high quality data into portfolio management. Finally, we need to have patience. Even with strong funding support, producing a breakthrough takes time. If supporting breakthroughs is the best way to nurture the birth of new fields, we also need to accurately describe and properly manage the other two stages, so that we invest wisely throughout the productive lifetime of ideas and divest once they reach the point of diminishing returns. We would benefit from more study of all of these phases, especially the transition from one to another. More research could answer questions like: When does a breakthrough become an established field? How do the availability of funding, the size and characteristics of the available workforce, and the accumulation of evidence that disagrees with prevailing models affect a field’s decline? Exactly how do old ideas give birth to new ones, and can we speed up the process? The more we understand about the dynamics of scientific progress, the better we can maximize the odds that our curiosity leads to results. I’d call that finding a way to make our own luck.
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