Part of the problem is, once you have an FDA, it becomes *trusted*. Lots of doctors will immediately go out and prescribe any drug that’s FDA approved. People expect “approved” to mean “I can trust it.”
Which drugs can be legally marketed or imported, which manufacturers can make drugs, etc, is decided by a monopoly.
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I think you’re talking about something more like clinical guidelines but written for laypeople, which is an exciting if daunting idea. The challenge is enormous.
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Oh that is super hard, and I don’t think it’s necessarily needed. It’s reasonable to outsource medical decisions to professionals you trust.
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On a national level, sure, but not on an individual level. One can import all sorts of non-FDA approved drugs for one's personal use.
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Sure, but without marketing, nobody can be incentivized to develop drugs with any kind of testing unless they’re aiming for FDA/EMA approval. The law forces a bifurcation of companies into “pure snake oil” or “pure caution”.
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