Yeah, if the existing system is built on trust of doctors who run clinical trials, we have to ask whether that trust scales. If the system were set up so that

Yeah, if the existing system is built on trust of doctors who run clinical trials, we have to ask whether that trust scales. If the system were set up so that doctors would have a lot to lose if they didn't follow the system, trust could work here. We already trust doctors as professionals on many other things...