Thank you for the very good reminder. Two comments:
1) although I didn't see it said plainly, I believe that you are calling for not just more frequent enforcement of false claims, but understand how much of the problem is the slap on the wrists that result. Yet I'm not sure you mention judiciary/legal system capture. Some of this problem resides there and not in the executive branch.
2) not sure that a chainsaw approach is inappropriate when another problem is spending way beyond our means.
To use your cancer resection example, aren't the chainsaws of radiation and chemo therapy part of many/most treatment plans? Isn't broad cutting, especially for those wanting out, a valid method of shearing the extra wool?
"it is difficult to see how an indiscriminate chainsaw purge at all levels of the FDA bureaucracy could solve the problem of fraud."
Doctor Noorchasm writes with erudition and makes many accurate and concise observations in this article.
That said, every organization that succumbs to systemic fraud, suffers from the same problem; the restructuring of incentives that form organizational culture. The "scalpel" paradigm proposed, is sensible, but elides one insurmountable confounding factor; the temporal issue.
This is by way of asserting that in the context of large organizations, reform is timebound. In private or commercial operations, that binding is based on capital flows and retention. With public organizations in democratic societies, the constraint is founded in electoral shifts.
The good doctor makes compelling arguments, but I would respectfully assert that the fraud has been allowed to become too deeply embedded, systemically, for the scalpel to do more than temporarily suppress the fraud. Doctor Noorchasm is spot-on regarding the risk level. I would say that there are not one, but two crimes here; the systemic corruption and the necessity to take such a large risk.
Your points 1-3 are directed at the fraudulent promotion of ineffective medications. In the covid epidemic we had also observed the opposite : Trying to discredit promising medication, that may pose a threat to vaccination. Ask me for examples.
https://www.rcog.org.uk/for-the-public/browse-our-patient-information/morcellation-for-myomectomy-or-hysterectomy/
EXCELLENT article! Thank you. Will spread it.
Ditto
Thank you for the very good reminder. Two comments:
1) although I didn't see it said plainly, I believe that you are calling for not just more frequent enforcement of false claims, but understand how much of the problem is the slap on the wrists that result. Yet I'm not sure you mention judiciary/legal system capture. Some of this problem resides there and not in the executive branch.
2) not sure that a chainsaw approach is inappropriate when another problem is spending way beyond our means.
To use your cancer resection example, aren't the chainsaws of radiation and chemo therapy part of many/most treatment plans? Isn't broad cutting, especially for those wanting out, a valid method of shearing the extra wool?
I thoroughly enjoyed reading this outstanding essay! Will spread the word!!
Thank you for sharing!
"it is difficult to see how an indiscriminate chainsaw purge at all levels of the FDA bureaucracy could solve the problem of fraud."
Doctor Noorchasm writes with erudition and makes many accurate and concise observations in this article.
That said, every organization that succumbs to systemic fraud, suffers from the same problem; the restructuring of incentives that form organizational culture. The "scalpel" paradigm proposed, is sensible, but elides one insurmountable confounding factor; the temporal issue.
This is by way of asserting that in the context of large organizations, reform is timebound. In private or commercial operations, that binding is based on capital flows and retention. With public organizations in democratic societies, the constraint is founded in electoral shifts.
The good doctor makes compelling arguments, but I would respectfully assert that the fraud has been allowed to become too deeply embedded, systemically, for the scalpel to do more than temporarily suppress the fraud. Doctor Noorchasm is spot-on regarding the risk level. I would say that there are not one, but two crimes here; the systemic corruption and the necessity to take such a large risk.
Your points 1-3 are directed at the fraudulent promotion of ineffective medications. In the covid epidemic we had also observed the opposite : Trying to discredit promising medication, that may pose a threat to vaccination. Ask me for examples.
Will definitely share…
Every Popular Rationalism is valuable .
Thank you for sharing Dr. Holman Noorchasm article.
Send this to RFKJr…