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David A. Saltzman's avatar

You are right on the money (literally and - sadly - figuratively.) President Reagan said that the nine most terrifying words in the English language are, "I'm from the government, and I'm here to help." In 1773, tea was dumped in the harbor. The action was far more than a move to protest taxation; it was a protest against a huge, overreaching government. It was a grassroots, citizens-up revolution that birthed this country, and it will take the same kind of grassroots effort to reform the forces that drove Prasad and Makary out of government. The question is, do we have the will? Keep up the good fight Tiff.

Tiffany Ryder's avatar

Ugh - I KNOW you are right David, but I too was secretly hoping to be saved. As far as what's next, we have to have the will. We have no other choice.

Doug Hinschberger's avatar

“Here is what MAHA should do immediately: stop measuring wins by whose butt is in which seat. Vinay and Marty just proved that those particular seats are a waste of time. Start measuring wins by how many people are crossing into this alternative world we have been building outside them.”

Truth.

I know I have placed too much hope in who is sitting where. Actually, it’s not hope, it’s acquiescing that someone else will do the work because I can be too lazy to do my own part.

I agree that each time something like this happens it exposes the reality. It boils down to each one of us. Becoming enlightened to the darkness and evil we face.

Tiffany Ryder's avatar

I feel this so deeply. And especially this >> It boils down to each one of us. Becoming enlightened to the darkness and evil we face.

Jason Larsen's avatar

I’m so sad to hear this news. And infuriated. Keep fighting the good fight and telling the world about it.

Tiffany Ryder's avatar

Thanks Jason. Me too. We have to save ourselves and at least there's some hope and power in that.

TKZinkMD's avatar

Profoundly important question herein from Ms. Ryder. "Why do we even care about the FDA as it is? What would we even lose if this captured agency ceased to exist?" Totally agree with Ms. Ryder's enlightened answer... "I don’t really [care]. And not much. And that is the part that should give you a little hope today instead of grief. The hope for State-level medical freedom laws that survive any administration in Washington. Direct-pay doctors and surgical centers who don’t answer to insurance companies. Cash-pay independent pharmacies. Real food sourced from people you can call by name. Real journalism funded by readers instead of pharma advertisers. Real science published outside the captured journals." And I might add, hope for a rededication to the patient-clinician bond as the cornerstone of VALUE; i.e., timely care without undue costs.

Tiffany Ryder's avatar

Thank you so much for your kind words and support.

Tiffany Ryder's avatar

Yes. Stop the games and let doctors be doctors.

Devin Ryder's avatar

Wow - a truly sad state of affairs, Tiffany, though you captured it beautifully, here. This was a rare moment in my life when I'd actually had some hope for swamp drainage in DC - it even looked like it was working for a while. But just over a year after it started it appears to be crumbling quickly.

Very disappointing :(

Thank you for telling the story behind the story!

Dr. Karreman's avatar

Wow, I could have quoted nearly everything you wrote and said Right On. I've tasted the tentacles of Pharma for years (via university researchers, professional organization guilds, and field inspectors) in my fight for organic farmers to be able to use natural medicine on dairy farms. I actually just posted about this https://theorganicvet1.substack.com/p/a-strategy-to-recognize-veterinary

Don't ask me how, but I got an in-person meeting with Dr. Makary last year to discuss the issue. He seems like a really decent guy and I like that he is a man of faith. I would think that helped him face the demons of Pharma as well as he could. I'm honored he took the meeting as he had some other real BIG issues, obviously.

Pharma truly does hold the keys to FDA and their many Centers. And yes, FDA was born to approve medicine, not police it. And any talk of food safety is a distant second to the drug approval realm (with its ridiculous "user fees" which essentially buy the reviewing process). If you ask me, approvals should be outsourced to accredited organizations (much like the Organic Materials Review Institute, OMRI) is the gold standard for what's allowed in organic production. Then the FDA could actually police drugs... but then again it wasn't born to do that.

Tiffany Ryder's avatar

Thank you so much for reading and for your support! So glad that you had a chance to be heard by him in person. The flaws are so fundamental. I think they are beyond reform. Looking forward to reading your post!

David Mordo's avatar

Marty was going to get fired. He knew it, everyone knew it. They let him resign. As I mentioned in my linkedin post, the job was over his head. He's not a regulator, he's a physician. He wasted 14 months and got nothing accomplished. He's a great example of why people should "stay in their lane" The man is a brillant surgeon and his skill saved lives. He sadly became a political paper pusher.

Tiffany Ryder's avatar

Anyone who won't bow down to pharma eventually is shown the door. Wish he could have done more.

David Mordo's avatar

I wish he wouldn't have taken the job in the first place.

Tiffany Ryder's avatar

He may actually agree with you!

Bottom Up Mindset's avatar

Wow! A great piece!

I believe one of the most important principles we are ignoring in health care is the principle of insurable risk. Primary care is not an insurable risk, The vast majority of generic meds are not an insurable risk. They are inexpensive and their use is predictable. If everyone paid for inexpensive meds directly and did not use insurance, the power of big pharma and big insurance would be reduced. And perhaps most importantly, patients would begin to think differently about health "insurance."

Laura Mueller's avatar

To run the FDA in FY 2026 costs around $3.2 billion in discretionary congressional appropriations, plus Industry User Fees of approximately $3.6 billion collected from companies (such as pharmaceutical and medical device manufacturers) to fund specific regulatory reviews.

Until Prasad, Makary, Høeg arrived, the FDA had never met a medical product or so-called "vaccine" it did not "approve." Makary sped up FDA processes. The FDA's problem is how much public trust and market share evaporated after their "covid" Scamdemic exposed their profits from patent royalties on patients' deaths, jab injuries, and harms from their products.

Most effective and cost- saving is to disband the FDA altogether.

jacquie .morris's avatar

ThanX for the share & the clarity with the care so we can keep the hope alive ~ mayb now we will create more thriving beyond the surviving the true North write)right way eh :)