Why Americans are Dying Younger? NIH Is Not the Problem. Our Broken Healthcare Delivery Is.

Ignacio, Rachel Bender; Pagkas-Bather, Jade; Gonsalves, Gregg; Gianella, Sara · Clin Infect Dis · 2025

editorial · Level V

Where this comes from

Abstract

The United States leads the world in biomedical innovation, with NIH-funded research driving transformative advances in cancer, HIV, and gene therapy. Yet, these breakthroughs cannot achieve their full impact in a fragmented and inequitable health system. Millions remain uninsured, preventive care is undervalued, and social determinants perpetuate life expectancy gaps. Political efforts to restrict or defund the NIH threaten progress and disproportionately harm underserved populations. Biomedical research alone cannot fix systemic failures but strengthening science while repairing care delivery systems is essential to improving population health and ensuring that innovations benefit all.