I know you are making an argumentum ad absurdum, but many hold exactly this position.
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The other two candidates for FDA Commissioner considered were cronies of über-libertarian Peter Thiel. One, William O'Neill, is a free market fundamentalist who advocated "proving efficacy" after drugs have "been legalized."https://sciencebasedmedicine.org/donald-trump-vs-the-fda-be-afraid-be-very-afraid-of-the-loosening-of-drug-approval-standards/ …
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Of note, O'Neill liked to peddle the common libertarian myth that the FDA was killing patients through its bureaucratic torpor in approving new drugs and thinks drug development should be as easy as tech development.
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The other was Balaji Srinivasan, who deleted his Twitter account because of all the anti-FDA hostility there. This is a guy who thinks drugs should be evaluated with online reviews like Yelp! or Über.
End of conversation
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