I do not understand the use of the word "decentralized" here. Usually it is defined as "withdrawn from a center or place of concentration; especially having pow

I do not understand the use of the word "decentralized" here. Usually it is defined as "withdrawn from a center or place of concentration; especially having power or function dispersed from a central to local authorities". Are you really proposing a new mechanism? Why is it going to be advantageous? How would it interact with the patent system? What leads you to believe that the US FDA could grant "exclusive approvals" on drugs when the drug industry is worldwide? The quid pro quo for patents is a short term (17 year) monopoly to the inventor in trade for adequate documentation so that the invention can be generally exploited and used after the monopoly period has passed. Your proposal seems to have a different view of what the role of patents is (or should be).