The federal #RightToTry has another pernicious provision. Older versions explicitly stated that @US_FDA could not use clinical outcomes of patients using a drug under RTT in deciding whether to approve a drug. The new version says that it can, but must justify in writing. 11/
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Then, they'll ask, what about patients with severe, not immediately life-threatening diseases that dramatically impact quality of life? Why no
#RightToTry for them? 22/Show this thread -
Finally, they'll ask: Why not everyone? In fact, others have already in essence done that through something called Free To Choose Medicine. 23/https://respectfulinsolence.com/2017/08/30/right-to-try-medicine-the-free-market-fundamentalist-assault-on-the-fda-continues/ …
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Indeed,
@GoldwaterInst has already broadened its assault on the@US_FDA's power to regulate drugs beyond#RightToTry with its initiative to prevent the FDA from stopping companies from promoting off-label uses of their drugs to doctors. 24/Show this thread -
So,
#RightToTry is not about helping terminally ill patients. It's about returning@US_FDA to a vestigial pre-Kefauver-Harris Amendment status, in which the FDA only had to require that companies show safety, not efficacy, before licensing a drug or device. 25/Show this thread -
Unfortunately,
#RightToTry has been an incredibly effective propaganda technique. 38 states have passed RTT, largely because opponents have been successfully cowed into silence by their desire not to be tarred as hating on terminally ill patients. 26/Show this thread -
While it's true that
@ASCO has finally woken up, it's too little too late. Medical societies have been shamefully silent until now. The time to oppose#RightToTry was four years ago, before it became a juggernaut that will now likely pass. https://respectfulinsolence.com/2018/03/12/cruel-sham-right-to-try-will-be-up-for-a-vote-house-tuesday/ … 27/27Show this thread
End of conversation
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