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Especially with the way academic science / biotech is run. Some reasons off the top of my head:

-Curing cancer (i.e. biotech/biomedical research) often requires a lot of startup overhead. Engineering training is hard, and I am sure there are a lot of expensive hardware and laboratory equipment, as well as similar levels of bureaucracies and personalities to deal with. But a similar startup training path in bio requires - wet labs, animal labs, and associated support (including feeding, caring, ethics oversight which is important but adds additional time and effort to everything). The medical angle adds both additional regulatory, ethics, and safety considerations, as well as political egos from MD's, hospital admins, university chairmen, etc.

-Pay: in the commercial/private sector, I am sure things are probably a little better, but with more strings. But you can choose to fight in the VC funding space, for bigger pots of money, vs. jumping into the right for NIH R01s, R21s where the politics and competition are brutal. The basics are not dissimilar - VCs like founders with track records and ideally a minimum viable product or proof of concept, NIH grant reviewers like proposals from established labs (who have a lot of money and data already). Just that it seems the pot is a lot tighter for people trying to get money from the government. The DoD maybe better in this regard.

-Culture: Are you going to be a founder or early employee, with equity and potential for higher raises? Or are you going to be a postdoc making $40-60k for the next decade of your life?

That being said, I do know people do it, i.e. the "Craig Venter model". They don't tend to get a lot of press, though, and they often exit to big pharma or big devices (medtronic...)



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