FDA’s Political Turn Risks Its Core Mission: Expert

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FDA’s vast responsibilities — regulating and monitoring everything from drug and device safety to the food supply and cosmetics — make it one of the most important federal agencies. Yet former Alliance for a Stronger FDA executive director and now regulatory expert and author of the blog FDA Matters (www.fdamatters.com) Steven Grossman is warning that the agency’s current trajectory risks undermining its effectiveness by prioritizing political expediency over rigorous inquiry and public input.

Grossman, who has spent 20 years briefing lawmakers and stakeholders on FDA’s role, offered a characteristically understated critique of the agency’s political domination. “I am troubled by how many FDA initiatives start with labor-saving conclusions rather than labor-expanding questions,” he writes on his blog. “In the past, FDA has always seen the wisdom of public input, especially consultation with outside experts through advisory committees chosen for balance and breadth of view. We need that back ASAP.”

The critique is striking given Grossman’s history as a consistent defender of FDA. He has long argued that the agency’s reach — regulating nearly $4 trillion in goods globally and overseeing about 20% of U.S. consumer spending — is indispensable to public health and economic stability. He frequently cites the agency’s complexity, with hundreds of unique regulatory activities, and its global scope, with oversight of nearly 300,000 facilities worldwide.

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