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In Reply I agree with Dr Moyé’s point that it is important that the business of research be a smaller proportion of the NIH dollars. But it cannot simply be that research institutions absorb more costs. The NIH too must try to streamline the paperwork and bureaucracy of actually receiving a grant and complying with all of its requirements. This would be consistent with President Obama’s executive order to reduce the burden of regulations.1
Emanuel EJ. Reductions in Funding for Medical Research—Reply. JAMA. 2013;310(8):856. doi:10.1001/jama.2013.170807