In DepthMedicine

Institute that aims to reshape health care seeks renewal

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Science  06 Dec 2019:
Vol. 366, Issue 6470, pp. 1179-1180
DOI: 10.1126/science.366.6470.1179

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Summary

Congress 9 years ago created an independent research institute that would enlist patients as partners in designing studies that compare the benefits of established medical treatments. Now, after awarding nearly $2.6 billion for research, the nonprofit Patient-Centered Outcomes Research Institute (PCORI) in Washington, D.C., faces a turning point. The agency's charter was set to expire on 30 September, and it is operating under a temporary extension until 20 December. In spite of complaints that PCORI was slow to launch large randomized trials that could sway medical practice and cut costs, disease advocacy and research groups back it. Lawmakers seem to agree—bipartisan bills in the House of Representatives and Senate would reauthorize PCORI for as long as 10 years. But with a crowded legislative calendar and impeachment taking lawmakers' attention, it's not clear when a bill will be passed.

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