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ASHINGTON — What would President Trump’s nearly 20-percent cut to the National Institutes of Health’s budget actually look like? Every one of the dozen-plus research areas the agency funds would likely take a hit — and the actual consequences for medical research could be even worse than they look on paper.

Advocates for medical research would expect blanket cuts across NIH — from cancer and Alzheimer’s disease to drug addiction and environmental health — if Congress were to approve the $5.8 billion cut that Trump has proposed. Each institute would be looking at its own reduction, upward of 20 percent for the next spending year.

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