Where Are the Cures?

Scientists call the gulf between a biomedical discovery and new treatment 'the valley of death.'

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  • Posted By: Ransam @ 12/28/2008 3:08:03 PM

    I hope with the new administration, things change, and that people in this country can get the treatment they need. I myself, am going to Costa Rica in a few days to get stem cell therapy for my MS. Maybe it won't be a cure, but hopefully it will alleviate my symptoms enough that in a few years, this country will get it together and find a real cure.

  • Posted By: donmargolis @ 12/25/2008 2:15:31 AM

    Reading the misinformation in some of the posts forces me to set some records straight. Though I am not a doctor, my qualifications exceed those of 90% of the very doctors who are, as Ms. Begley points out, keeping the cures from us. As accurate as your article is, Ms. Begley, it leaves out the only thing that matters: THE RULES ARE THERE TO KEEP THE CURES AWAY AND THE PROFITS IN PLACE.

    1--I founded the very first company in the world to treat dying heart patients with stem cells. Of the first 300 treated, we had a 75% success rate with cardiomyopathy, with CHF, and with severe angina. Yes, at the six month mark, 225 were living better lives---not cured, but living better lives, with more energy, far fewer out-of-breath events, and higher ejection fractions. Of course we could not do this in the USA where not only horribly out-of-date laws prefer that heart patients die under standard cardiology with its less than a 5% success rate, but those who call themselves "scientists" lie at every turn to denigrate what we and dozens of others have done???..lie with 90% cooperation by major media who would much rather you die than know the truth.

    2--To fight this I retired and started the Repair Stem Cell Institute to help sick patients who are told "there is nothing we can do." I have led dying patients to world-leading researchers who actually treat human beings with proven therapies: cancer patients to remissions, dying heart patients halfway back to normal lives, multiple sclerosis patients back to near-normal activity, autistic children to serious improvement, spinal cord paralytics away from paralysis....the list goes on and on???you can see it for yourself by visiting www.RepairStemCells.org and clicking on DISEASES TREATED.

    In the end, however, I cannot beat the billion-dollar lobby which controls both sides of the aisle in both houses of Congress plus every White House since JFK.

    You have been misled by your media to believe that embryonic stem cells are the only stem cells that work and that Repair (adult) stem cells cannot do much of anything. At first I believed that lie was merely to con the taxpayer out of funds for useless embryonic research, but I was wrong. Embryonics are useless, but the real reason for the hoax is that the worst-in-the-developed-world USA medical system (which kills a quarter million of us a year with its ???care???) DOES NOT WANT REPAIR STEM CELLS to be used ANYWHERE IN THE WORLD???..because they work, thus threatening the profits of everyone in the system. They know they can keep them out of the USA, but now they are going after other countries, buying doctors and politicians for just one reason: to keep Repair Stem Cells from destroying profits.

    For 100+ stories of Repair Stem Cell victories using real names of real patients, please visit www.donmargolis.com/blog

  • Posted By: donmargolis @ 12/25/2008 1:37:00 AM

    Reading the misinformation

  • Posted By: walesian @ 11/15/2008 1:07:45 PM

    I attended a world-wide Lou Gehrig's conference. Yes, there were several passionate, compassionate researchers there--but I came away with the impression that the research world is a comfortable life-style--cocktail parties, respect, decent salary; plus the belief that one is doing something worthwhile. It's a far-cry from the desperate situation of people actually dealing with these terrible diseases (of which my husband is one, suffering from Lou Gehrig's).

    I would also like to mention that there are extremely powerful lobbies out there which strap much research which should be taking place regarding the cause and increasing prevalence of many diseases. Consider the petroleum products which we put on our skin (and which are absorbed); the inhalation of pesticides, herbicides, benzenes, and other chemicals. Do you think these mega-corporations want any evidence that their products may be causing, or contributing to, fatal diseases?

  • Posted By: common_sense @ 11/10/2008 10:33:51 PM

    The bureaucracy is like a robot. Its main mission is to justify its growth. The cost to introduce a new drug approximates 800 million. Obviously, the cost is passed on to the customer, but it gives big pharma a virtual monopoly. New ideas are excluded and everybody???s happy, almost. The system is vicious and shameful but we vote for it again and again. Better to cut everyone???s ankles than to risk that some people are taller than you. This is the heart of the reason that it will remain unfixed.

  • Posted By: Steelant @ 11/07/2008 12:21:10 AM

    First: one thing is certain: basic research is needed and not even supported enough. These days, all I hear is that we need to move to translation, find a cure etc... How can we do this if we don't even understand how most diseases work?
    Secondly: what's not even mentioned is that scientists are a very competitve lot. I was recently at an oncology conference. The only conclusion I could come up with for this conference was that most scientists attending are 'oncotourists' and it is all about themselves. Is scientists can get together to make an attomic bomb, why can't they get together to collectively attack issues such as HIV, cancer, etc....

  • Posted By: makovner @ 11/06/2008 8:17:27 AM

    CTSAweb.org is the NIH's solution to funding translational science.

  • Posted By: husaberg @ 11/04/2008 7:42:39 AM

    As an "outsider" Ph.D. chemist I can say that there are two problems I observe as a non-tenure track faculty member with access to the NIH grant system. First, basic research is certainly the backbone of discovery. However, universities (and government agencies) have never supported APPLIED research. Applied work is viewed as some "second or third class" intellectual pursuit. Here is the real heart of the problem.

    If the only research work that is "valued" at universites and government is basic work, then the vast majority of ideas simply languishes. State and federal government don't do applied research. Companies want some workable "product" to take to market.

    It seems to me that just changing the funding won't change the hardened attitude that the only good research is basic research. In a time of dwindling dollars it would be far better for university researchers to embrace CONTRACT work from industry. Now industry can leverage the vast scientific infrastructure that exists from basic research investment. However, this is only possible when universities treat applied research and funding as worth pursuit.

    • Posted By: anniebunnie31 @ 11/05/2008 3:36:48 PM

      I completely agree. My most recent personal experience with this issue was having talked with the head of our masters program. I expressed my interest in the MD/PhD program, and mentioned how my goal is to take discoveries to the point of cures -- for this is how research can be truly validated, value given to discovery, and the world changed. The lady literally rolled her eyes and stated in the most condenscending manner I've ever been subjected to that "that's translational research, dear. We don't do that here."

  • Posted By: anniebunnie31 @ 11/05/2008 3:27:27 PM

    Way to miss the point entirely, honeykitty.

  • Posted By: honeykitty88 @ 11/04/2008 12:30:48 PM

    They ABSOLUTELY do not want to find a cure. The money is in keeping people "hooked" on drugs and hope. Torturing one animal is cruelty, torturing many animals is science. As long as these monsters who call them selves researchers insist on inflicting innocent animals with unspeakable pain and horrible lives, they will accomplish nothing. Use computer models. If you don't have one, MAKE one!! Come out of the dark ages. Use money to advance science PAST the use of animals. Or, will they continue to live by the "schoolyard bully" mentality. Might makes right? I don't think so. Every species should be allowed to live their own lives, for their own purpose as, I believe, God intended.

    • Posted By: honeykitty88 @ 11/04/2008 5:25:13 PM

      "Nothing better to do with my life"? You have just proved my point. Your reply shows your arrogance in believing that you can do whatever you want, and anyone who opposes you must have an empty, useless life. You could certainly learn even more by experimenting with people. Is your aversion to this that it would be immoral? Using animals is also immoral. Anyone who could advocate the torture of helpless, defenseless creatures will, I hope, have a special place in hell. Your attempt to assure people that the animals are treated well is absurd. You should come down off your self-righteous throne and open your eyes and ears. If you did, you would hear their screams. I have been a Humane Law Enforcement officer for 25+ years. I will repeat. TORTURING ONE ANIMAL IS CRUELTY, TORTURING MANY ANIMALS IS SCIENCE.

  • Posted By: Meagan @ 11/04/2008 2:44:58 PM

    As a person currently working in the biotech field, I have seen firsthand how difficult it is to push new treatments and lines of research forward. There are probably innumerable molecular pathways and genetic discoveries that have been made concerning disease and disorders, but the problem is there is not enough funding from NIH, NPOs and private ventures to look at each one. Another problem is. especially with private venture capital, the focus is for a one size fits all approach to potentiating treatment when the reality is, even within the same disorder/disease there is much variability on an individual to individual basis; your basic costs vs benefits ratio. This is all before bringing any new treatment before the FDA and commencing clinical trials, which takes years to complete the process. The disconnect there is between discovery and new treatments entering the market is vast and will be difficult to bridge the divide

  • Posted By: honeykitty88 @ 11/04/2008 12:32:36 PM

    They ABSOLUTELY do not want to find a cure. The money is in keeping people "hooked" on drugs and hope. Torturing one animal is cruelty, torturing many animals is science. As long as these monsters who call themselves researchers insist on inflicting innocent animals with unspeakable pain and horrible lives, they will accomplish nothing. Use computer models. If you don't have one, MAKE one!! Come out of the dark ages. Use money to advance science PAST the use of animals. Or, will they continue to live by the "schoolyard bully" mentality. Might makes right? I don't think so. Every species should be allowed to live their own lives, for their own purpose as, I believe, God intended.

    • Posted By: rhsc16 @ 11/04/2008 1:15:03 PM

      This argument is absurd. Use a computer model to conduct medical research? There are certainly times where models may be effective, but any biological system is extraordinary complex, much more so than any computer model could possibly simulate. In humans, there are well over 25,000 genes, all encoding proteins that may or may not be expressed in any given cell at any given time. There are regulatory systems (feedback inhibitions, siRNA, gene silencing) that are only now being elucidated (in the very animal models you're so against). To accurately predict any reaction using a computer model, all of this information would need to be incorporated into the programming. Do you see the conundrum here? We can't use your "computer model" without this information, but we can't get this information without doing animal research.

      As a researcher working on new drug-delivery methods for HIV-associated neurological disorders, I can tell you that researchers are not out there "inflicting animals with unspeakable pain and horrible lives" with a "'schoolyard bully' mentality". Every experiment involving animal research must first undergo thorough and extensive review, both by the Institutional Animal Care and Use Committee and by Institutional Review Boards (both of which are comprised of lay people in addition to scientists). All procedures involving animals must be conducted in as humane a way as possible, must be necessarily done in animals rather than an in vitro model, and must have promise to reach a certain scientific aim.

      People who sit around and complain about animal research don't seem to realize that the medications and procedures they take for granted are likely the result of that animal research. Ever taken ibuprofen? Had surgery? Had a vaccine? I'm betting you have. Anyone who would put the welfare of a mouse that lives for a maximum of maybe 3 years, probably doesn't even achieve self-awareness, over the welfare of thinking, reasoning, human being isn't looking out for poor, tortured animals, they're looking for a cause because they have nothing better to do with their lives.

  • Posted By: MD111 @ 11/04/2008 12:56:07 PM

    The comments about Genentech drugs are true. They have created 2 or 3 groundbreaking cancer treatments in the last five years. They are highly innovative and and patient centered. Unfortunately they have done a bit to well and now they are the target of a takeover by a large Swiss pharmaceutical company called Roche. Roch has a reputation for destroying anything it swallows and Genentech should be no exception. Genentech's innovative culture is at risk of coming unraveled and patients will suffer if this happens. This company is the pioneer of the biotech industry and should be protected as a an asset too important to loose. Write your congress person. Let Roche know they should keep theri hands off.

  • Posted By: fedrelations @ 11/04/2008 11:12:18 AM

    The NIH model seems to heavily favor more fundamental research and the most expensive solutions to many of our disease challenges and does not adequately fund treatment, prevention and wellness strategies that would bring the cost of disease care down. As an example, it's been impossible to get funding from NIH or from NSF to develop engineering systems tools that can look at and reduce costs and improve outcomes in hospitals, clinics and doctor's offices, yet these same engineering systems tools are known to save tremendous amounts of money in other industries. Six Sigma training and other cost and process industrial engineering efforts routinely improve quality control and reduce the cost of services and products. Hospitals, insurers and providers (doctors) are unwilling to sponsor this type of research and development at the outset because shareholders and private practice physicians are not likely to reap the savings because there isn't a free market for medical services and no clear competitive advantage to fund the research and development necessary to prove the concepts and determine which processes are most likely to return the highest levels of savings.

  • Posted By: fedrelations @ 11/04/2008 11:10:59 AM

    The NIH model seems to heavily favor more fundamental research and the most expensive solutions to many of our disease challenges and does not adequately fund treatment, prevention and wellness strategies that would bring the cost of disease care down. As an example, it's been impossible to get funding from NIH or from NSF to develop engineering systems tools that can look at and reduce costs and improve outcomes in hospitals, clinics and doctor's offices, yet these same engineering systems tools are known to save tremendous amounts of money in other industries. Six Sigma training and other cost and process industrial engineering efforts routinely improve quality control and reduce the cost of services and products. Hospitals, insurers and providers (doctors) are unwilling to sponsor this type of research and development at the outset because shareholders and private practice physicians are not likely to reap the savings because there isn't a free market for medical services and no clear competitive advantage to fund the research and development necessary to prove the concepts and determine which processes are most likely to return the highest levels of savings.

  • Posted By: The Abstracted Engineer @ 11/03/2008 10:15:20 PM

    What possible incentive would a drug company ever have to develop a cure for anything? The only way a drug company can drive a profit is if they develop treatments, not cures. Cures eliminate repeat customers.

    • Posted By: meachom @ 11/04/2008 10:41:27 AM

      they don't ever want to develop a cure. they only want to develop drugs to treat the SYMPTOMS. there is no money in a cure. as long as they have sick people to treat they will be raking in the dough. what would be ignorant would be to think that these drug companies are in it for anything other than the almighty dollar. the pharmaceutical companies are one of if not THE largest cartels in the world. why do you think it costs so much more for prescription drugs here than in other countries? because they can get away with it here due to insurance. its not like the same drugs are any cheaper for them to make for other countries. one of the biggest scams of human history.

    • Posted By: meachom @ 11/04/2008 10:35:11 AM

      they don't ever want to develop a cure. they only want to develop drugs to treat the systems. there are so many natural cures for some very terrible diseases, but the are kept in the dark so as not to infringe on profits. EVERYONE WHO READS THIS. DO A GOOGLE SEARCH ON IODINE DEFICIENCY PLEASE!!!!

    • Posted By: turner11 @ 11/04/2008 2:42:47 AM

      I'm not sure where all these ignorant conspiracy theories come from, but there's no basis in reality. Rituxan for example is a blockbuster chemo drug that added 15% to the cure rate for large b-cell lymphoma, the most common type. It's made billions for Genentech. Herceptin increased the cure rate for high risk Her-2 positive breast cancers by 50%, another multi-billion dollar blockbuster.

      Finding cures is damn difficult scientifically, but when the drug companies do, they can charge a premium for it.

      Get over your paranoid conspiracy theories, there are no secret cures that are being withheld by drug companies out there-- they'd market the hell out of them and cash in if there were.

      • Posted By: Braes @ 11/04/2008 3:25:23 AM

        As far as Ignorant Conspiracy Theories...
        It is a social commentary on the rise of corporate control. People tend to not trust the government anymore, and corporations rank right up there with trial lawyers, carnival barkers, and burglars.
        If they really wanted to do stem cell research, they could have smashed it down the throats of the GOP and they would have swallowed.
        As far as trusting drug companies, I tend to think they will market unsafe things. I tend to notice they have huge legal departments, and minor research budgets. They want and get good government support for the R&D.
        Not all of them are bad. Most of the drugs are good. I don't go as far as the folks above in mistrust.
        I get where they are coming from though.

  • Posted By: urbnsurfr @ 11/04/2008 9:12:14 AM

    Why is the solution more government funding and more government programs? What programs have they run well in the past? The supercar? The information superhighway? Yeah, let's let those guys try to push medical discoveries from the lab to the pharmacy.

  • Posted By: rfishel @ 11/04/2008 7:01:59 AM

    NIH SHOULD NOT be in the business of making drugs or medical devices. This is the HUGE fallacy promoted by Ms Begley and the PREVIOUS administration. They call it "Translational" but in reality it is a mechanism to build enormously wasteful bureaucracies in the guise of ???Centers???! Such DIRECTED funding has NEVER worked in the history of research. The NIH should be in the business of funding basic discovery research through individual grants. This system has placed the US as leader in such discoveries for more than 50 years. The administration of George W Bush decided that ???Centers??? would ???translate??? discoveries. Turns out the ???discoveries quite happening at the rate they were previously so now there are lots of centers with nothing to translate (and lots of wasted money). Translation should be done by PRIVATE INDUSTRY. What is missing at the NIH is to provide seed funding for Pharmaceutical and Medical Device Companies to more rapidly translate the myriad of basic science discoveries that arise from individual research grants. Centers are a waste ???period!

  • Posted By: rfishel @ 11/04/2008 7:01:41 AM

    NIH SHOULD NOT be in the business of making drugs or medical devices. This is the HUGE fallacy promoted by Ms Begley and the PREVIOUS administration. They call it "Translational" but in reality it is a mechanism to build enormously wasteful bureaucracies in the guise of ???Centers???! Such DIRECTED funding has NEVER worked in the history of research. The NIH should be in the business of funding basic discovery research through individual grants. This system has placed the US as leader in such discoveries for more than 50 years. The administration of George W Bush decided that ???Centers??? would ???translate??? discoveries. Turns out the ???discoveries quite happening at the rate they were previously so now there are lots of centers with nothing to translate (and lots of wasted money). Translation should be done by PRIVATE INDUSTRY. What is missing at the NIH is to provide seed funding for Pharmaceutical and Medical Device Companies to more rapidly translate the myriad of basic science discoveries that arise from individual research grants. Centers are a waste ???period!

  • Posted By: Shyam @ 11/04/2008 5:58:36 AM

    Next President need ti dismantle the NIH administration and bureaucracy completely. It became extremely bureaucratic and a typical old boy network that completely perverted the NIH grant system. At least half of the tax payer's money that flow into NIH go to bureaucratic waste instead of research that must change if we want lead the world in biomedical science.

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