If we are to stand any chance of getting tomorrow’s cures today, then your money, given either through taxation or directly to some disease-related agency, must go to the “right” researchers. If you have stayed with me this far you should know that there are at least two ways of evaluating researchers, conventional peer review, and a modification of the latter which I call bicameral review. My prescription for reform of the health research system is to replace conventional peer review with bicameral review (see Chapter Ten).