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.)
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Replying to @lpolovets @joshelman and
Is your argument that we shouldn’t have an FDA?
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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.
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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 ..
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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.
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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)
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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.
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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.
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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.
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In Western society, that is known as the democratic process.
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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.
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