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According to the Wall Street Journal, “Powerful members of Congress want to remake the Food and Drug Administration by giving it broad powers to levy fines, order drug recalls and restrict drug-industry advertising. Leading the drive are Rep. John Dingell (D., Mich.) and his longtime friend in Congress, Sen. Chuck Grassley (R., Iowa).”

“The lawmakers say an FDA restructuring should build a much taller wall between the agency and the industry it regulates. The FDA would gain authority to recall drugs, which it can't do today, and to impose significant fines on drug companies for safety violations. The lawmakers also want the FDA to inspect generic-drug makers before approving a new product. Perhaps most importantly, they want the next president to appoint a tough FDA commissioner completely independent from the industry.”

Can anyone out there think of even one drug that the FDA wanted recalled that was not “voluntarily” recalled?

No – I didn’t think so.

(Also, isn't the FDA already an entirely independent government agency?)

FDA officials "are too cozy with the companies they regulate," Mr. Grassley said, adding that new leadership must "fix the culture."

What does “too cozy” mean? Really, what does it mean?

Senator Grassley believes the FDA Office of New Drugs, which he said has been compromised by its relations with industry lobbyists, among them former top FDA officials.”

And what does that mean? Any evidence to back up such blowhard accusations?

Too boot, here’s some really shoddy reporting by the Journal’s Alicia Mundy,

“Some current and former FDA safety reviewers have opened a whistleblower Web site to air their concerns that FDA leaders are pushing them to approve some drugs”

She is referring to www.thoreau-fda.com/index.php.

This site defines itself as “a website launched and operated by current and former US Food and Drug Administration staff who believe public health is being put at unnecessary risk. These concerned civil servants and ex-civil servants have either experienced or are aware of wrongful directives by US FDA upper management – directives that put public health at avoidable risk.”

That’s nice. But when you check out to whom the site is registered, it turns out to be Jim Dickinson of FDAWeb.com – long-time FDA antagonist -- and no former FDA employee.

Oops.

But who needs facts when you have red-hot rhetoric and a gullible reporter who's willing to take a leak anywhere?

Ya gotta love gov-speak. Bureaucrat-ese has its own unique and lovely lilt.

Consider the Federal Register notice announcing the August 14/15 meeting of the FDA's Risk Communications advisory committee:

"The committee will meet for presentations and discussion of the scientific basis for translating principles of risk communication into practice in situations of emerging and uncertain risk."

And this is the committee that's mandated to create clear ways to discuss risk communications (or as it's cool to say in DC "Plain English").

I think it was Albert Einstein who said something along the lines of, "If you can't explain a complicated topic in a simple way -- then you don't really understand it."
What happens when you put Mark McClellan (Chairman of the Reagan/Udall Foundation), Michael Weber (Chairman of the Center for Medicine in the Public Interest), Ralph Snyderman (of Duke reknown), Tevi Troy (Deputy Secretary of Health and Human Services), Jeff Cossman (President of the Critical Path Institute) and other leaders in progressive healthcare policy together in a room?

What happens is the meeting of the Patient-Centric Health Leadership Forum.

This new report shares the cutting edge thinking of the folks mentioned above along with other similarly talented leaders. And the key phrase is patient-centric.

The report can be found at the top of this page or here, the first item under "reports."

A worthwhile and important read.

Pound Foolish

  • 07.28.2008

Experimental cures are often the last hope for dying patients in the U. K. health system. Thanks to the British government, however, many sick Britons will soon have their last hopes dashed.

Why? Pharmaceutical companies from around the world have been scaling back clinical research in the United Kingdom, largely because of government parsimony. And British citizens have paid the price.

Read more about this distressing development here:

British system discourages availability of new drugs

With health care reform in America at the top of the agenda this election season, it’s more important than ever that we be aware of the dangers of government- run health care. America should avoid Britain’s mistakes and make sure we keep the interests — and hopes — of patients first in our pursuit of reform.

CMPI

Center for Medicine in the Public Interest is a nonprofit, non-partisan organization promoting innovative solutions that advance medical progress, reduce health disparities, extend life and make health care more affordable, preventive and patient-centered. CMPI also provides the public, policymakers and the media a reliable source of independent scientific analysis on issues ranging from personalized medicine, food and drug safety, health care reform and comparative effectiveness.

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