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People I (Mostly) Admire

129. How to Fix Medical Research

People I (Mostly) Admire

Freakonomics Radio + Stitcher

Society & Culture

4.61.9K Ratings

🗓️ 13 April 2024

⏱️ 56 minutes

🧾️ Download transcript

Summary

Monica Bertagnolli went from a childhood on a cattle ranch to a career as a surgeon to a top post in the Biden administration. As director of the National Institutes of Health, she’s working to improve the way we find new treatments — despite regulatory constraints and tight budgets.

Transcript

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0:00.0

My guest today, Monica Burton Yoli is a surgeon by training and the former head of the National Cancer Institute.

0:10.0

Currently, she heads the National Institutes of Health, the NIH, as it's called, is the biggest

0:16.0

funder of basic medical research in the world.

0:19.8

There are so many marketed today, but we really do have a log jam when it comes to the ability to conduct clinical

0:36.6

research, particularly randomized clinical trials. Welcome to people I mostly admire with Steve Leavitt.

0:50.0

It's a long way from the operating room to the boardroom managing a 50 billion dollar budget

0:57.0

and I'm curious to hear about both those sides of my guest today.

1:00.0

My challenge will be that people who hold political positions

1:03.2

they often feel constrained about what they can say.

1:06.7

And I'm hoping we can at least talk about some important topics like

1:10.0

how the NIH funds research, big pharma,

1:13.2

and how she deals with the current politicized atmosphere.

1:20.6

You grew up on a cattle ranch in Wyoming and I've looked at the map. It must be one of the most

1:26.4

isolated places in the United States.

1:29.8

It was to me the best place in the world to grow up. It's at 9,000 feet in

1:36.0

elevation in the Wind River Mountains. From the house it was 18 miles of dirt

1:41.4

road just to get to a highway and 98 miles from the nearest town and

1:46.4

when we got to be school age my mother would move down to the town of Rock Springs in southwestern Wyoming and that's where we went to school.

1:57.0

The few kids I've known who grew up on a family farm have described their youth as harder work than they've ever done at any other point in their life.

2:06.1

Was that your existence or were you allowed to be a kid?

2:09.1

Well, a little of both.

2:10.8

The thing about growing up in an agricultural family is that your mother and father's

...

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