It depends, independent organizations that track this stuff are able to call out unethical research and make sure there is more than a slap on the wrist. I also suspect that things may get better as the NIH has forced all research to be in electronic lab notebooks and published in open access journals. https://x.com/RetractionWatch
> I also suspect that things may get better as the NIH has forced all research to be in electronic lab notebooks and published in open access journals.
Alternatively, now that NIH has been turned into a tool for enforcing ideological conformity on research instead focussing on quality, things will get much worse.