Categories
Bioethics Cancer Clinical trials Medicine Politics Skepticism/critical thinking

The 21st Century Cures Act passes, potentially turning the FDA into a puppet of the pharmaceutical industry

Well, it’s done. Today, the Senate passed the 21st Century Cures Act, a bill designed to weaken the FDA and empower pharmaceutical companies, sending it to President Obama’s desk. There’s no way Obama won’t sign it, as it contains provisions funding his Precision Medicine Initiative, and he supported it all along. For all its flaws, […]

Categories
Antivaccine nonsense Medicine

I fear for medical science under Donald Trump

It’s been two weeks since Donald Trump unexpectedly won the Presidential election despite losing the popular vote. Regular readers of my not-so-super-secret other blog know my opinion of this; so I won’t belabor it too much here. If you’re curious, I have written about Donald Trump’s antivaccine views here many times dating back to 2007, […]

Categories
Bioethics Clinical trials Medicine Politics

The 21st Century Cures Act: Still alive, and still poised to endanger patients

it was less than a year ago that I described a bill wending its way through Congress called the 21st Century Cures Act “old vinegary wine in a new bottle.” The reason I characterized the bill that way was because it really was nothing new and it rested on a very old fallacy, namely that […]

Categories
Cancer Clinical trials Science Skepticism/critical thinking

Precision medicine: Hype over hope?

I am fortunate to have become a physician in a time of great scientific progress. Back when I was in college and medical school, the thought that we would one day be able to sequence the human genome (and now sequence hundreds of cancer genomes), to measure the expression of every gene in the genome […]

Categories
Clinical trials Medicine Politics Popular culture Skepticism/critical thinking

The 21st Century Cures Act: Old vinegary wine in a new bottle

The approval of new drugs and medical devices is a process fraught with scientific, political, and ethical landmines. Inherent in any such process is an unavoidable conflict between rigorous science and safety on the one side, which tend to slow the process down by requiring large randomized clinical trials that can take years, versus forces […]