Buying Medical Technology in the Dark How National Health Reform Can Turn On T
Buying Medical Technology in the Dark How National Health Reform Can Turn On T
Business Opportunities United States Congress House Committee On Small
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The Food and Drug Administration has the mandate to make certain that all drugs approved for use in the United States are safe and effective, and by and large it performs this task well. But it is not the legislated mission of FDA to compare drugs with one another to see which is better, or more cost-effective. In fact, the main requirement imposed by FDA is for a drug manufacturer to show that its drug is better than nothing, a placebo. FDA officials will be the first to point out to you that ...it is not their job to evaluate drugs beyond this point, and they seem to have no enthusiasm for taking on this new role. Nor is it prudent public policy to expect drug manufacturers to come forward voluntarily and subject their products to tougher testing than is required of them. They do engage in some comparative evaluation if they feel that it will show their product in a good light, but that can leave a lot of important comparisons untested. Foremost among these are comparisons with time-tested old standby generic drugs, which very often are every bit as good as (and in some cases even better than) much more costly patented drugs.
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