The organization behind the patient-hostile, anti-regulation, @US_FDA-weakening legislation known as #RightToTry is the @GoldwaterInst, which tries to present itself as a conservative "think tank." It's really anything but. 1/
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As for the other
@GoldwaterInst-approved elements of#RightToTry, they involve typical libertarian tropes, such as cutting the@US_FDA out of the decision, eliminating liability for companies and doctors, and leaving patients completely on their own if things go south. 8/Show this thread -
Given that less than 15% of drugs that pass phase I ever go on to be
@US_FDA-approved, then at least 85% of drugs eligible for#RightToTry will be guaranteed not to provide any benefit, and many of them will cause harm—and the patient might pay a lot of money for the privilege.9/Show this thread -
At the federal level, the new
#RightToTry bill makes it difficult for@US_FDA to consider RTT results in considering whether to approve a drug. Major barriers to doing this are intentionally baked into the bill. An earlier version expressly forbade the use of RTT outcomes. 10/Show this thread -
Of course, helping terminally ill patients was never the main intent of
#RightToTry, although@GoldwaterInst would like you to think that it was. 11/Show this thread -
The real intent behind
#RightToTry was always to cut the@US_FDA out of compassionate/expanded use decisions and to weaken the regulatory power of the FDA.@GoldwaterInst genuinely believes that damned near all regulation is bad. 12/Show this thread -
Indeed, I've seen Nick Gillespie and Ronald Bailey argue that
@US_FDA regulations governing drug approval kill thousands of people by delaying promising new drugs. It's a bullshit argument, of course, as I've explained before. 13/https://sciencebasedmedicine.org/using-the-fear-of-ebola-to-promote-the-placebo-legislation-that-is-right-to-try/ …Show this thread -
#RightToTry is just the first step in@GoldwaterInst's plan to neuter the@US_FDA. Next up will be broadening RTT so it doesn't apply just to terminally ill patients. After that will be eliminating restrictions on companies advertising off-label indications for their drugs. 14/Show this thread -
The
@GoldwaterInst's long game after#RightToTry is to return the@US_FDA to its pre-thalidomide state, where evidence of efficacy is no longer required to approve drugs. 15/15Show this thread
End of conversation
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