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 NCCAM Research Spending 2005-2007 by Modality: What are the Big 3? Any Surprises? 
The following is one in an ongoing series of columns entitled Integrator Blog by . View all columns in series
Summary: Integrator reader and sometimes commentarist Taylor Walsh recently asked staff at the NIH National Center for Complementary and Alternative Medicine for data on the specific amounts of grant awards for specific modalities in fiscal years 2005-2007. Walsh, the founder and CEO of Washington, D.C.-based Life Pages, shared the data with the Integrator. What do you suppose are the top 3 modalities in terms of funding? What is the percentage of NCCAM's $362-million in those years which was spent on the top three? How does this meet your sense of priorities?

Washington, D.C.-based complementary healthcare entrepreneur Taylor Walsh recently asked the staff at the NIH National Center for Complementary and Alternative Medicine for a breakdown on the Center's investment of research dollars in various modalities. Walsh, founder of LifePages, is an Integrator reader and sometimes commentarist/reporter (see
Taylor Walsh reports on Dr. Briggs self-presentation at NCCAM February 1, 2008). He shared the data with me. Below is a break-out of NCCAM research spending, for fiscal years 2005 to 2007, for each of the CAM modalities Walsh requested. The percent is calculated based on a total of $362-million in the FY 2005-2007 NCCAM budget.


NIH NCCAM Total Dollars Granted for Selected Modalities
FY 2005-2007

- from information provided by Taylor Walsh, Life Pages

Modality Amount Percent*
Aromatherapy $186,875
Ayurvedic Medicine $1,582,975
Chelation $1,529,447
Healing touch $1,866,937
Herbs/Botanicals $99,913,254
Homeopathy $2,203,656
Massage $5,132,633
Meditation $8,303,160
Oxygen Therapy $386,808
Reiki $570,299
Yoga $7,743,906 2.1%

(*) Based on $362 million for FY 2005-2007.

All data on amounts were provided to Walsh by NIH NCCAM.

Comment: These modalities only account for roughly 44% of the NCCAM dollars.
I have subsequently asked for a couple more data points, namely for manipulative therapies/chiropractic and for dietary supplements, as well as for any other major category that may be overlooked. (Education-related grants? Surveys?) According to these data, herbs/botanicals represent as much as 60% of the total modality-focused research expenditures. The top three listed here are herbs/botanicals, acupuncture and meditation. These account for 86% of the modality-oriented research dollars noted in this chart.

James Gordon, MD - a comment on herb research
In his message to me, Walsh noted the significant dollars spent on herbs. They represent over a quarter of the total NCCAM budget and, likely, over 50% of the dollars spent on all modality research. I am reminded of a recent comment of James Gordon, MD, former chair of the White House Commission on Complementary and Alternative Healthcare Policy. I was interviewing him for Integrative Practitioner Online (see White House Commission Chair James Gordon, MD on Federal Policy in Integrative Practice: Looking Back - Looking Forward
"I don’t want to see the tax-payer dollar subsidizing mechanism research so that some pharmaceutical company can make a bundle off of what is learned. They can fund that. This has certainly got to be a principle in NCCAM’s research ...

"I think 20%-25% of the budget should be devoted to [broader integrative/non-reductive research]. NCCAM should be a leader here and NCCAM should be setting the agenda. We need to be looking at comprehensive treatment, not just in 'CAM' or 'integrative medicine.' NCCAM should also be looking at cost effectiveness and on wellness research."
I was also reminded of comments made by Richard Nahin, PhD, MPH, NCCAM senior adviser and acting director of extramural research during his October 14, 2008 keynote at the recent Institute for Health and Productivity Management conference that he keynoted. Nahin told the assembled employers, gathered to explore health, wellness and productivity strategies, that new NCCAM director Josephine Briggs, MD, is planning to focus more NCCAM research dollars on effectiveness research. Excellent to hear! More on this soon.

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Resumes are useful in employment decisions. I provide this background so that you may understand what informs the work which you may employ in your own. I have been involved as an organizer-writer in the emerging fields......moreJohn Weeks
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