ASH Clinical News ACN_5.5_full_issue_web | Page 37

BACK of the BOOK The Hidden Costs of Cheap Drugs In Bloomberg, regulators and legislators weighed in on America’s “love affair with cheap drugs,” questioning whether approaches to bringing down prices – like fast-tracking generic drug approvals – are coming at the expense of U.S. Food and Drug Administration (FDA) oversight that ensures the safety and effectiveness of drugs already on the market. “It’s not the number of inspections we do, it’s whether we’re targeting effectively. … There are certain actors that are more likely to do something deliberate – and those are the ones that you need to be focused on.” —FDA Commissioner Scott Gottlieb, MD, on the agency’s “surgical approach” to selecting facilities to visit “Americans need to know that their medications are safe and effective. It’s the FDA’s job to ensure that, from the factory floor to the shelves of our pharmacies.” —Rep. Diana DeGette (D-CO), chair of the House’s investigations subcommittee with oversight of the FDA “I think our oversight is better than it’s ever been. That’s my professional judgment of manufacturing worldwide. We know where they are, we know who they are, we know what they’re making, we know when we’ve been there, we know who else has been there. Could we improve? Yes, but I wouldn’t look at absolute stark numbers and say that should be a greater or lesser cause for concern.” —Janet Woodcock, MD, director of the FDA’s Center for Drug Evaluation and Research, on concerns about global manufacturing oversight