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Because of the government's attitude toward science. The HHS head is an anti-vax conspiracy theorist. It's hard to imagine him greenlighting a dime for any sort of clinical trial.

I heard they’re funding more of nutrition based research and some cancer research and less of addiction/ substance use research.

Hey, even before this administration science wasn’t something that was actively being supportive. At least not science that wasn’t making other people a lot of money. But there’s not a lot of money in healing people. The money comes from treating them over years at a time.

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