“Beginning around 1990, clinical trials became the profit center for the medical community. The insurance industry and HMOs were squeezing doctors so that it became hard to make big money practicing medicine. The most ambitious doctors left patient care and gravitated toward clinical trials. Everybody involved was making money except the subjects of the human experiments. At the center of everything was NIH and NIAID. While people were not paying attention, the agency quietly became the partner of the industry.”

