Years ago, NIH submissions meant literal FedEx trucks full of paper. Reams shipped to Bethesda. Pallets. Human beings moving boxes.
Now? We click a button. Electronic submission. Instant transmission.
And then…
~4 months to review.
Another ~4–5 months to Council.
Then more months waiting for an NoA.
I’ve had a grant funded ~1.5 years after submission.
In 2026, the slowest part of biomedical research is not data collection or analysis or even recruitment. The slowest part is the administrative latency.
If NIH really wants to accelerate science, shortening the time from submission → review → funding would do more than many of the culture war debates we’re having.