La Raison d’etre pour AIMBE Raphael C. Lee, MD, ScD, DSc(Hon), FACS President, AIMBE Leadership and Advocacy for Medical and Biological Engineering What is AIMBE? Provides leadership and advocacy in medical and biological engineering for the benefit of society. • Founded in 1991 • 282 Founding Fellows (1992-1993) • Current membership includes: • College of Fellows • Academic Council • Council of Societies • Industry Council • AIMBE Represents – 50,000 Biomedical Engineers Leadership and Advocacy for Medical and Biological Engineering What does AIMBE Do? A vehicle for input of biomedical engineering expertise into public policy making process: AIMBE: • Promotes awareness of medical and biological engineering as a resource to solve common problems • Works with lawmakers, government agencies, and other professional groups to support public policy impacting research and development • Promotes the national interest in education, science, and engineering Leadership and Advocacy for Medical and Biological Engineering MBE and the Quality of Life of Americans Leadership and Advocacy for Medical and Biological Engineering AIMBE: Fostering Innovation Collaboration among Industrial, Academic, and Entrepreneurial members of AIMBE’s Industry Council and Government guides science and technology translation from the medical and biological engineering community. FDA NIH Legislative Branch Executive Branch CDC NSF Leadership and Advocacy for Medical and Biological Engineering Academia Timeline HR 1795 introduced Passes House AIMBE Resolution Passes Senate NIH Revitalization Bill 1991 Signed into Law NIH Report: Support for Bioengineering Research AIMBE Founded 1992 1993 1994 1995 1996 1997 1998 1999 Legislative Failures AIMBE & ARRS form Coalition 2000 Dr. Shu Chien letter in Science NDAs Approved by FDA, Drug Patents Granted by USPTO and NIH budget, 1983-2004 250 NIH Budget vs FDA approvals NDAs Approved Patents Granted 60 NIH Budget ($x Billions) 50 200 40 150 30 100 20 50 10 0 0 1983-84 1985-86 1987-88 1989-90 1991-92 1993-94 Years 1995-96 1997-98 1999-2000 2001-02 2003-04 Productivity of the Pharmaceutical Industry NMEs and Biologics Approved 60 R&D Expenditures Approvals 50 40 40 30 30 20 20 10 10 1995 2000 Sources: FDA/CDER, PhRMA, PricewaterhouseCoopers Note: R&D spending from non-PhRMA companies not available Leadership and Advocacy for Medical and Biological Engineering 2005 R&D Spending (US$ Billions) 50 Five Public Policy Issues Affecting Biomedical Engineering • Spiraling R&D costs coupled with decreased productivity • Demand for safety and post-marketing surveillance • Expectation of personalized medicine • Reimbursement driven by medical and economic outcomes • Proliferation and redistribution of healthcare outcomes information Leadership and Advocacy for Medical and Biological Engineering Asia Pacific Rim Success In Technology Industrialization • People with strong sense of national purpose • • • • Strong investments in education and training Strategy to move rapidly up value chain Effective requirements for training and tech transfer Critical mass in R&D is beginning to be deployed to generate autonomous sources of innovation & growth • Government goal is to acquire technological capabilities both to grow and to maintain national autonomy. • Focused, Committed, and Willing to Spend Modified from C. Dahlman, Georgetown University Leadership and Advocacy for Medical and Biological Engineering Why is advocacy important? Leadership and Advocacy for Medical and Biological Engineering BME Why must INFORMED scientists be involved in legislation ? Congress Leadership and Advocacy for Medical and Biological Engineering Federal Agencies with AIMBE Links Leadership and Advocacy for Medical and Biological Engineering MBE’s Impact on the U.S. Economy • 10.3% growth in net sales in 2008 compared to 5.9% growth in sales for the rest of the economy • 2008: health care and social assistance industries increased GDP by 4.6% • Total GDP attributed to health care expenditures: $2.3 trillion (2008) • MBE-specific exports lead imports, which increases national income Leadership and Advocacy for Medical and Biological Engineering Grand Challenges for Mankind from Nobel Laureate Richard Smalley: 1943-2005 Bioengineering related 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ENERGY WATER FOOD ENVIRONMENT POVERTY TERRORISM & WAR DISEASE EDUCATION DEMOCRACY POPULATION Leadership and Advocacy for Medical and Biological Engineering 2004 2050 6.5 ~ 10 Billion People Billion People AIMBE American Institute for Medical and Biological Engineering 1701 K St., NW, Suite 510 Washington, DC 20006 Phone: 202-496-9660 Leadership and Advocacy for Medical and Biological Engineering The Valley Of Death Existing Research Resources Idea Valley of Death Existing Commercialization Resources Research Fuzzy Front End Leadership and Advocacy for Medical and Biological Engineering From: The PDMA ToolBook 1 for New Product Development Product Development Commercialization Re-engineering Pharmaceutical R&D “It is not the strongest of the species that survives, nor the most intelligent, but the one most responsive to change.” Charles Darwin (1809-1882) Illustration from The World Is Flat, Thomas L. Friedman, Farrar, Straus & Giroux, publisher Leadership and Advocacy for Medical and Biological Engineering The Cycle of Innovation and Translational Research Leadership and Advocacy for Medical and Biological Engineering