Short answer:
 Solutions start from accurately identifying the problem. Fact is 
biomedical research has plenty of innovation 'on paper'. The feeling it 
isn't enough arises from a bottleneck because most breakthroughs aren't 
reproducible and hence fail to translate to the clinic. Once we accept 
the problem is lack of reproducibility rather than breakthroughs per se, we can more accurately envision remedies.
With
 top weekly science journals like Nature and Science expanding their 
specialist journal base at breakneck pace, weekly issues filled with 
breakthrough scientific discoveries, clearly the problem isn't 
insufficiency. Rather there's too much done the wrong way. Who sifts 
gold from dross to determine which breakthrough's reliable? So far no 
one. That leaves data irreproducibility to unfold slowly years down the 
road, like a disaster movie in slow motion.
Publications the lifeblood for a successful academic career, how often do journals publish papers with negative data
 asserting breakthroughs weren't reproducible? Question's rhetorical 
because the answer is almost never. Why would they when scientists 
submitting the papers and those reviewing them pro bono, both are
 fully invested in the novelty model which rewards their careers? Is it 
reasonable journals all the way from Nature/Science to specialist 
journals uniformly impose the mandate of novelty? In fact, all three, 
universities, journals and government operate a novelty-mandating 
ecosystem that can only change if they give reproducibility some parity.
No
 doubt such a preposterous idea could invite howls of derision. After 
all, with generations of scientists trained to go for guts and glory at 
all costs, who in their right mind would devote their scientific career 
to re-doing others' work? Seems an intractable problem except it isn't 
really so. For far too many years at a stretch, universities have been 
graduating far more biomedical researchers than can be absorbed by 
academia and industry. Forced into one post-doc after another, a large 
mass of highly trained scientists is looking for meaningful work beyond 
the tedium and indignity of being merely trained hands. The worthwhile 
goal of helping clean-up biomedical research might be just their ticket.
 With a sprinkling of high-profile reproducibility studies, Nature, 
Science and their ilk could continue to focus on novelty, providing the 
fodder for reproducibility studies in specialist journals. This would 
create a mutually reinforcing virtuous cycle that fuels reproducible 
breakthroughs that successfully translate to the clinic. Frustrated 
perception of not enough breakthroughs would start to fade. Biomedical 
research would also gain back its reputation for probity.
Bonus idea:
 Perhaps uniquely so, in one stroke the US has the opportunity to make 
this happen another way as well. The NIH, the largest government funder 
of US biomedical research, splits its budget two ways, 90% for funding 
external research, so-called extramural and 10% for funding its own 
internal research. The so-called intramural is purely 
play-in-a-sandbox-for-lif e type of funding for thousands of 
full-time NIH intramural researchers. Set up to do the kind of esoteric,
 high-risk science it was thought tenured university researchers just 
wouldn't undertake, clearly decades later, the system doesn't work the 
way it was envisaged. Instead, it's more of the same. However, it 
represents  a net opportunity. Simply switch the NIH intramural mandate 
from breakthrough to reproducibility. The budget, workforce and 
infrastructure are all there. Secure lifetime funding attracted 
precisely those who value stable job security and generous benefits, 
exactly the workforce needed for diligent reproduction, for sifting gold
 from dross from among the breakneck-paced breakthroughs.
https://www.quora.com/What-do-universities-journals-and-government-need-to-do-to-stimulate-breakthrough-scientific-discovery/answer/Tirumalai-Kamala
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