The next step in immorality: charging to create and cure disease

Surrogate markers are seductive. In clinical trials and regulatory decisions, why not reach for something quick, convenient, and relatively cheap? Why stop patients receiving a treatment of plausible and potential benefit? That is the logic behind “accelerated pathways” for drug approval, such as the one used by the US Food and Drug Administration since the 1990s. But the FDA’s experience is…

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