Chapter 5 of 10 - NCI & FDA Intro
Chapter 5 of 10 - NCI & FDA Intro
Chapter 5 of 10 - NCI & FDA Intro
kinds of machines that deliver radiation, weve got all this stuff in the war on cancer, and its trillions of dollars. [SOURCE: ACS] I find it very interesting that we have all these walks for the cure of cancer. Weve got all the wristbands, weve got all the donationswere going to find a cure in this decade. All this money keeps pouring inand it all goes to the same guys. ON-SCREEN TITLE CARD: PhRMA: New Medicines. New Hope. NARRATOR: The pharmaceutical industry is arguably the most profitable industry on our planet, with its profits being triple that of all of the Fortune 500 companies. [SOURCE: Fortune 4/30/07 Company Annual Reports] [Time Mag 2004] Rising profits result in rising stock prices, the only way this industry can sustain this profitable momentum is by continuing to introduce new patented drugs. And since the pharmaceutical industry relies on the FDA as its gatekeeper to introduce these new drugs, its in their best interest to insure the FDA remains as compliant as possible. And since the FDA is also an office of the United States government, its in the governments best interest to preserve one of its most powerful industries. The former editor-in-chief of the New England Journal of Medicine, Dr. Marcia Angell, has been very outspoken with the idea that... NARRATOR (reading along with highlighted portions of a Boston Globe article): ... its time to take the Food and Drug Administration back from the drug companies. In 1992, Congress put the fox in the chicken coop. It passed the Prescription Drug User Fee Act, which authorizes drug companies to pay user fees to the FDA for each brand-name drug considered for approval. The user fee act put the FDA on the payroll of the industry it regulates... and it has drastically changed the way it operates. The part of the agency that reviews new drugs now gets more than half of its money from the pharmaceutical industry. The FDAs coziness with industry is underscored by the composition of its 18 advisory committeesoutside experts who help evaluate drugs. Incredibly, many of these advisers work as consultants for drug companies. The FDA behaves as though the pharmaceutical industry is its user, not the public. [SOURCE: Boston Globe 2007] NARRATOR (reading along with highlighted portions of the FDAs Prescription Drug User Fee Rates for Fiscal Year 2010): In 2010, the fee revenue paid by the pharmaceutical industry to the FDA has risen to over a half a billion dollarsannually. PhRMA now pays over $1.4 million, per application, for most cancer drugs submitted to the FDAto ensure a timely approval. [SOURCE: FDA PDF pg 1] NARRATOR: Its important to understand that neither Congress or the FDA had requested this new fee structure to occur. Instead, PhRMA itself went to Congress and imposed these new fees onto the FDA, in essence purchasing the FDAs drug evaluation department from both the government and the public. [SOURCE: LA Times 2000] In a 2007 health policy report, sponsored by Pfizer, supporting the renewal of these user fees, they revealed...
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NARRATOR (reading along with highlighted portions of a George Washington Universitys Health Policy Response Project, co-authored by Pfizer): ... that the median review time for priority drugsthose for serious life-threatening diseases such as cancer, was sped up from 21 months in 1993 to 6 months in 2004. Dozens of cancer therapies have been reviewed and approved within 3 or 4 months.