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How a Harvard scientist built a database of 2,100 grant terminations.

May 27, 2025
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Morning Rounds Writer and Podcast Producer
Good morning, I hope you had a nice long weekend. I spent it working on my first (baby-sized) quilt, playing soccer, and eating lots of good food. But now it's back to the news.

science

NASEM headed for 'a fairly radical downsizing' 
Marcia McNutt stands at a clear glass podium, speaking during the 2024 Nobel Prize Symposium at the Swedish Embassy in Washington.

ALLISON ROBBERT/AFP via Getty Images

The National Academies of Sciences, Engineering, and Medicine is preparing for a major reorganization as it tries to reduce overhead amid big losses in funding from the federal government, STAT's Megan Molteni exclusively reported at the end of last week.

Facing a shortfall of roughly $40 million in terminated contracts, the nation's leading advisory body on issues of science and technology has already had to lay off 50 of its 1,000 employees and could lose as many as 250 more by the end of the summer, National Academy of Sciences President Marcia McNutt (pictured above) told Megan in an interview. Read more about the organization's plan for the future, and how a ChatGPT summary initiated a wake-up moment for McNutt.

And there's more from Megan: Last week, she attended the Global Observatory for Genome Editing international summit here in Cambridge. She wrote about how the event's organizing committee called for a charter on emerging technology and human dignity, with the goal of encouraging scientific advances for the public good


behind the scenes

A scientist on co-founding the Grant Watch database

Grant terminations used to be a rarity for academic researchers, often reserved for cases of fraud or data manipulation. Now, just months into the second Trump administration, more than 2,000 grants have been terminated, totaling around $9.5 billion. Two scientists — Scott Delaney and Noam Ross — took it into their own hands to document the government's actions. They've combed government sites and crowdsourced submissions to create what may be the most detailed, public account of the NIH's halted projects. 

"It's really important to document and establish what happened in the first place," Delaney said in an interview with STAT's Anil Oza. "Because the government has taken steps that obscure that record." Read the conversation to learn more about the origins of the database and Delaney's plan for its use in the future.


first opinion

The fundamental truth biohackers misunderstand

If you listen to everything that biohackers and longevity seekers say online, your head might start spinning with all the ways you're failing to measure and optimize every single bodily function. As a doctor, Alex Harding worries about how patients will interpret some of the far-out claims these influencers make online. And as a biotech executive, he's learned how hard it is to precisely control biology. 

The error biohackers make, Harding writes in a new First Opinion essay, "is to assume that the biological processes in your body are just as predictable and controllable as transistors on a microchip." Two major factors complicate that idea: randomness and luck.

Read more in Harding's essay on the complexities of our bodies. Then, you may want to revisit a 2023 story from STAT's Jason Mast on how the longevity field began to recast its work as serious science



looking forward

Baby KJ is doing well. Now what?

Father-Kyle-Playing-with-KJ-post-infusion-768x432

Children's Hospital of Philadelphia

At just 6 months old, KJ Muldoon received a gene editing treatment custom-built to correct his unique mutation. He's not cured, but he has been able to resume a normal diet and is no longer on the path to a liver transplant.

The news could not have come at a more welcome or more jarring time for the field, Jason Mast reports. For three years, gene editing has seemed in free fall, riven by layoffs, closures, shuttered programs and sinking stock prices. The smile on KJ's face (he's pictured above with his father, Kyle) serves as a reminder of what a decade of advances could deliver. 

But what comes next? In his latest story, Jason lays out both the optimistic case, and a pessimistic one. The pessimistic case is pretty straightforward: This approach can't be used (yet) for the vast majority of genetic diseases. When it can be used, it's expensive. ("Many millions" was one executive's guess for how much KJ's therapy cost.) Read Jason's story for more details, and for the optimistic view on the future of gene editing.  


lawsuits

Point Harvard: Court orders government to restore articles on LGBTQ health

In March, I (Anil) reported on a suit being brought forth by two physicians at Harvard Medical School over research papers of theirs being removed from a government website. Late Friday, U.S. District Court judge Leo T. Sorokin ruled in favor of the Harvard researchers, granting them a preliminary injunction that calls on the federal government to restore articles that were taken down.

The suit was filed over two papers that were removed from PSNet, which posts papers on patient safety, because they included the terms "LGBTQ" and "trans(gender)." The plaintiffs argued that the action violated the First Amendment, as well as the Administrative Procedures Act, which governs the way federal agencies are supposed to proceed when creating or changing regulations.

The decision represents a victory for researchers seeking reprieve from the Trump administration's targeting of research, and particularly research on LGBTQ+ populations, as several cases related to medical research make their way through the court. — Anil Oza 


trends

Increasing excess deaths in the U.S. over time

A graph shows the years 1980 to 2023 on the x axis, and the number of excess deaths by the thousands in the U.S. on the y axis. Excess deaths were slightly in the negative at first, but then steadily inclined over the decades until peaking during the pandemic in 2020 and 2021. JAMA Health Forum

Over the last forty years, mortality rates in the U.S. have eased at slower rates than in other high-income countries. A new study, published Friday in JAMA Health Forum, illustrates just how wide the gap has become: Researchers found that between 1980 and 2023, there were about 14.7 million excess deaths in the U.S. — meaning that's how many more people died here as compared to 21 other high-income countries with consistently lower mortality rates. 

The graph above illustrates how excess deaths in the U.S. peaked during the pandemic in 2020 and 2021, but the trend was clear long before that. Study authors pointed to overdoses, firearm injuries, and cardiometabolic disease as likely drivers of the widening gap between the U.S. and other countries. "These deaths highlight the continued consequences of U.S. health system inadequacies, economic inequality, and social and political determinants of health," they wrote.


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What we're reading

  • The radical development of an entirely new painkiller, The New Yorker
  • For many hospitals, a surge in patients leads to windfalls, STAT

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