As I‘ve said elsewhere, industry and the deregulatory right heard our cries: FDA is killing us and took up our slogan, even if it wasn't particularly true. 8/
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Replying to @gregggonsalves @iskander and
Stephen Epstein’s book Impure Science and David France’s How to Survive a Plague tell this story in different ways. 9/
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Replying to @gregggonsalves @iskander and
If you read the work of people who do research on regulatory policy at FDA, rather than launch libertarian broadsides disguised as economics, you’ll an agency in crisis. 10/
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Replying to @gregggonsalves @iskander and
These are people like
@jsross119 at@YaleCORE or@akesselheim at@PORTAL_Research at@harvardmed. 11/1 reply 1 retweet 0 likes -
Replying to @gregggonsalves @iskander and
What you will see is an erosion in the evidence base for the things we put in our bodies meant to heal and help us. 12/
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Replying to @gregggonsalves @iskander and
If you read legal scholars such as
@akapczynski,@RESachs and others you‘ll see the legal maneuvers to weaken FDA through the courts, through a weaponized first amendment in cases over the past few decades. 13/1 reply 1 retweet 4 likes -
Replying to @gregggonsalves @iskander and
And I get it. I was pulling what little hair I have left out of my head watching FDA last year. Rapid Ag tests, LDTs, HCQ, convalescent plasma—a series of bad decisions in different directions. 14/
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Replying to @gregggonsalves @samhorwich and
I hear what you're saying about opportunistic attempts to weaken well functioning parts of the regulatory system but I have a hard time seeing the LDT & rapid test decisions as not stemming from either bad policy or some kind of institutional rot. Some kind of reform necessary.
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Replying to @iskander @gregggonsalves and
Like, with LDTs: the FDA has a standing policy of getting in the way of testing for any emerging pathogen. Hypothetically, the next public health emergency will also see tests centralized through the CDC/FDA bottleneck. That's both bad policy and bureaucratic navel gazing.
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Replying to @iskander @samhorwich and
So yes then let’s do a deep analysis of what went wrong on LDTs and Ag tests. That’s a targeted piece of work that would be helpful to do. But extrapolating to a larger claim that this is all a reason for more wholesale deregulation is the problem.
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I think identifying what went wrong is also the process of protecting what was right. I don’t think you can do the latter effectively without the former. I have the same stance with WHO and journalism etc.—institutions worth defending but through analyzing what needs change.
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I’m down with that. But this all started with Ezra Klein’s love fest with Alex Tabarrok who is part of a set of libertarians who would love nothing better than to crush the regulatory state. 1/
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Replying to @gregggonsalves @zeynep and
What
@zeynep suggests is the good faith version of all this. You don’t protect mistakes you try to correct them to make the system better, not suggest that the solution is to pull down the system all together. 2/3 replies 3 retweets 16 likes - Show replies
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