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Hamilton Morris recently did a podcast that touched on some of this, I think it was https://www.patreon.com/posts/pod-78-legal-84786504 https://www.patreon.com/
by droopyEyelids 3y ago
Hamilton Morris recently did a podcast that touched on some of this, I think it was https://www.patreon.com/posts/pod-78-legal-84786504 https://www.patreon.com/posts/pod-78-legal-84786504
An interesting point he made was that in the wake of the Thalidomide (https://en.wikipedia.org/wiki/Thalidomide https://en.wikipedia.org/wiki/Thalidomide) scandal, the FDA started requiring drugs to be both safe _and effective_
https://www.fda.gov/about-fda/histories-product-regulation/promoting-safe-effective-drugs-100-years https://www.fda.gov/about-fda/histories-product-regulation/p...
The 'effective' part has proven to be a big source of complexity in the following years, because while it's relatively easy to prove a drug is relatively safe, it's much more difficult and subjective to prove a drug is effective. That closes off a lot of areas of research and development.
The kicker is that Thalidomide was never sold in the USA to begin with.
Anyway, as any reader can imagine, there would be a lot of negative social outcomes to allowing the sale of ineffective drugs. There's a lot of trouble now with medical devices and drugs not being effective, even though we have the rule. I'm not against regulation, I think medical sales are a really complex issue and I don't know how to even judge where the right balance of safety/effectiveness and innovation/freedom could be.
- throw9away6 3y agoThey kind of broke that when they allowed the approval of Aduhelm which is basically shown to be expensive and ineffective
- dekhn 3y agoThalidomide is sold in the USA as a treatment for several conditions- it's a highly effective drug and is mostly safe within the target population. (I point this out because most people only tell the very first part of the thalidomide story).