Not the point of my post, I hesitated to even include it. Its nothing special. Just the basic idea of market based review organizations. I don't have links handy but there are privately ran journals that often over many years have been quicker to approve both new treatments and recommend the ceasing of other treatments.

First off, if you don't recognize the problem of a monopoly group of politically motivated individuals making decisions that affect millions of people and the huge incentives that exist to manipulate and control such a group then I'm not sure if you will be open to anything else.

Currently we have a centralized monopoly that decides what should and should not be allowed. They make mistakes. That's not a crime. They are human. But if you have multiple groups that make recommendations and the technology we have today to compare their track records against one another I think we'd have a better picture of risk vs. reward. One that isn't so easily politicized and co-oped.

I'm NOT saying there wouldn't be the same incentives but rather that it would be more clear and that there would be competition. That doesn't solve the issue but it helps a ton in my opinion.

I think one of the biggest issues is the seemingly blind trust in institutions as if there are not subject to politics and manipulation by industry. The fact that these institutions have so much power is one reason they are so targeted for control.

What we are seeing now is RFK pissing off the pharma industry and the politicians they own. We are also seeing many people that still have trust in the system manipulated into a panic. Not accepting the fact that they have been trusting a system that could have been lying to them for decades. They would never know it. The average person has to be more skeptical. The world is a mess of complex things and if you decide you are gonna just trust the industry paid science and the government shills that push it you are at their mercy.

I don't think everyone down the line is corrupt. I don't think every doctor is a paid pill pusher. But some are and enough people just trust authority that its not hard to see how a system could be corrupted by monopoly and greed.

Maybe I'm wrong. Maybe there is another way this could be done but the status quo is not good. Personally, I would trust competitive agencies that were recommendation based only. Provided the companies were not protected against torts as they are today.

Hope that helps.

These books cover a more broad area but they have good resources related to this idea.