91 research outputs found

    Financing of U.S. Biomedical Research and New Drug Approvals across Therapeutic Areas

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    We estimated U.S. biomedical research funding across therapeutic areas, determined the association with disease burden, and evaluated new drug approvals that resulted from this investment.We calculated funding from 1995 to 2005 and totaled Food and Drug Administration approvals in eight therapeutic areas (cardiovascular, endocrine, gastrointestinal, genitourinary, HIV/AIDS, infectious disease excluding HIV, oncology, and respiratory) primarily using public data. We then calculated correlations between funding, published estimates of disease burden, and drug approvals. Financial support for biomedical research from 1995 to 2005 increased across all therapeutic areas between 43% and 369%. Industry was the principal funder of all areas except HIV/AIDS, infectious disease, and oncology, which were chiefly sponsored by the National Institutes of Health (NIH). Total (rho = 0.70; P = .03) and industry funding (rho = 0.69; P = .04) were correlated with projected disease burden in high income countries while NIH support (rho = 0.80; P = .01) was correlated with projected disease burden globally. From 1995 to 2005 the number of new approvals was flat or declined across therapeutic areas, and over an 8-year lag period, neither total nor industry funding was correlated with future approvals.Across therapeutic areas, biomedical research funding increased substantially, appears aligned with disease burden in high income countries, but is not linked to new drug approvals. The translational gap between funding and new therapies is affecting all of medicine, and remedies must include changes beyond additional financial investment

    The political economy of trade and migration: evidence from the U.S. Congress

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    We systematically examine the drivers of U.S. congressmen's votes on trade and migration reforms since the 1970's. Standard trade theory suggests that reforms that lower barriers to goods and migrants should have similar distributional effects, hurting low-skilled U.S. workers while benefiting high-skilled workers. In line with this prediction, we find that House members representing more skilled labor abundant districts are more likely to support both trade and migration liberalization. Still, important differences exist: Democrats favor trade reforms less than Republicans, while the opposite is true for immigration reforms; welfare state considerations and network effects shape support for immigration, but not for trade

    DIPLOMACIA E POLÍTICA DOMÉSTICA: A LÓGICA DOS JOGOS DE DOIS NÍVEIS

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    A polĂ­tica domĂ©stica e as relaçÔes internacionais com freqĂŒĂȘncia sĂŁo inextricavelmente vinculadas; todavia,as teorias existentes (particularmente as estatocĂȘntricas) nĂŁo levam adequadamente em consideraçÔestais vĂ­nculos. Quando os lĂ­deres nacionais devem obter as ratificaçÔes (formais ou informais) dos membrosde seus parlamentos para um acordo internacional, seus comportamentos em negociaçÔes refletem os imperativossimultĂąneos tanto de um jogo de polĂ­tica domĂ©stica quanto de um jogo de polĂ­tica internacional.Usando exemplos de cĂșpulas econĂŽmicas ocidentais, das negociaçÔes do Canal do PanamĂĄ e do Tratado deVersalhes, dos programas de estabilização do Fundo MonetĂĄrio Internacional, da Comunidade EuropĂ©ia ede muitos outros contextos diplomĂĄticos, o artigo oferece uma teoria da ratificação. Ele enfatiza o papel daspreferĂȘncias, coalizĂ”es, instituiçÔes e prĂĄticas domĂ©sticas, das estratĂ©gias e tĂĄticas dos negociadores, daincerteza, das reverberaçÔes domĂ©sticas das pressĂ”es externas e o papel dos interesses do negociador-chefe.Essa teoria de “jogos de dois nĂ­veis” tambĂ©m pode ser aplicĂĄvel a muitos outros fenĂŽmenos polĂ­ticos, taiscomo a dependĂȘncia, os comitĂȘs legislativos e as coalizĂ”es multipartidĂĄrias
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