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Healthy Skepticism Library item: 12767

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Hopkins Tanne J.
FDA is failing to inspect drug and device makers, government reports say
BMJ 2008 Feb 9; 336:(7639):297
http://www.bmj.com/cgi/content/extract/336/7639/297?etoc


Abstract:

The US Food and Drug Administration has not met its legal requirements to inspect US and foreign medical drug and device manufacturers, and it has not provided effective oversight of domestic and imported food, according to two reports by the General Accountability Office, the independent investigative arm of Congress.

The reports, both released on 29 January, said that the FDA’s science base, scientific workforce, and information technology infrastructure were weak and inadequate.

In November the FDA’s subcommittee on science and technology found “substantial weaknesses across the agency.”

At a hearing of the subcommittee on oversight and investigations of the committee on energy and commerce of the House of Representatives on 29 January, Peter Barton Hutt, the FDA’s former chief counsel, said that the FDA’s annual budget of $2bn (£1bn; 1.4bn) should be doubled and its staff increased by 50% over the next two years.

Andrew von Eschenbach, the FDA’s head, . . .

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909