Scott Gottlieb Confirmed as New FDA Commissioner
Not a radical reformer, but clearly understands how overregulation is slowing medical innovation

Physician, venture investor, and drug industry consultant Scott Gottlieb has been confirmed by the Senate as the new Commissioner of the Food and Drug Administration. Gottlieb takes the helm of the agency that regulates products accounting for about 20 cents of every dollar of annual spending by U.S. consumers, that is, about $2.4 trillion in annual consumption that includes medical products, food and tobacco. The agency regulates medicines, diagnostic tests, medical devices, food safety including those made from modern biotech crops and livestock, food labeling, and tobacco and nicotine products. What the agency's bureaucrats decide has signifcant impact on U.S. economic growth and the livelihoods of Americans.
Gottlieb has long been a critic of the FDA's slow and protracted drug and medical device approval processes. Researchers at the Tufts University Center for the Study of Drug Development have estimated that in 1991 it cost $412 million (2013 dollars) to develop and obtain approval for a new pharmaceutical. Last year, they calculated that it now takes more than $2.5 billion, a six-fold increase.
In an email, Union of Concerned Scientists spokesperson Seth Michaels warned that Gottlieb's confirmation is "yet another example of an appointee whose record raises questions about whether they'll respect science and the public interest." On the other hand, Paul Howard, Senior Fellow and Director, Health Policy at the market-friendly Manhattan Institute issued a statement applauding the appointment. "At a time of both unprecedented scientific opportunity and rapidly evolving public health challenges, Dr. Gottlieb provides the FDA with principled and pragmatic leadership," declared Howard. "His experience as a regulator, practicing physician, cancer survivor, and innovator will help the agency navigate the scientific challenges surrounding drug and medical device development and approval without losing sight of the real-world implications of the agency's decisions for patients struggling with potentially life threatening conditions."
I earlier noted, "While not a radical reformer, Gottlieb clearly has a good understanding of how over-regulation has been slowing down innovation in medicines and foods." Good luck to him as he tries to reform the agency's excessively cautious regulatory culture.
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More freedom for the medical mafia to more easily shake down the peasants for cash
Don't go looking for any freedom for the peasants to be free from medical mafia rent seeking
Huh. I'd think that the less the FDA interferes, the less scope there is for cronyism.
Directors come and go. But the bureaucracy, that's forever.
But in this case, the bureaucracy's mostly good. These are people who really do want to advance the art. People at FDA get excited about new tech.
Which is why it's so easy, quick, and inexpensive to get new stuff approved, I guess.
That's not the bureaucracy's fault. The increase in time & costs can be blamed mostly on the advisory committees, which are assembled ad hoc for each review. It's not the career employees who are slowing things down.
Wow, Bailey, the new guy really stomped on your post. 10 minutes after this post. What's the punishment?
D: The news cycle is the news cycle. Trump giveth, but taketh a hell of a lot too.
Hey Gottlieb! You gotta get fired by General Cheeto to get noticed 'round these parts!
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