> What I can't look up is how this would work in the real world. Want safe drugs and devices? Who determines that? Somebody has done harm to another person. Who

> What I can't look up is how this would work in the real world. Want safe drugs and devices? Who determines that? Somebody has done harm to another person. Who determines that? What I typically get as a response is that that person or company will go out of business, as people will stop buying said unsafe products. In my opinion this belief comes from wrongly applying parochial common sense to such a large and complex system that is the modern economy. Victorian England learned this lesson the hard way through its string of adulteration scandals (e.g plaster in bread). You could perhaps make a parallel with the adulteration scandals in China.