Speed Access to Drugs and Cut Drug Use: Makary

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FDA commissioner Martin Makary says that while he wants to speed patients’ access to needed drugs, he also wants to reduce the need for pharmaceuticals by addressing the root causes of diseases. In an interview with Yahoo Finance, Makary said he has been focused on ensuring quicker access to drugs, questioning why it takes 10 years for a drug to reach the market, and calling for more transparency about drugs when they are approved.

“We’re releasing the FDA decision letters so the public can see them, drug developers can see them,” he said. “We can give more predictability. We’re modernizing the agency. We’re trying to cut some of the idle time,” saying this would help restore people’s trust in FDA.

Much of the interview was devoted to Makary’s views on the role food plays in causing chronic diseases.

“No one has been talking about the fact that food has been designed to be addictive,” he said. “So when we have a crisis in our nation’s children, that is, 40% have a chronic disease and 11% have prediabetes or insulin resistance, it’s not their fault. We don’t think that our childhood obesity epidemic is a willpower problem. We think this is something adults are doing to kids. We’ve got to talk about school lunch programs, not just putting every six-year-old on Ozempic. We’ve got to talk about sleep medicine and the quality of sleep, and not just antihypertensive after antihypertensive. And we’ve got to talk about environmental exposures that cause cancer, not just the chemo to treat it. We’ve got to talk about food as medicine and the microbiome.”

Makary said he intends to redraw the food pyramid that hasn’t been updated in more than a decade, and believes that also will go far in restoring trust in the agency.

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