peter: and you served from 2009 to 2021 as director of nih.ou worked for three presidents, oba, tmp, biden. is there a difference when the administrations would change? dr. collins: yeah. different administrations had different power structures in terms of who is interested in science. as the nih director, you report to the secretary of health and human services, so it was helpful to have somebody there whwas interested in biomedical research, and fortunately there almost always was. and obviously it's a good thing if the president is also somebody who has an interest in science and is likely to reach out to ask for scientific advice written trying -- advice when trying to make a decision involving that. there were differences between presidents in terms of the way they approached those issues, but frankly, the more important part of the government relationship for me was the congress, because nih really succeeds or flounders on the basis of the budget that the congress is able to give it. if budgets are in a fairly stable place, we can encour

nih. the american academy of pediatrics this lives the bermuda trial angle of medicine. we need scientific standards because when we issue edicts and recommendations based on a gut feeling, we have a lousy track record. and when we use good, we shine as a profession, help a lot of people. yeah, just following on that, it's important know we spend a staggering amount of money on delivering health care and very very money studying what actually works and disseminating information what actually works and equally importantly what doesn't work. i want to start going to questions and by the way, those people watching on youtube, facebook x or on our website you can submit your questions use the hashtag hashtag cato health if you on x but do have one online question then we'll take questions in the audience as well. richard lauren. he's in south carolina asks quote much of medical and psychological research fails to replicate. when we performed how many physicians that have training evaluation of research protocols versus the great bulk who rarely read past the abstracts are qu

but the reason moderna was able to ship vaccines for clinical trials within a few short weeks of nih identifying the stabilized spike protein that the vaccine needed to produce, the reason that happen so quickly was dan in darpa had that kind of foresight. so i think it is a great example of understanding national security in a broader context that reflects today's realities and secondly it gets right back to what government and industry do together that they cannot do separately. prof. miller: every decade of history, darpa has a story like that. dr. prabhakar: that is actually the job description. a former darpa director told me that darpa gets all of its resources and support, which both of those are important, and he said all you have to do is do one to two things per decade. prof. miller: i think darpa is one of probably the few institutions around this town that has almost unanimous support in terms of its accompaniment because of its track record. it is a better track record that many venture capital firms have to be sure. dr. prabhakar: yeah. prof. miller: what explains that

the judge of the nih case called this reference to the university quote unquote explicit exception tohe supreme courtth broader ruling in the abortion case directly on point and reaching his own decision invalidating the regulation. although both the supreme court and district court floated this decision to support the analysis neither included its reference to academic freedom as a special concern of the special amendment or academic freedom at all. now in many other cases including ones involving federal regulation and statutes the courts have referred explicitly the academic freedom as a first amendment right of both the professors and universities as institutions. but these decisions while clearly establishing academic freedom as a first amendment rights, have not clarified its meaning. many judges themselves have complained. so i think, in closing, at convincing academic freedom must differentiate from general first amendment rights of free speech whileil explaining why it fits within the first amendment. if you do academic freedom is sending us free speech is no need for separat

officer to review and block publications of research by professors funded through nih grants. the judge pointed out that a recent supreme court decision, while upholding government regulations, prohibit acting doctors from discussing abortion with patients in federally funded family planning clinics. this judge took pains to emphasize that the government cannot always control the content of the speech and programs it funds. the supreme court invoked the university as one of its two examples, observing that many of its previous decisions had recognized the university as a traditional sphere of free expression. fundamental to the functioning of our society. the judge in the nih case called this reference to the university a quote unquote explicit exception to the supreme court's broader ruling in the abortion case and directly on point in reaching his own decision, invalidating these regulations. now, although both the supreme court and the district court quoted this key issue in decision to support the analysis, neither included its reference to academic freedom as a special co

right now, the nih is also investing in the brain initiative.o figure out how the 86 billion do what they do. some of what they do is to process music in a way that touches your very soul. a way that if we understood it better, we could make this an even more effective healing opportunity that does not require you to take a pill. in building a lot of researchers from these organizations it is ready to push this. as far as we can. perhaps try to train a whole new generation of investigators that are equally excited. it is not hard to find that. scientists tend to be musically interested. we have the critical mass potential, we just have to merger it and make it happen. >> your enthusiasm is electric. also gave men the opportunity to know 86 billion. >> each one of them has about 1000 connections. this is the most complicated structure in the known universe. >> that is dynamite. >> i love this. >> is an artist from the twin cities, living there i have had the opportunity to attend events where they start with a sound that. sound bathing, for those

those things are inherently tied together. >> nih has dramatically gone over that same period. the share of that portfolio has -- at least that is one way to get a little bit more insight into what is inside that black box. >> one other bigger point to this is military spending and federal share of r&d is going down but the total percent of r&d per gdp, the overall level is at the highest it has ever been. we are now at like 3.6% of gdp and at the time of apollo it was 2.8%. the entire nature of it has changed which is important. there are reasons why like bell labs don't really work anymore. ethic it also puts a lot of emphasis as we talk about r&d, about the start up system and the startup ecosystem, there are a lot of new interesting tech issues. we have all done important fundamental work to push that but that is part of this conversation, that the american innovation and ecosystem looks very different than it did in the 1950's and 60's postwar and i think we need to embrace that and try to write policies to help build that. >> there still is no consensus, when people talk

he's also made comments about overhauling research at the nih, including stopping all infectious disease research there, which really puts public health experts on edge as we've just come out of the covid, pandemic and covid of course, is still with us. and there are other public health threats. and what they really note in conversations i've had over the last couple of days with people and public health. is that the thing they worry about the most with robert f. kennedy taking a potential health leadership role in a trump administration is actually the thing he's not talking about in the most recent weeks as part of his make america healthy again, platform and that of course is vaccines. that's the thing everybody associates. robert f. kennedy within the health space. his son and a lot of doubt and mistrust around vaccines and they're really worried that that could lead to people not wanting to get vaccines. a lot of misinterpretations of science or blocking of science from getting to folks and could lead to an outbreaks of diseases that we have tried to put in fast. yeah. and meghan, i

promised me, is control of the public health agencies, which are hhs and its sub-agencies, cdc, fda, nih, and a few others. and also, the usda, which is, you know, key to making america healthy. >> reporter: trump seemed to back that up over the weekend at madison square garden. >> i've been friends of his for a long time, and i'm going to let him go wild on health, i'm going to let him go wild on the food. i'm going to let him go wild on medicines. >> reporter: trump's campaign in a statement says that no decisions have been made about cabinet picks, but again, just days ago, the former president said that he would let robert f. kennedy jr. go wild on food and health, if he were to be ree legged and win the white house. the former president has a rally here in green bay, wisconsin, tonight, before heading out west, david. >> david: rachel scott, thank you. six days to go. our thanks to you and to mary tonight. >>> to the other news tonight, and to the tornado watch this several states, as we're on the air at this hour. millions on alert for severe weather. dark skies right here over okl

. >> and its agencies cdc, fda, nih, and a few others. and then also the usda, which is, which is key to making america healthy. >> cnn medical correspondent meg tirrell is with us now. meg, you've been looking into rfk jr. stance on health policies, talking to experts who are very concerned. what did you find? >> yeah leaders in the public health space have been telling me it would be disastrous for public health if robert f. kennedy takes any sort of leadership role in that realm, specifically because of his history of spreading false and misleading statements about the safety of vaccines. they warn we could see a resurgence of preventable diseases like polio and measles we've also heard from robert f. kennedy directly that he wants to gut parts of federal agencies. he tweeted on friday about the fda that they've quote, aggressively suppressed things like psychedelics, raw milk, ivermectin, clean foods sunshine, an exercise. he says, if you work for the fda and are part of this corrupt system i have two messages for you. one, preserve y

the problem is we tend to have this sort groupthink and we focus on what the nih tells to study or what pharma us to study. well pharma takes a drug like maquina and you get one positive trial. one thing that shows maybe there's benefit ignore the fact you need to repeat a study in order to make a definitive conclusion. and so there was a feeling that mekhennet could prevent preterm labor and so the bandwagon effect took off eventually. the repeat study was done. it showed no benefit zero. but that didn't the bandwagon it just going on and medicaid was paying for it and at one point i believe the company actually told medicaid. well, sure can take it off the market. i understand you need to take it off the market, but let medicaid beneficiaries keep getting it and this was the sort of, you know, saw in clear view kind of holding on to any shred of life they can get out of a product. but you also talk about how the elite institutions and establishments to close ranks. when someone challenges this the the narrative that was the case in the peanut allergy another omega we were talking abou

of the alphabet soup of what is under those critical agencies we know of like the cdc, the fda, and nih rfk has been one of the leading proponents pushing anti-vacs conspiracies over the years is rfk helping donald trump by promoting this even if this has been discussed, know and when these people like this, when they are the topic of conversation, there distracting from what the camera payne wants to talk about, i would say one of the good things about donald trump is that he doesn't always follow through on the promises that he makes if he made this one as a catholic, i think of what we say quite often during mass lord, have mercy, because if this were to happen, i think would be a terrible direction for the country and health care like rfk jr.'s disaster is the same man who tried to frame black and brown people for a murdered in and commit people. forget that truth about him. he has no business to be around health care. it's part of the reason why his entire family has endorsed our campaign and shout out to families and all today's my brother's birthday. son will be a good son and th

eventually like in the mrna vaccine case, a really important moment was when we proved enough that nih said we need to partner with moderna to start moving into the real world. that is what those steps look like. again, we are talking about darpa, but president biden started this for health, recognizing that kind of high-impact orientation was something we need to bring to the challenge of health outcomes for americans. and taking those methodologies and adapting them to a very different set of issues, different science base, different technology issues, very different ways to achieve impact. but i think there are many elements of that model with energy have been successfully adopted, which is great to see. prof. miller: i guess that points to the question of how easily we can scale our r&d structure. you called for spending more. are we convinced it would be useful? dr. prabhakar: i think we are in a deficit right now so we have to do some fixing up. the thing that is really boring to everyone but has to happen, which is making sure we have facilities and infrastructure that work. i g

that he took the vaccine and then developed long covid symptoms afterwards which is something that the nihdmitted that was true. this is the problem with the whole thing is that government agencies have policies that they want people to follow. they want people to get the vaccine. so rather than targeting -- they have this idea of now information which is true but politically unhelpful. so, they will go after posts that they say will promote hesitancy. that can mean something that is true like for instance somebody who gets the shot and get sick. but, it will tend to promote hesitancy if you printed. and that is not how the media is supposed to work. i was raised in a media system where it is true it is a good story. we do not really care about how you interpret it. our business is to decide whether it is true or not. we put it out, and we trust the public to make good decisions. this new system of censorship assumes that the public cannot handle true information. so it tries to make the political decision ahead of time, and that is why it is faulting -- faulty. host: you started racket ne

promised me is control of the public health agencies, which are hhs and its subagencies, cdc, fda, nihand then also the usda, which is -- which, you know, is key to making america healthy. [boos] >> ronny: great. that sounds like healthiest man in america, everybody! "you too could sound like this." "when i am in charge of everything." to be fair, rfk jr. is actually pretty healthy. i mean, he's 70 years old. that's, like, 850 in kennedy years. but still, how is this guy going to be in charge of food quality? i mean, they found a dead worm in his brain! so even his skull can't get higher rating than a "c." of all the characters in this election, this guy is the scariest. because he doesn't believe in vaccines or pasteurizing milk! he thinks anti-depressants cause school shootings and that covid was engineered to not affect jews. he thinks chemicals in the water make kids trans. and trump is going to put him in charge of all health and food and medicine? surely, trump will at least put some limits on what he can do, right? like, donald, you're not just going to let this guy go wild, are

senator bernie sanders weighs in on harris, his path to victory, state of the union, live this morning at nih this morning. >> it is sunday, october 20. thanks for being with us. i'm amara walker. >> i'm victor blackwell, our colleague, kaitlan collins is in tel aviv this morning with new developments out of the middle east will checked with her in just a few minutes and we begin this morning on the campaign trail election day is just 16 days away and the candidates are sharpening their attacks on each other. >> voting is also already underway in most states with nearly 12 million ballots cast so far, the election could ultimately be decided just a handful of battleground states. and that is where both campaigns are focusing their efforts. >> vice president harris will attend church services outside of atlanta. tim walz was starting his day attending church in michigan former president trump will hold a town hall and lancaster, pennsylvania, jd vance are tens of packers game in green bay and a campaign event yesterday. harris campaign to detroit and atlanta, to cities we're driving up turnout

i think that it cleaning up the fda, nih, and cdc is one of the most important things right now for people'slth. 95% of c-span callers just regurgitate what is on the mainstream media. if you could have a show where they -- only people get their news from truly independent news people it would be an interesting show. but, i think kennedy and his website the children's health defense has a lot of good information. maybe we could talk on how kennedy could not get off the bat it and wisconsin? thank you. guest: robert f. kennedy, jr. submitted paperwork to be on the ballot as a presidential candidate in wisconsin. after he did that, he suspended his campaign. he supported president trump. then he asked or attempted to have his name removed from the ballot. but, wisconsin law says once you have submitted the paperwork and it has been approved for you to be on the ballot the only way you can get out -- off the bat it is if you die. he filed a lawsuit. it went to the state supreme court. and as i mentioned earlier the supreme court is controlled by liberal justices. the ruling that upheld his rema

the fda, nih, and cdc came out and found no linkage or conclusive evidence that abbott's formula cause the illness. they lost a case and i think they could lose another one but these comments could turn the tide in their favor going forward which would be worth a great deal to this $116 stock. please don't forget. i will go over these, when i see myself it is awkward. we have the cnbc investing club meeting on wednesday. we will be awfully busy. there's a host of things to say about the fourth quarter. you will want to watch. i promise to keep it rolling. on thursday, taiwan's semi conductors. this is the company that manufactures nvidia chips. the times are different. forget the alarm. i just won't go to sleep. then we get results from netflix. the street has been all over the place with this one. i think it will be good because of the new at tier and they are about to release squid gain 2. i'm told it will be a guaranteed blockbuster with subscribers around the globe. friday we hear from procter & gamble. last quarter there chinese numbers were terrible. the stock went up to 171. we

has promised me is control of the public health agencies which are hhs and its subagencies, cdc, fda, nihothers, and then also the usda, which is -- which, you know, is key to making america healthy. >> now, kennedy, of course, a voket support of the growing anti-vaccine movement, a dangerous movement. kennedy has also promoted baseless conspiracy theories about america's pharmaceuticals and agricultural standards. the trump campaign is pushing back on kennedy's claim he was promised control. telling this to "the new york times." president trump announced a trump-vans transition leadership group to initiate the process of preparing for what comes after the election. but formal discussions of who will serve in a second trump administration is premature. but kennedy's statement seems to have been confirmed by trump himself. during his controversial madison square garden rally over the weekend, the former president said he would let kennedy, quote, go wild on health. >>> still ahead here, america's team. the los angeles dodgers wins the world series after a fifth inning collapse for the ages

and i basically called the leaders of the nih to study these illnesses, leaders of major psychiatric departments and big medical centers, i called all these people and they said if you have any stories that you think would be illustrative of the complexity of these stories, would you mind sharing my letter of invitation to? be part of the book? ? they said, i will let you know, i will share your letter and if they are interested, i will put them in touch with you. h so there were no issues ofi -- no issues of hippa, all of these people were contacted by their clinician. peter: you wrote that the book was inspired by simone biles. patrick: people were like, why can't she get on that balance beam, why can't she do her tremendous athletic prowess? she is admired throughout the world. she said, i have a mental health issue that prevents me from doing that. and people were critical at the time. we just don't get it, you are an olympian, you know how to do this, perform, please. what i thought it indicated was that people do not have an appreciation for these illnesses and in her case, as

[cheering and applause] fda, nih, cdc and at the cia.e] and don't you want a president who will make america healthy again. [cheering and applause] and don't you want to president it will make america great again ? [cheering and applause] we need to go to the polls on november 5 and vote for donald trump. god bless you and god bless america. [cheering and applause] ♪ >> robert f kennedy junior who shocked many in his party and in his own family when he endorsed donald j trump for president. one of the speakers at the trump rally in madison square garden in midtown manhattan will be taking a number of the other speakeasies -- speakers as this rally goes along including the former president himself. one of the speakers about to take the podium. you see right there, a name that you know well. tucker carlson. you see him. he has his microphone and he is the next one up. let's get ready to listen to what tucker has to say. this is all coming to you live from madison square garden. the world's most famous arena in midtown manhattan. about 20 b

just on who wins that election, but then who they put everything you can think of from the cdc to the nih, the supreme court and all those things. and so that is really a really key part of this story, is like how do we fund social issues now for the gun siege? i was saying that i have idea of kind of gun safety, entrepreneurial ism. and so the research that i'm kind of using and again, i have no answer like this is a hard this is a hard problem i'm trying to get people first to think differently. my goal of this book is not to say, and therefore, we're going to do this thing, although, hey, if one of these things takes off and i can trademark it and get you know, no, but but i'm but it's more like i just think we need to understand how got here what the problem is a little bit better and so i'm trying to say look like as one example people like me for years called it common sense gun reform and that i interviewed all these people in the south they're like, i believe in autonomy are you saying i don't have common sense because i don't agree with and entering my name into a government data

there are lobbyists today who try to make the world a better place by getting more nih funding for breast cancer research or other good causes. there are people who say, they are going to try to work to make the country better. we are seeing people are so outgunned by the corporate lobby that it so much harder for them to get things done. >> that definitely comes true in your book for sure. certainly the characters in the book don't seem like they are coming at it from a good place. now that your book is out, if there any story that you wish could have been included? >> i think i am writing another book. but there are a ton of lobbyists who i try to write about who i thought would be fascinating who didn't quite fit in our book. we wanted the book to be as easy to read as it could be. and we have find main characters. i felt like six or seven or om eight was too many. but definitely some highflying lobbyist who i wanted to include but i might include them in a different book. >> did you do a testing-- casting call? >> we tried to put together a puzzle, which lobbyist fits and which don't.

those things are inherently tied together. >> nih has dramatically gone over that same period. the share of that portfolio has -- at least that is one way to get a little bit more insight into what is inside that black box. >> one other bigger point to this is military spending and federal share of r&d is going down but the total percent of r&d per gdp, the overall level is at the highest it has ever been. we are now at like 3.6% of gdp and at the time of apollo it was 2.8%. the entire nature of it has changed which is important. there are reasons why like bell labs don't really work anymore. ethic it also puts a lot of emphasis as we talk about r&d, about the start up system and the startup ecosystem, there are a lot of new interesting tech issues. we have all done important fundamental work to push that but that is part of this conversation, that the american innovation and ecosystem looks very different than it did in the 1950's and 60's postwar and i think we need to embrace that and try to write policies to help build that. >> there still is no consensus, when people talk

she held in nih a fellowship here to research became her pathbreaking award winning 2016 book the slaves cause a history of abolition. her previous book, counterrevolution of slavery, was named one of the ten best books on slavery by politico in 2015, and her brand new book, still very new. it's only about two months old. is the rise and fall of the second american republic reconsider russian 1862 1920. so we have to fantastic scholars of 19th century america here this evening and i'm delighted to turn the podium over to jonathan schroeder schroeder. thank you, scott, for that gracious, amazing story. and that does not this is your make. thank you, scott, for that amazing, gracious introduction. and thank you so much for this invitation. the american antiquarian society is, one of my favorite places and many, one of my favorite people. so i feel like this is just a dream to be back. tonight i'm going to about john swanson jacobs's remark autobiography, the united states governed by 600,000 despots this long lost narrative, which i found nearly eight years ago, is finally in the world aft

she held in nih a fellowship here to research became her pathbreaking award winning 2016 book the slaves cause a history of abolition. her previous book, counterrevolution of slavery, was named one of the ten best books on slavery by politico in 2015, and her brand new book, still very new. it's only about two months old. is the rise and fall of the second american republic reconsider russian 1862 1920. so we have to fantastic scholars of 19th century america here this evening and i'm delighted to turn the podium over to jonathan schroeder schroeder. thank you, scott, for that gracious, amazing story. and that does not this is your make. thank you, scott, for that amazing, gracious introduction. and thank you so much for this invitation. the american antiquarian society is, one of my favorite places and many, one of my favorite people. so i feel like this is just a dream to be back. tonight i'm going to about john swanson jacobs's remark autobiography, the united states governed by 600,000 despots this long lost narrative, which i found nearly eight years ago, is finally in the world aft

call out to all of my friends to help me find stories and i basically, i called the leaders of the nihese illnesses. the needers of major psychiatric, you know, departments and big medical centers, i call all of those people and said if you've got any stories you think would be illustrative of the complexity of these illnesses, would you mind sharing my letter of invitation to be part of this book? and they said, i'll let you know. i'll share your letter, and if they're interested, i will put you in touch with them. so, there was no issues of hipaa or anything like that. all of these people were contacted through their mental health clinician and 90% plus of the cases here. >> you write that the book was inspired by simone biles? >> well, as you know, simone, people were like, oh, why can't she get on that balance beam? why can't she do her tremendous athletic prowess and, you know, she's just admired throughout the world. and she said, well, i have a mental health issue that prevents me from doing that. and people were critical at the time. they're like, we just don't get it. you're a

just on who wins that election but who they put into everything you can think of from the cdc to the nihto the supreme court and all those things so that is a really key part of this story. how do we fund social issues? for me the idea of gun safety entrepreneurialism, the research i am using, i have no answer. this is a hard -- i'm trying to get people first to think differently. my goal is not to say therefore we are going to do this thing all the if one of these things takes off and i can trade market, need to understand how we got here but the problem is a little better so i am trying to say as one example people like me called it common sense gun reform and i interviewed these people who are like i believe in autonomy, are you saying i don't have common sense because i don't agree with entering my name into a government database when i purchase a gun, i don't trust the government in the first place? even the framing we use is antithetical to many people we are trying to convince with our intervention. part of the story of the book is not to be intervention a list blow i am in the en

holdup that's a good question i understand that they're still in talks to do this, but time is drawing nih. >> and so far, we haven't seen much of anything in the end. the trump campaign operates on the rhythms i think candidate, which can sometimes be rather erratic as we saw last weekend, he really sort of went off script talking about the golfers, man whom we remember we remember yes like not a typical campaign, then he winds up at this sort of photo done a tossing fries around it mcdonald's. so this is not a typical campaign that operates on typical rhythms at meanwhile, though the past few days have been sort of a rough go for the former president just for what you've advertised here, for instance the, or spoken about here, the accusations against him for groping a woman is former chief of staff saying that he was admiring hitler. so it's been a really, really tough go for the former president and they are looking to get a little bit more back on track and seize more of the message. but so far that hasn't having the past few days. >> we'll see what happens. only got a few days left in

has promised me, is as control of the public health agencies which are hhs and its agencies cdc, fda, nih, and a few others. and then also the usda which is, which is key to making america healthy and if you think he's making that up, i'll just read what trump said tonight. >> he says, i'm going to let him go wild on health i'm going to let him go wild on food. i'm going to let him go wild on medicines if somebody explain to me why that makes any sense it doesn't make any sense, honestly, at the end of the day that is terrifying. that thought is terrifying is the guy that was banned from meta for disinformation about madison's, this is a guy that was pulled offline because of his massive disinformation about the vaccines frank covid. this is a guy who by the way, vaccines, even long before long going before, and like claimed or compactness, just someone with a child in school. i'm sure a lot of americans have children in school. the idea of having vaccine mandates for all diseases pulled from schools. we're going to have a resurgence of smallpox, of measles, polio. why would we do that? t

and it's agencies cdc fda, nih, and a few others. and then also the usda which is, which is key to making america healthy mr. medical license and has made this is what he said, kind of a deranged remark about coronavirus in fact night, there's an argument that it is ethnically targeted 19 sir great proportion of covid-19 is targeted to attack caucasians black people, the people who are most are ashkenazi jews and and chinese i mean, there aren't even words to describe what hackery that is wildly inaccurate plenty of chinese people, plenty of ashkenazi jews died because of coronavirus actual medical professionals are sounding the alarm about rfk jr. playing any sort of role in health care with this country. >> cnn's medical correspondent, meg tirrell is with me. meg, tell us more about what medical experts are saying about there concerns here. >> yeah. jake uniquely dangerous is one line that i heard from jason schwartz, who is a professor of public health at yale. devastating to public health as the way dr. michael osterholm at the u

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