Thank you for this. Your criticism of the FDA is entirely accurate and well-deserved. The drug pipeline is a congested cost-prohibitive limbo that significantly impedes successful treatment of patients. What's more, the nonsense, profit-driven cherry-picking of networks and providers by health insurance companies, along with the pharmaceutical industry's complicit and often conspiratorial relations with the FDA, are pathologically obstructive to finding and affording care. When you compare the volume of research literature on potential APIs and compoun...
At the clinician-patient level, the culture of assembly-line medicine has completely annihilated the inclination in clinicians towards free-thought and individualized care. Patients are a number and all the numbers with the same diagnosis are prescribed the same things in the same order save for the occasional gross contraindication that is typically caught by pharmacists rather than prescribers