Tuesday, June 28, 2005
The FDA has been under attack by a number of forces recently, and perhaps in some respect deservedly so given the problems with some drugs that won FDA approval and have now been pulled from the store shelves as well as allegations of politics infecting their decisions on drug safety. Matthew Holt at Health Care blog has a nice post on some of the FDA's current problems. He writes,
The FDA has barely had a full time official commissioner since the start of the Bush Administration. Mark McClellan was officially head for a brief while in 2003, but he barely had time to look embarrassed on 60 Minutes when asked why Canadian drugs weren't safe enough for Americans before he nipped off to the rather more rarefied atmosphere of CMS -- where he's much better suited.
Meanwhile before, after (and basically during) McClellan's time at FDA, the acting commissioner has been Lester Crawford. Some cynics have noticed that there are a few clouds over Crawford. He was involved in some pretty close to the wind activities when he was in charge of Food Safety (ironically this weekend, there's more suspicion about the Administration covering up a second case of Mad Cow). But more recently there's been much fuss over both his personal affairs (i.e. was he or wasn't he abusing his power to forward the career of a female colleague with whom he was having a close relationship) and, much more importantly, about his being behind the non-approval of Barr Labs' Plan B emergency contraceptive.
Robert Steeves has written convincingly on Why Plan B went down. Essentially Crawford overruled a scientific committee which voted overwhelmingly that Plan B (an emergency morning-after contraceptive) was safe and effective. So it won't go on the market. Of course, any time you hear anything to do with "safety" in reproductive health care in this country, your ears should prick up. There are allegations that information was withheld from the Senate Panel investigating this. Whether that's true or not, David Hager the physician who apparently has Crawford's ear and was a one of the few dissenters on the panel, appears to be a certifiable loon. Yup, he attributes all his research skills and influence to God and is not shy about telling the world about it. However, his ex-wife is not shy about telling the rest of the world about Hager's at the least inhumane and at most criminal treatment of her -- including paying her (at first) and then forcing her into types of sex that many on the Christian right probably think of as against God's law and should be banned (although they all probably indulge in private...OK that's my last direct slam on the Fundamentalists in this piece).
At any rate, it's good to know that the future of contraception in this country is in such stable and rational hands. And overall of course the whole thing is a payback from Crawford to the Christian right for supporting his appointment.
The whole article is an interesting read with some helpful links. [bm]