(no title)
ramanujan | 13 years ago
http://www.cato.org/pubs/regulation/regv27n2/v27n2-8.pdf
http://marginalrevolution.com/marginalrevolution/2011/10/and...
http://fdareview.org/harm.shtml
The delay and large reduction in the total number of new
drugs has had terrible consequences. It is difficult to
estimate how many lives the post-1962 FDA controls have
cost, but the number is likely to be substantial;
Gieringer (1985) estimates the loss of life from delay
alone to be in the hundreds of thousands (not to mention
millions of patients who endured unnecessary morbidity). ...
If the U.S. system resulted in appreciably safer drugs, we
would expect to see far fewer postmarket safety
withdrawals in the United States than in other countries.
Bakke et al. (1995) compared safety withdrawals in the
United States with those in Great Britain and Spain, each
of which approved more drugs than the United States during
the same time period. Yet, approximately 3 percent of all
drug approvals were withdrawn for safety reasons in the
United States, approximately 3 percent in Spain, and
approximately 4 percent in Great Britain. There is no
evidence that the U.S. drug lag brings greater safety.
Ultimately this boils down to a classification problem. There will be type I and type II errors associated with any kind of centralized approval process. And when studied in its totality, there is quite a bit of evidence that the type II errors are predominating: good drugs being slowed or denied.The only way to prove this definitively is a side-by-side experiment with a new jurisdiction in which patients and entrepreneurs alike are free to choose and the FDA has no power.
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