A big part of the reason why new drug development is so expensive is that the clinical trial and other approval requirements are so onerous (which also leads to companies doing insane things like making and patenting random molecules basically identical to cheap unpatentable chemicals just so it's worth it to force it through billions of dollars worth of trials so it can be prescribed at all). But making them less onerous would get the FDA pilloried the first time someone took a new drug and died.
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A big part of the reason why new drug development is so expensive is that the clinical trial and other approval requirements are so onerous (which also leads to companies doing insane things like making and patenting random molecules basically identical to cheap unpatentable chemicals just so it's worth it to force it through billions of dollars worth of trials so it can be prescribed at all). But making them less onerous would get the FDA pilloried the first time someone took a new drug and died.
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