In a recent article, I quoted 35 economists who favor liberalization of pre-market approval.
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One idea is to recognize the drug approvals of, say, 15 other governments. That is, we reform the U.S. system so that if the drug-approval agency of even one of those 15 countries approves a drug for that country, then the drug is automatically approved in the United States.
Linkpost for Drug-Approval Denationalization: