jonathan Cools
358 posts

jonathan Cools
@JonathanCools
Cardiothorqcic surgeon, tumor immunologist. Conceptualizing cancer ecologically





This is what NIH decay looks like. Calling this a list of rockstars is obscene. What it actually shows is who has learned to extract the most from a broken funding system — a system that now resembles a biomedical industrial complex more than a merit-driven scientific enterprise. This is not a ranking of scientific greatness. It is a ranking of grant throughput. If you surveyed 100 cancer scientists and asked them to name the most transformative or promising researchers in the field, the list would look nothing like this. Winning dozens of R01s in five years is not a proxy for transformative discovery. It is a proxy for mastering study section gamesmanship, grant-writing performance, and institutional grant infrastructure. Those are bureaucratic feats inside the biomedical industrial complex. They are not scientific excellence. The question is not who accumulated the most awards. The question is whether marginal dollars are actually going to the best science across a broader base of investigators — or being concentrated in those most adept at navigating the machinery. Celebrating volume of awards as proof of scientific greatness completely misses the point.














Pretty much this.


The time of day for cancer immunotherapy is associated with major outcomes. Early is better. Results from a randomized trial of lung cancer, backs up the importance of our circadian rhythm and immune system nature.com/articles/s4159…




“As far as we can tell from a purely scientific viewpoint, human life has absolutely no meaning. Humans are the outcome of blind evolutionary processes that operate without goal or purpose. Our actions are not part of some divine cosmic plan, and if planet earth were to blow up tomorrow morning, the universe would probably keep going about its business as usual. As far as we can tell at this point, human subjectivity would not be missed. Hence any meaning that people inscribe to their lives is just a delusion.” ― Yuval Noah Harari in "Sapiens: A Brief History of Humankind"







