Congressional Threat to NIH Peer Review, 2003
Review of 2003 NIH Peer Review "Hit List"
October 2 Joint Hearing on Future of NIH
On October 2, the House Energy and Commerce Committee and the Senate Health, Labor, Education, and Pensions Committee convened a joint hearing to discuss the recent National Academies report on NIH reorganization, Enhancing the Vitality of the National Institutes of Health: Organizational Change to Meet New Challenges.
Much of the hearing was spent reviewing NIH budget issues and addressing the future of NIH. Giving testimony were Dr. Elias Zerhouni (Director, National Institutes of Health), Dr. Harold Varmus (Memorial Sloan- Kettering Cancer Center, former NIH director) and Dr. Harold Shapiro (Princeton University, Chair of the National Academies Committee on the Organizational Structure of the NIH).
Representative Joseph Pitts (R-PA) raised the old issue of funding the studies cited in the Toomey Amendment, asking if there was a mechanism in place at NIH that would allow for disputed research to be discontinued. Also speaking out against the peer review system were Rep. Michael Ferguson (R-NJ). Dr. Elias Zerhouni told the representatives that the peer review process has integrity and "…we have to believe that these processes are working." Representative Henry Waxman (D-CA) spoke out in support of the current peer review system, emphasizing the importance of not allowing political ideology to interfere with the nation's health research.
"Hit List" of "Questionable" Research Made Public, October 27
On October 27, Rep. Waxman continued to tout the importance of the peer review system and the need to keep ideology separate from science in a letter to Secretary of Health and Human Services Tommy Thompson. The letter, sent from Rep. Waxman as Ranking Minority Member of the House Committee on Government Reform, was in response to the recent distribution of a "hit list" of 157 federally-funded researchers sent to NIH by Congress. At the moment, the ultimate purpose of this list is unclear, but according to Rep. Waxman, researchers whose names appear on the list are being contacted by NIH and are now afraid that they will be targeted for withdrawal of funding. The research at issue appears to consist of topic areas that have been recently denounced by Republican congressional members. An excerpt from Rep. Waxman's letter reads:
"The subject areas of the grants generally cover HIV/AIDS, human sexuality, and risk-taking behaviors. These include grants to educate college students about sexually-transmitted diseases, study female condoms, understand the natural history of cancer in men with HIV, help prevent suicide in gays and lesbians, identify risk factors for sexually transmitted diseases, decrease HIV-related stigma, and fight HIV transmission among rural drug users."
According to the latest reports, the conservative Traditional Values Coalition is responsible for the creation of the list. Once they compiled the list, which contains information only available to HHS employees, the coalition handed it over to Republican members of the House Energy and Commerce Committee. The coalition's executive director, Andrea Laffterty, has called the grants in question "a total abuse of taxpayer dollars." HHS officials have denied any involvement in the creation of the list.
October 28, Rep. Waxman sends second letter to HHS
Rep. Waxman's original letter to Secretary Thompson was sent before the involvement of the Traditional Values Coalition in the creation of the NIH list was know. This second letter asks Thompson to continue the investigation of potential HHS involvement in the creation of the list and to document any communication between HHS officials and the Coalition since 2001.