Digital network of glowing blue and white particles forming a connected web pattern
Report

Imperatives for United States Clinical Research Leadership and Coordination

Resource Downloads
Download Report
Stay informed by the Milken Institute

The United States spends nearly 18 percent of its gross domestic product on health care, yet health outcomes continue to lag behind those of peer nations, even as US leadership in life sciences faces growing global competition. This report argues that the opportunity lies not in spending more but in coordinating better. Today, no single entity is responsible for optimizing the nation’s clinical research enterprise; funding, infrastructure, and priorities remain dispersed across federal agencies.

The Milken Institute, alongside industry experts, outlines a roadmap for stronger federal coordination built on three imperatives: a unified federal strategy to prioritize research; targeted infrastructure investment in trial sites, data, and the workforce; and a model for collective improvement that strengthens the enterprise's ability to learn and respond in emergencies.