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kimmaicutler's profile
Kim-Mai Cutler
Kim-Mai Cutler
Kim-Mai Cutler
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@kimmaicutler

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Kim-Mai CutlerVerified account

@kimmaicutler

Partner at @initialized. Previously @techcrunch. When life hands me lemons, I make tarte au citron.

San Francisco
medium.com/initialized-ca…
Joined April 2008

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    2. Leo Polovets‏ @lpolovets 14 Mar 2019
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      Replying to @joshelman @ColtonWitte @andrewchen

      Example for FDA: 1) AFAIK you can't try experimental treatments even if you're terminally ill. 2) Lots of drugs are RX only, can't be bought from outside of US, etc even if patient wants to take the risk. (Dealt with this one in my family.)

      2 replies 2 retweets 11 likes
    3. Kim-Mai Cutler‏Verified account @kimmaicutler 14 Mar 2019
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      Replying to @lpolovets @joshelman and

      Is your argument that we shouldn’t have an FDA?

      2 replies 0 retweets 3 likes
    4. Leo Polovets‏ @lpolovets 14 Mar 2019
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      Replying to @kimmaicutler @joshelman and

      No. I think there should be requirements on drug research, manufacturing, etc. Honestly I'm not very informed on FDA, but a few thoughts: 1) it should work faster (more staff?). Drug approvals are so high leverage. 2) ppl should be able to accept risks of drugs w/o govt approval.

      2 replies 0 retweets 3 likes
    5. Mark Rogowsky‏ @maxrogo 14 Mar 2019
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      Replying to @lpolovets @kimmaicutler and

      It should probably work faster and slower. Hard problems as you know don’t offer easy solutions. A drug like Nexium never should’ve existed (it’s Prilosec with inactive enantiomers filtered out, exists only to make patents last longer). But on the one hand there’s safety ..

      2 replies 0 retweets 2 likes
    6. Leo Polovets‏ @lpolovets 14 Mar 2019
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      Replying to @maxrogo @kimmaicutler and

      Yeah IMO the ideal would be 1) don't rush the science and data collection but 2) as little red tape/bureaucratic slowdown as possible.

      1 reply 0 retweets 2 likes
    7. Mark Rogowsky‏ @maxrogo 14 Mar 2019
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      Replying to @lpolovets @kimmaicutler and

      Honestly a lot of regulation — not just FDA — could use rethinking. Little of it isn’t well intentioned. Much of it is expensive. A lot benefits incumbents (esp FDA). Most is really about safety. But the lack of review for unintended effects is crippling. (Cal EPA for example)

      1 reply 0 retweets 2 likes
    8. Colton Witte‏ @ColtonWitte 15 Mar 2019
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      Replying to @maxrogo @lpolovets and

      The onboarding of regulations via professional associations for self serving reasons cannot be understated here either.

      1 reply 0 retweets 2 likes
    9. Mark Rogowsky‏ @maxrogo 15 Mar 2019
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      Replying to @ColtonWitte @lpolovets and

      Most occupational licensing uses the critical top layer of protecting people to act as a medieval guild with an armed escort of knights. It’s appalling. Yet again I do want my fitness instructor or even nail salon to be worried about safety. This is why it’s hard.

      1 reply 0 retweets 1 like
    10. Colton Witte‏ @ColtonWitte 15 Mar 2019
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      Replying to @maxrogo @lpolovets and

      Totally! Instead of the market pressures of cost and demand there's institutional pressures of longevity and power. No matter what, it seems we can all agree that regulation is a mixed bag. The question is how to sort through it, keeping the good and tossing the bad.

      1 reply 0 retweets 4 likes
      Kim-Mai Cutler‏Verified account @kimmaicutler 15 Mar 2019
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      Replying to @ColtonWitte @maxrogo and

      In Western society, that is known as the democratic process.

      12:21 AM - 15 Mar 2019
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      • Josh Elman Mark Rogowsky
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        1. Colton Witte‏ @ColtonWitte 15 Mar 2019
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          Replying to @kimmaicutler @maxrogo and

          Of course! The Democratic process *should* sort out good from bad regulation. But *Our question* is how to sort good from bad regulation, *given the context we're working with: one of significantly asymmetric power and information relative to the ideal.

          0 replies 0 retweets 2 likes
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