physics, and public health
really, just a solid science blog: cocktail party physics.
the post that caught my eye, of course, was on the MMR-autism “link.” it’s worth a read (and a watch).
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maybe i’ll eventually get around to blogging about why i think the wyeth v. levine SCOTUS decision was right, even though the original outcome at trial was likely wrong.
one of the side effects of the wyeth decision has been the proliferation of doomsday cries from such venerable sources as the wall street journal and AEI asserting that the decision spells certain doom for the pharmaceutical industry. in addition to calling for explicit FDA preemption of state causes of action, some – like the manhattan institute – would like the feds to indemnify drug companies that adhere to the minimum FDA warning label requirements, and create a federal drug injury compensation program, similar to the national vaccine injury compensation program.
i think this is a horrible idea on a number of levels, and i’ll sketch out a few thoughts to flesh out later:
* the VICP was established after a series of personal injury lawsuits awarded high damages to plaintiffs and several manufacturers halted production of the vaccines in response to their high liability costs. this is similar on its face to the greater drug situation, post-wyeth, but until we see a flood of wyeth-inspired lawsuits, reports of big pharma’s demise are premature. companies aren’t going to stop developing new drugs just because case law has now clarified what the FDA had maintained for decades: that the post-market surveillance of drugs requires both regulation and litigation. (either that, or we need to seriously beef up the FDA’s budget and give it back its fangs – something i don’t see the “free-market” manhattan institute favoring.)
* drug companies don’t have a very good track record of self-policing once their products have been approved. (vioxx, anyone?) removing one of the few incentives to keep on top of new data (lawsuits) will further reduce the companies’ interest in assuring the safety of their products.
* vaccines protect the whole population against epidemic disease. the rest of the drug pantheon… well, while they do serve a social good, i don’t consider lifesaving – but ultimately individual-supporting – drugs to have the same social value. it’s the difference between funding a city sewer system and funding a program to install self-cleaning toilets in every home. (no telephone sanitizer jokes, please.)
* there are 23 vaccines covered by the VICP. in contrast, the physician’s desk reference lists more than 2,400 drugs.
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and on a completely unrelated note, kashi frozen dinners are really, really yummy. the one i’m currently noshing on – black bean mango – is a little high on the sodium (430 mg), but impressively flavorful and texturally varied. it’s also vegan. go figure.
