From the point of view of the establishment, the barbarians are well and truly inside the gates, as President-elect Donald Trump has nominated Stanford epidemiologist Dr. Jay Bhattacharya as the next director of the National Institutes of Health:
Dr. Jay Bhattacharya, Donald Trump’s nominee as Director of the National Health Institutes.
Photo by Taleed Brown, 2020, via Wikimedia Commons.
Four years ago, Jay Bhattacharya was ostracized by his colleagues at Stanford and censored on social media platforms thanks to a campaign against him by the public-health establishment. The director of the National Institutes of Health, Francis Collins, sent an email to another NIH official, Anthony Fauci, urging a “quick and devastating published takedown” of Bhattacharya and his fellow “fringe epidemiologists”.
Bhattacharya is far from the fringe today. Donald Trump nominated him this week for Collins’s old job, director of the NIH. Assuming the Senate confirms him, it will be a major victory for science and academic freedom — and a serious threat to the universities that suppressed scientific debate and promoted disastrous policies during the pandemic, causing public trust in science to plummet. Academic researchers and administrators have mostly refused to acknowledge their mistakes, much less make amends, but Bhattacharya promised yesterday to “reform American scientific institutions so that they are worthy of trust again”.
As NIH director, he would wield a potent tool to induce reform: money. Stanford and more than a dozen other universities each get more than $500 million annually in grants from the NIH, the world’s largest funder of biomedical research. The NIH grants support not only researchers but also their universities’ bureaucracies, which collect a hefty surcharge to cover supposed overhead costs. The federal largesse has helped finance the administrative bloat at universities, including the expansion of diversity, equity, and inclusion bureaucracies under the Biden administration, which took into account a university’s commitment to DEI principles when deciding whether to award grants from the NIH and other agencies.
Those priorities are about to change. Trump has vowed to rescind immediately Biden’s executive order directing federal agencies to promote DEI. During his first term, Trump threatened to issue an executive order barring universities from receiving federal funds if they suppressed free speech. He didn’t issue that order, but whether or not he does so in his next term, the NIH director will already have the power to consider a university’s commitment to academic freedom in deciding whether or not to award funds.
“For science to thrive and progress, we must be open-minded and allow vigorous and passionate debate,” says Martin Kulldorff, a former professor of medicine at Harvard. “Why should taxpayers subsidize universities that don’t allow that?” Kulldorff, an eminent epidemiologist, lost his job at Harvard after he became an early and outspoken critic of pandemic policies. In 2020, he joined with Bhattacharya and Sunetra Gupta, an epidemiologist at Oxford, to write the Great Barrington Declaration, a critique of lockdowns that was signed by tens of thousands of scientists and physicians.
Bhattacharya, who has a Ph.D. in economics as well as an M.D. from Stanford, hung on to his job as professor of health policy at the latter’s medical school, but his views were taboo on campus. After he and colleagues did a field study at the start of the pandemic showing that the Covid fatality rate was much lower than the doomsday number used to justify lockdowns, they were vilified by academics and journalists, and Stanford subjected them to a two-month inquiry by an outside legal firm. (They were vindicated by the inquiry and also by subsequent research confirming their findings.)
