I know you are making an argumentum ad absurdum, but many hold exactly this position.
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Replying to @matthewherper @VPrasadMDMPH
We need the FDA primarily to assure drug safety and quality, including that medicine sold as X is exactly X. Efficacy as value is subjective, and also fluid in context of new and competing Rx. So what's questionable is if the FDA can--or should--judge efficacy.
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Replying to @ESchattner @VPrasadMDMPH
The FDA should judge efficacy, and without that I don’t know what trials we get.
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Unfortunately, the current administration wants through deregulation and "faster track" approval, in essence, to go to a de facto standard that resembles the pre-1962 standard where the FDA only had to require evidence of safety, but not efficacy.
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Replying to @gorskon @matthewherper and
This tendency to want a pre-Kefauver Harris standard is not due to any rational consideration of the costs, risks, and benefits of lowering the standard for drug approval but almost entirely due to a hostility towards all regulation (other than regulation women's health).
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Replying to @gorskon @matthewherper and
Of course, this tendency to loosen FDA approval standards long predates the Trump administration, but the Trump administration accelerated it and put it on steroids. Scott Gottlieb was the "least worst" choice for FDA Commissioner at the time.
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Replying to @gorskon @matthewherper and
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.
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