Mm, I am a pretty big fan of capitalism and innovation... but I still think that when we encounter cases of fraud (especially fraud that went undetected for years), we should update at least a little towards "the system doesn't work as well as we thought"
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Frauds that went on for a long time, with buy-in at many stages from many people, imply at least that the fraud-catching system is *slow*. If you don't additionally see corresponding frauds caught a bit earlier, it suggests lots of other frauds.
A lot of fraud-catching systems are slow, yes... I recommend reading Bad Blood because it really highlights how long an entire org can straight-up lie — near-publicly — about having FDA approval before any consequences accrue
