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The National Institutes of Health have been without a permanent director since the end of 2021. But not for lack of trying: At least two good prospects "have walked away," according to the Wall Street Journal — not only out of concern that the role has become more politically contentious since the COVID-19 pandemic, but also because the pay is too low.
How to address the first concern is a bit of a long-term project. Answering the second objection, however, is refreshingly straightforward: The NIH job, and government jobs in general, should pay more.
As an Executive Schedule Level IV job, the NIH director pays about $200,000 a year. That's more than most Americans make, but it's below the average salary for an American physician — to say nothing of a physician with a complicated political and administrative job. Indeed, hundreds of NIH staffers earn more than the director under a federal program that allows medical professionals to be paid more than standard government employees, albeit generally less than someone with their skills could earn in the private sector.
That's created an anomalous situation where if President Joe Biden were to try to play it safe by simply nominating the head of one of the NIH's component institutes to run the whole show, he or she would have to accept a pay cut in exchange for a job that's almost certainly a bigger headache. The salaries paid to the heads of medical schools and people who run research labs in the private sector, meanwhile, are even higher.
Unfortunately, the problem of relatively low public-sector pay is hardly limited to the NIH.
Pay for top government administrators has risen broadly in line with inflation from its 1990 level, which means it's declined relative to average wages nationally and declined precipitously compared to the earnings of top executives in the private sector.