National Cancer Institute under scrutiny for $218M spent on workforce diversity efforts

 February 24, 2025

The National Cancer Institute (NCI) is facing scrutiny over its allocation of funds aimed at increasing diversity within the cancer workforce. A watchdog group points to the hundreds of millions of dollars spent on programs that prioritize racial and ethnic minorities.

The increase in diversity-focused funding by the NCI comes at a time of broader national efforts -- particularly those spurred by President Donald Trump -- to curtail government spending on diversity, equity, and inclusion (DEI) initiatives, as Fox News reports.

Do No Harm, a nonprofit watchdog group opposing DEI initiatives in healthcare, has drawn attention to the NCI's commitment of $218 million annually towards grants.

These grants are meant to enhance representation of racial minorities within the healthcare sector focused on cancer treatment and research.

NCI's Investment in Minority Inclusion

Reports suggest that under President Joe Biden's administration, around 3% of the NCI's total grant funding was directed at hiring efforts that focused on diversity.

These efforts included selecting minority faculty and scientists for positions within the network of institutions supported by the NCI.

However, the controversy surrounding these funding decisions isn't new. During President Donald Trump's administration, NCI had active DEI-related grants, including over $10.5 million designated for initiatives at the Icahn School of Medicine at Mount Sinai. These grants' stated mission was to promote “inclusive excellence” and support career advancement for racial minorities.

One specific grant focused on the recruitment of 12 scientists from underrepresented groups within the scientific community. The other supported efforts to reform existing diversity models and enhance them to promote inclusive excellence in the medical field.

Watchdog Group's Concerns About DEI

Do No Harm has been vocal in its opposition to the NCI's strategy. Dr. Stanley Goldfarb, chairman of the group, has been a critic of these DEI initiatives. He argued that NCI's expenditure is part of a politically motivated effort, saying it misuses taxpayer money to enforce a DEI agenda within medicine.

Goldfarb emphasized the misuse of funds by suggesting that the NCI "doles out" a significant sum each year for grants prioritizing underrepresented groups in medicine, which does not typically include Asian Americans.

He asserted that racial preferences should have no place in medical practices or funding decisions.

Administrative Shifts in DEI Policies

With a change in administration, shifts in policies concerning DEI have taken place. Trump's executive order led to the removal of many DEI-related programs and declaratives from the NCI's online resources. These changes set a different tone for the institute's preceding policies.

When President Biden took office, an Equity Council was formed in 2021 to ensure NCI's ongoing allegiance to equity and inclusion across its outreach and operations. This council oversees the development and implementation of initiatives meant to fortify a fair and inclusive environment within the NCI's purview.

Elon Musk's DOGE initiative has also played a role in cutting government expenses aligned with DEI. According to their claims, significant savings were achieved, including $350 million in cuts from the Department of Education alone. DOGE further predicts long-term taxpayer savings with the elimination of over 100 DEI-related contracts.

Controversy and Broader Political Context

These developments emerge against a backdrop of expanding national conversation surrounding government expenditures on diversity efforts. Republican-led efforts have been explicit in their intention to limit government spending on DEI initiatives. The influence of political leadership, like that of Donald Trump, continues to resonate in current policy discourse.

As the discussion around DEI funding and its efficacy in government initiatives continues, the debate over taxpayer money being directed towards such efforts remains contentious. Both proponents and critics of these programs offer differing perspectives on how best to achieve a balanced, equitable approach without political bias or racial preferences.

The evolving narrative of the NCI's funding decisions reflects ongoing national discussions about diversity and inclusion in professional sectors, especially in critical fields like medicine. As watchdog groups like Do No Harm spotlight these financial allocations, further scrutiny and evaluation are anticipated.

Whether future transitions in political leadership will alter these funding trajectories remains to be seen. The conversation surrounding the intersection of healthcare, diversity, and fiscal responsibility within technological and governmental institutions is projected to persist over the coming years.

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