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Jin Nakahara: Win-Win-Win

Publish: November 20, 2018

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  • Jin Nakahara

    School of Medicine Professor of Internal Medicine (Neurology)

    Specialization / Neurotherapeutics

    Jin Nakahara

    School of Medicine Professor of Internal Medicine (Neurology)

    Specialization / Neurotherapeutics

News of the decline in Japan's basic scientific strength and the decrease in graduate students is making headlines. Fortunately, I have not yet felt this in my own laboratory, but I feel the decline in the acceptance rate for public research grants deep in my bones. When the acceptance rate for public research funds drops and one becomes "strapped for cash," it becomes impossible to guarantee not only one's own research but also the free research activities of graduate students. Without financial independence, there is no academic independence; poverty dulls the wit. As someone responsible for dozens of medical staff members, I spend my days scrambling for funds.

Since I can do nothing about the state of public research funding, I have no choice but to collect private research funds. With student tuition fees being hit by the declining birthrate, it is also difficult to ask for an increase in research funds within ÎçÒ¹¾ç³¡. Looking abroad, it seems that billionaires provide research funds as a tax measure, but in Japan, a society of "100 million middle-class citizens," expectations are unfortunately low. In our world, pharmaceutical companies with financial power used to distribute colorless and transparent research funds as "scholarship donations" from their operating expenses. However, perhaps due to drug prices being lowered every year, or perhaps because it was discovered that such donations have almost no effect on doctors' prescribing trends, lately we cannot even get a "drop in the bucket." Since they also have shareholders, spending expenses that do not lead to an increase in corporate value is practically a breach of trust. Therefore, it comes down to various "string-attached" research funds.

Pharmaceutical companies are in the business of selling drugs. In other words, they think of ways to increase doctors' prescriptions. If the effect of "donations" is weak, they try to improve doctors' prescribing trends through "differentiation of drug efficacy." When this is paired with "string-attached" research funds, it creates the soil for the "distorted clinical research" seen at a certain university. It is only natural that the patients who were used as pawns would be angry. As a result, the Clinical Research Act was enacted this spring, and clinical research using "string-attached" research funds is now subject to depressingly rigorous reviews. In the world of medical sciences research, the future is unpredictable.

What is needed now is not Win-Win, but Win-Win-Win. This means that not only the pharmaceutical companies, who are the source of research funds, and we researchers, but above all, the patients must be happy. For whom does medical sciences exist? The price paid for forgetting this obvious fact is high. Speaking of private research funds, unlike national and public universities that are tied down by conflicts of interest, the Juku is a private institution. This crisis might be an opportunity. Thinking that way makes my heart leap. Today, while searching for the seeds of a Win-Win-Win, I maintain my pride even in the face of adversity.

*Affiliations and titles are those at the time of publication.