WMIF MAIN SITE
2027 Event SiteSenator Shelley Moore Capito joined David Brown MD for a conversation about biomedical research, healthcare access and the long-term strength of the US scientific enterprise, following an introduction by Michael Benson DPhil.
Capito described research funding as an area where bipartisan cooperation is still possible, but emphasized that institutions need more than dollars. They need predictability. Uncertainty makes it harder to plan laboratories, support postdoctoral researchers and give young scientists confidence that they can build careers in the United States.
Alzheimer's disease made the discussion personal. With both of her parents having lived with the disease, Capito discussed efforts to expand access to blood-based biomarker testing as earlier diagnosis and treatment become possible. The conversation also touched on pediatric cancer research, rural healthcare, telehealth and the financial pressures facing academic research institutions.
Session Focus
The conversation covered federal research funding, the mechanics of getting health legislation through a divided Senate, the indirect cost debate, and Capito’s own legislative priorities. As chair of the appropriations subcommittee covering Labor, Health and Human Services, and Education, she spoke from direct budgetary responsibility for NIH.
How Bipartisan Work Still Happens
Capito described the Senate’s 60-vote threshold as the structural reason compromise remains necessary, regardless of how polarized the broader environment becomes. Legislation cannot move without members from both parties.
She pointed to the most recent NIH appropriation as the concrete result. The Senate increased NIH funding by $415 million, a number arrived at through negotiation rather than party-line action.
Certainty as the Core Need
Asked what the research community most needs from Washington, Capito did not name a funding level. She named predictability.
Her reasoning was operational. Universities and research institutions plan laboratory space, hiring and multi-year projects against expected funding. When that expectation becomes unreliable, planning and budgeting break down regardless of the eventual appropriation.
Her greatest concern was the human consequence: institutions reducing or eliminating postdoctoral positions, other countries actively recruiting American scientists, and early-career researchers leaving the pipeline entirely.
Her framing was long-range. Losing young scientists now determines where the American research enterprise stands in fifteen years, and that damage is not quickly reversed.
The Indirect Cost Debate
Capito was candid about her own learning curve on facilities and administrative costs, describing it as a subject she had to work to understand.
Her frustration was with transparency. She asked several leading universities to walk her through how indirect cost recovery was actually spent on a single grant, and found that no one had proactively provided that explanation before she requested it.
She explained why the FAIR model was ultimately set aside in favor of maintaining the current approach for the time being.
Her conclusion was directed at the institutions in the room: the substantive case for the current model is sound, but it is being made poorly. Members of Congress and their staff need that education, and research institutions are the ones positioned to deliver it.
Legislative Priorities
Alzheimer’s disease. Capito spoke about this personally, noting that both of her parents had the disease. She has introduced legislation to expand Medicare coverage for blood-based biomarker testing, reflecting how earlier diagnosis is becoming clinically actionable.
Pediatric cancer research. A continuing area of focus in her appropriations work.
340B reform. Named as an area requiring legislative attention.
Rural health and telehealth. She identified telehealth funding as a strong candidate for permanent authorization rather than the repeated short-term extensions it has received.
Key Takeaways
1. Predictability matters as much as funding levels. Uncertainty damages the research enterprise independently of the eventual appropriation.
2. The pipeline is the vulnerable point. Postdoctoral positions and early-career researchers are where disruption shows up first and takes longest to repair.
3. The indirect cost case needs better advocacy. Institutions should proactively explain how the money is used rather than waiting to be asked.
4. Bipartisan mechanics still function. The 60-vote threshold forces negotiation, and the NIH increase demonstrates it.
5. Personal experience shapes priorities. Her Alzheimer’s legislation traces directly to her parents’ diagnoses.
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