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FDA Bureaucrats Kill 150,000 Americans

in Liberator Online Archives by James W. Harris Comments are off

(From the Intellectual Ammunition section in Volume 19, No. 19 of the Liberator Online. Subscribe here!)

Never mind Ebola, terrorists and school shootings. Abolish the FDA

What Americans should fear is… the FDA (U.S. Food and Drug Administration).

The FDA’s failure to approve life-saving drugs in a timely fashion is killing thousands, even tens of thousands, of Americans every year, critics charge.

Take just one example. An estimated 150,000 Americans have died or will die from idiopathic pulmonary fibrosis — a disease in which tissue deep in the lungs becomes thick and stiff, or scarred, making breathing difficult — because of the FDA’s four-year delay in the approval of the drug pirfenidone — a drug already approved and marketed in Europe (since 2011), Japan (2008), Canada (2012) and China.

That estimate comes from Dr. Henry I. Miller, a medical researcher, founding director of the FDA’s Office of Biotechnology, and 15-year member of the FDA.

That’s more Americans than were killed in any American war except the Civil War and World War II.

And pirfenidone is just one example among many others. The FDA’s slow approval of beta-blocking drugs in the 1970s may have led to the unnecessary deaths of up to 100,000 people, according to Sam Kazman, J.D., of the Competitive Enterprise Institute.

For many years the FDA prohibited aspirin makers from advertising the widely-accepted argument that aspirin could significantly reduce the risk of heart attack for some patients. According to economist Paul H. Rubin, “The FDA surely killed tens, and quite possibly hundreds, of thousands of Americans by this restriction alone.”

Indeed, says Reason magazine’s science correspondent Ronald Bailey, “the FDA’s increased obsession with safety may be killing more people than it saves. …After all, if it takes the FDA ten years to approve a drug that saves 20,000 lives per year that means that 200,000 people died in the meantime.”

The FDA’s approval process can take up to… 18 years. For people desperately fighting fatal illnesses, such long waits are death sentences.

Making things worse, the FDA’s review process is so expensive that,according to Yevgeniy Feyman of the Manhattan Institute: “The typical drug approval costs between $1.2 and $1.3 billion.”

According to Reason magazine’s Bailey, many drugs that could save lives are never introduced because of this cost.

In 2000, economist Daniel B. Klein of the Independent Institute wrote: “Because the FDA process is so expensive, so protracted, and so uncertain, thousands of untold drugs are never discovered or developed. It is impossible to estimate the suffering and death caused, but surely it greatly exceeds 50,000 premature deaths annually.”

Why is the FDA so agonizingly (literally) slow and expensive? Prior to 1962, the average time for FDA approval was just seven months. However, in 1962 Congress passed the Kefauver Harris Amendment, which added a new requirement of proof of effectiveness, in addition to the old standard of proof of safety, for approval of new drugs. Effectiveness is a far more difficult, and expensive, standard to meet.

Perhaps worst of all, the FDA typically doesn’t give even gravely ill patients the opportunity to choose promising treatments it has not approved. As journalist Kate Jenkins asks: “If you had a fatal disease and were told you only had one year to live, wouldn’t you prefer to be allowed to make your own choice?”

This article by Ronald Bailey gives a further look at this mess, and offers libertarian alternatives.

The Independent Institute offers an overview of the situtation and proposals for replacing the FDA.

And for a great movie that dramatizes this life-and-death struggle, see The Dallas Buyers Club starring Matthew McConaughey.

The Piketty Challenge to Capitalism

in Economic Liberty, Economics, Liberator Online Archives by James W. Harris Comments are off

(From the Intellectual Ammunition section in Volume 19, No. 8 of the Liberator Online. Subscribe here!)

Capital - Thomas PikettySeems like everybody is talking about French left-wing economist Thomas Piketty’s new book Capital in the Twenty-First Century.

It rocketed to the top of the New York Times bestseller list.

Lefty pundit Paul Krugman hails it as “the most important economics book of the year — and maybe the decade.”

An Esquire review was entitled “The Most Important Book of the Twenty-First Century.”

New York magazine described Piketty as a “Rock-Star Economist.”

The title of an article on Bill Moyers website crowed: “Piketty’s Bombshell Book Blows Up Libertarian Fantasies.”

Even the Pope tweeted a thumbs-up to the Piketty thesis: “Inequality is the source of social evil.”

No doubt about it: proponents of massive government intervention and coercive wealth distribution are praising Thomas Piketty’s new book to the skies.

Piketty’s tome is seen as a devastating criticism of the very fundamentals of capitalism. Basically, Piketty examines an enormous amount of historical economic data to conclude that capitalism inevitably, over time, promotes huge inequalities in wealth. This wealth becomes ever more concentrated in just a tiny percentage of the population, leaving the rest of us far poorer and far less powerful politically.

This inequality, Piketty believes, poses a serious threat to the people of the world (except the wealthy). The solution? Although he himself suggests it is probably unrealistic, at least for the moment, he urges a massive worldwide tax on wealth to radically reduce income inequality.

And what a tax it is! For the U.S. Piketty wants a steeply progressive income tax with a top rate of 80% on incomes starting at around $500,000 or $1 million, as well as a 50%-60% tax rate on incomes as low as $200,000, which he confidently asserts “would not reduce the growth of the US economy.” To make sure the beast of inequality remains slain, he suggests an annual wealth tax up to 10% on the largest fortunes, and grabbing up to 20% of lesser estates.

No, he’s not kidding. And the main purpose of this tax is not to flood governments with revenue — though it would, at least at first — but simply to reduce income inequality. Indeed, he has surprisingly little concern with how inefficiently or destructively government might use this money.

These proposals may sound downright insane to libertarians and other market advocates, but at the moment Piketty’s book is sweeping the country. So libertarians will want to learn about this latest challenge to liberty and why Piketty’s arguments against economic liberty are dangerous and wrong.

Here are some good short, very readable places to start:

Piketty Gets It Wrong by Michael D. Tanner (Cato Institute), National Review (Online), April 23, 2014.

Excerpt: “Piketty’s solutions would undoubtedly yield a more equal society, but also one that was remarkably poorer.”

Fighting Inequality: Rule of Law Vs. Legal Plunder by James A. Dorn (Cato Institute), Investor’s Business Daily, April 29, 2014.

Excerpt: “The likely result of this utopian scheme would be to drive creative people out of high-tax countries, slow economic growth, and make societies poorer in the long run.”

Will 80% Income Taxes and a New 10% Wealth Tax Fix Our Economy? by Hunter Lewis, AgainstCronyCapitalism.org, May 2, 2014.

Excerpt: “Perhaps the most astonishing claim in Piketty’s book is that government bureaucracies need to be reformed so that they can make most efficient use of all the new income and wealth taxes that are recommended. The assumption is that almost complete government control of the economy would be best, but that the machinery needs some fine tuning.”

Who Is Thomas Piketty And Why Has The Obama White House Rolled Out The Red Carpet For Him? by Hunter Lewis, AgainstCronyCapitalism.org, April 19, 2014.

Excerpt: “This is all complete nonsense. Economic growth is produced when a society saves money and invests the savings wisely. It is not quantity of investment that matters most, but quality. Government is capable neither of saving nor investing, much less investing wisely.”

The Inequality Trap Distracts from the Real Issue of Freedom by Richard Ebeling, May 5, 2014.

Excerpt: “The only important and relevant ethical and political issue in a free society should be: How has the individual earned and accumulated his material wealth? Has he done so through peaceful production and exchange or through government-assisted plunder and privilege?

“Rather than asking the source or origin of that accumulated wealth — production or plunder — the egalitarians like Thomas Piketty merely see that some have more wealth than others and condemn such an ‘unequal distribution,’ in itself.”

Thomas Piketty’s bestselling post-crisis manifesto is horrendously flawed by Allister Heath, UK Telegraph, April 29, 2014.

Excerpt: “Parts of the US intelligentsia now advocate the same ideas that are to be found on Europe’s Left-wing fringes… Envy is back, disguised as a concern about ‘inequality,’ and the bail-outs and QE were merely a convenient excuse to bash the rich. It is shocking how many intelligent people now support seizing most of the wealth created by entrepreneurs…”

Smith, Marx, and Piketty by George Reisman, Reisman’s Blog, April 21, 2014.

Excerpt: “Contrary to Mr. Piketty, the fact that the rate of return on capital is higher than the rate of economic progress does not at all imply that the fortunes of the rich will increase more rapidly than the overall size of the economic system. … Our problems today result largely from government policies that serve to hold down saving and the demand for capital goods. Among these policies are the corporate and progressive personal income taxes, the estate tax, chronic budget deficits, the social security system, and inflation of the money supply. To the extent that these policies can be reduced, the demand for and production and supply of capital goods will increase, thereby restoring economic progress, and the aggregate amount and average rate of profit will fall.”

On the Piketty Welcome Party by Bas van der Vossen, Bleeding Heart Libertarians, April 21, 2014.

Excerpt: “…inequality per se need not bother us as much as it does the Piketty-acolytes. …What matters is that living standards keep rising, and keep rising for all. That has been the crucial engine of humanity’s greatest achievements in poverty reduction, increases of life expectancy, literacy, culture high and low, and so on.”

Liberal Pundits of the World Unite Over Thomas Piketty’s New Book: Democratic pundits have enthusiastically and unconditionally embraced a book that evokes Karl Marx and talks about tweaking the Soviet experiment“ by David Harsanyi, Reason.com, April 25, 2014.

Excerpt: “…it is worth pointing out that liberal pundits and writers have enthusiastically and unconditionally embraced not only a book on economics but a hard-left manifesto. …But how does a book that evokes Karl Marx and talks about tweaking the Soviet experiment find so much love from people who consider themselves rational, evidence-driven moderates?”

Obama: Wrong About Income Inequality; The problem is joblessness, not rich people by Ronald Bailey, Reason magazine, April 2014.

Excerpt: “Are the rich getting richer? Yes. Are the poor getting poorer? No. In fact, over the past 35 years most Americans got richer. Has income inequality increased in the United States? Yes. Does it matter? …No. …if most Americans’ incomes are rising, does it matter if some are getting a larger share?”