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Category: FDA Regulation

   The time and costs required to bring new medical products to market is growing ever larger. Today, it may take more than a decade and hundreds of millions of dollars to bring a single new medical product innovation to the public from initial conception to FDA approval. The slow pace and high cost of development contributes to the cost of health care and delays patient access to potentially lifesaving innovations.

   At the same time, the FDA is facing a crisis in confidence among consumers, media and policymakers, with some critics declaring the agency “broken”—unable to ensure that medical products offered for sale in the U.S. are reasonably safe and effective. Doctors and academic medical centers, too, face growing concerns about allegedly harmful interactions with industry during the development and marketing of medical products. The result is a growing call for sweeping new regulation of the industry at both the state and federal levels.

   Advances in the postmarket monitoring of new products along with new molecular and genetic tools for the detection and treatment of disease have the potential to revolutionize the regulation of new and existing medical products, making health care more predictive and preventive rather than empirical and reactive—thus improving patient outcomes and potentially reducing health care costs.

   Unfortunately, in our zeal to reduce risks, regulate potential conflicts, and mandate transparency, we may reduce incentives for companies to develop and market improved products due to increased tort litigation; inhibit doctors from collaborating with companies in designing safer and more effective products; and slow the FDA’s efforts to bring its oversight activities into conformity with the latest scientific and technical advances.

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