Praise for Gottlieb Amid FDA Successes in 2017

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A Health Affairs year-in-review says that one of the biggest drug policy stories in 2017 was the bipartisan cooperation that led to passage of the FDA Reauthorization Act of 2017 that continued the FDA user fee program. The review also says that FDA commissioner Scott Gottlieb has established himself as one of the strongest, most effective agency heads in the Trump administration.

It praises him for decisive action on priorities like the opioid crisis, potential drug and device shortages caused by the devastation in Puerto Rico, and generic drug competition. “In general,” the report says, “Gottlieb has demonstrated his commitment to science- and evidence-based policy, supported by a strong agency staff.”

One issue the article raises is the question of what evidence will be sufficient to support FDA approval of new drugs. “If Commissioner Gottlieb is moving the agency toward the approval of drugs on the basis of less (or even just less rigorous) evidence,” author Rachel Sachs writes, “it is my hope that he will consider the consequences for the system as a whole—particularly our public reimbursement system, which for now must cover most or all FDA-approved drugs, regardless of evidence—in doing so.”

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