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Sen. Baldwin with opening statement: "if this administration has its way, it will dismantle biomedical research enterprise...w/o NIH there would be no cancer immuno therapy, no overdose reversal treatment...Congress has spent 100 years building up NIH as the world's premier biomedical institution."

Sen Collins: 19 billion reduction (40%) is disturbing and would undo years of investment, delay and stop effective treatments and cures from development. We also risk falling behind China and other nations increasing investment in biomedical research.

Collins: "Why is the administration proposing to cut the funding to the Nat Instituties of Aging when we are making progress on dementia?"

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JB: says he supports a "wide range" of hypotheses on dementia. We still don't have a sufficient way to manage, prevent, and cure the disease. Committing the US to being the leader in the world. Notes the budget "is a collaborative effort" between congress and Administration.

Collins: NIH announced 15% IDC for grantees. This is poorly conceived & is harmful. Leads to brain drain, halting clinical trials, abandonment of research. Against federal law! Alarmed that after commitment during your hearing, this remains in the proposed budget. considering other models of IDC?

Baldwin: Raising the alarm about NIH grantmaking being behind normal pace. Currently 3 billion dollar behind year to date. WHO is withholding this funding? JB: Changes in priorities (He made those decisions). Institutions (administration, temporary).