I think the best researchers also help people (clinicians) or make products (manufacturers). That gives their research guidance and relevance and if they can still find the time for lots of RCT's, more power to them.
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Yes, that's true. But keep in mind that these researchers have behind them a large group of doctoral students and assistants who bring many of the ideas and solutions. And their work must be recognized as well.
Yeah, I guess there's a political environment pretty much any way you look at it.