European Medical Research Councils - along with learned societies and patients' groups - make the case for changes to the Horizon 2020 proposals - calling for increased spending on biomedical science and the creation of a European Clinical Research Fund.
An Open letter and statement sent to MEPs on 16 Novmber 2012 and published in Science Business on 22 November 2012
Health and healthcare are highly valued in all societies. In Europe we collectively spend about 10 per cent of our GDP - or €2,730 per person, per annum, on healthcare.
Health research and health researchers are also highly esteemed. However, in Europe we spend only about €40 per person, per year, across the broad field of biomedical and health research. To put this in context, spending per capita on alcohol and tobacco is about 20-fold higher.
Through national research funding agencies, most countries in Europe spend in the region of 25-35 per cent of their overall research budget on biomedical and health-related research. In contrast, the European Union’s Framework Programmes have devoted less than 15 per cent of total funding to medical research.
And as things stand in the proposed Horizon 2020 plans, only around 11 per cent of the total budget of €80 billion will be dedicated to biomedical and health-related research. This, despite the fact that biomedical and clinical research generates more than 50 per cent of the research output in Europe, as measured by the number of journal papers and citations.
Both in absolute terms and relative to GDP, the US spends more on health care, at about €6,400 per head (at purchasing power parity exchange rates). In addition, about 50 per cent of all US public research funding goes to medical research, translating to public spending for biomedical research per capita that is about 3.5 times higher than in Europe.
It goes without saying that this situation is far from optimal for European citizen and societies – given that biomedical and health-related research generates multiple benefits:
At its meeting in Prague on 4-5 October 2012, the Standing Committee of the European Medical Research Councils (EMRC) discussed the need to attract the attention of all parties involved.
First, the public at large should be better informed about the funding shortfall in Europe compared to the US, as they are not only the final tax payers, but also the first losers in the undesirable and unfortunate situation facing biomedical and health research.
Secondly, we call upon all patient organisations, scientific societies and medical academies, to convince our policy-makers to urgently change this research situation.
Above all, we ask the European Commission, especially the Commissioners for Research and Health, and all members of the European Parliament, to amend the Horizon 2020 proposals to substantially increase the total amount of European investment in biomedical and health research. We ask them to increase investment in the field of biomedical and health research in general, to reach at least the same level as the national or regional funding agencies (an increase of 25-35 per cent).
With due respect to the subsidiarity principle, EMRC proposes as a top priority that this extra European budget should be invested in a new funding mechanism, modelled on the principles of the very successful European Research Council, to support clinical or health research projects that require a multinational approach to be efficient. This would include clinical trials for rare diseases, research on new aspects of medicine such as personalised medicine, and for health research where large cohorts of patients and longitudinal follow–up over a lifetime are required to deliver statistically meaningful results.
A funding mechanism such as the one we propose is virtually totally lacking on a European scale today. Such a European Clinical Research Fund should be largely working with a “bottom-up” approach so that the best projects with the best return on investment would be funded. A budget of €1 billion per year, with gradual increases over time, seems most appropriate to allow the support of studies that can really make a difference for healthcare in Europe - and indeed the world.
In addition we ask the EU Parliament and Commission to start the process of overall strategic planning of health-related research in Europe and Horizon 2020, to promote innovation and combat the major challenges facing Europe and the world in this field.
EMRC asks all parties involved to support such an innovative European initiative, which would fill a real gap in the European Research Area and would benefit all its citizens, and the world community.
Signed on behalf of and approved by all members of the Standing Committee of the European Medical Research Councils (EMRC) of the European Science Foundation (ESF)
Read more on the website of Science Business