Brownstone Institute
The Deception Is Getting More Brazen

One of the most disappointing aspects of the COVID pandemic has been the willingness of adults to impose untested restrictions and policies on young children, while ignoring any potential negative impacts to their mandates.
Without pushback from the media, supposed “experts” have recommended school closures, remote learning, forced masking and now, universal vaccination for children ages 6 months-<5 years.
The lack of data or evidence suggesting a benefit to these policies has seemingly never been a hindrance to their recommendations. In fact, it often feels as if they dare others to point out that their policy mandates are not based on any high quality research.
Instead of engaging with the mountains of substantive criticism of their methodology or the discrediting flaws of the “studies” they reference, they simply revert back to appeals to authority.
They’re right, because they say so.
This phenomenon has often been applied to “interventions” forced on children, but it’s also easily applicable to the debate over the origins of COVID.
For much of the first year of the pandemic, “experts” and the “fact checking” media colluded to ensure that discussion of the lab leak theory would be censored and users banned for suggesting it as a possibility.
Only after the approved political sources deemed it acceptable to discuss did social media companies relent.
Except one of the world’s supposed leading “experts,” the head of the World Health Organization, has apparently been telling people privately that he believes the lab leak is the most likely explanation for the origin of the virus.
Of course, none involved in the expert approved censorship will apologize or demand changes as a result.
Because whatever they say is right. No matter how many times they’re wrong first.
You’d think that being caught lying, misrepresenting evidence or flouting their own rules would be enough to instill a level of shame in politicians and their ideological allies, but the recent Supreme Court decision overturning Roe v. Wade shows there truly is no limit to the hypocrisy they’re capable of.
It’s important to shine a light on these three issues — the lying, the hypocrisy and the purposeful misrepresentations. Holding the “experts” and politicians accountable is the only chance to stop the madness of COVID policy from becoming permanent.
More Embarrassments for the FDA & CDC
Possibly the most important thing to know about the FDA authorizing vaccinations for young children is that there is virtually no evidence to support their decision.
When you review the FDA documents, it’s shocking to see how little data they used to make their decision and how ineffective the trials proved to be.
Unsurprisingly, the CDC joined in by misrepresenting the risks of COVID to children.
The CDC has deservedly been at the forefront of the erosion of “expertise,” beginning with their early flip flop on masks. In spring 2020, the CDC recommended against mask wearing by the general public, in line with pre-COVID evidence. By summer 2020, the director of the organization was claiming that masks would provide better protection than vaccines.
They continued to mislead the public on the effectiveness of masks, collaborated with teacher’s unions to keep schools closed and claimed that vaccinated people did not “carry the virus.” Repeatedly, the CDC has shown that they are willing to mislead in order to achieve their policy goals.
But this latest misstep might be their worst yet.
Seemingly out of a desire to justify authorizing vaccinations for young children, the CDC presented misleading data on the risks of COVID.
At a recent meeting of the Advisory on Immunization Practices group, as chronicled in a post by writer Kelley K, the CDC presented a graphic claiming that COVID was a leading cause of death among kids 0-4.

Except this graphic is completely false.
It came from a preprint posted by researchers in the UK, who reviewed mortality data from the National Center for Health Statistics. That dataset includes deaths where COVID was the main contributor as well as those where it was present, but not the underlying cause.
This discrepancy creates a significant issue with accuracy, since the preprint claimed to “only consider Covid-19 as an underlying (and not contributing) cause of death”.
As Kelley points out, there is a noticeable difference between the NCHS statistics and the CDC’s own “WONDER” database, which delineates between contributing and underlying causes.
NCHS, which includes incidental COVID deaths, shows that 1,433 children died with COVID, but the WONDER database shows 1,088 deaths from COVID. That’s a 24% difference and would dramatically alter the graphic.
They used COVID data that included deaths with COVID and compared it to data that includes deaths from an illness.
It’s completely discrediting.
Even worse, the misleading graphic represents COVID deaths cumulatively and compares it to annualized data. Simply, they took two years of COVID related mortality and compared it to one year of data for all other causes.
Kelley re-ran the data using the correct comparisons, which significantly altered the outcome.
While the CDC rankings claimed that COVID was the 4th leading cause of death for children under the age of 1, the corrected annualized ranking was 9th, after using exclusively underlying cause data.
Similarly, the NCHS data used in the preprint and by the CDC claimed 124 deaths in that age group, but COVID was the underlying cause in only 79 deaths.
Rankings for childhood mortality are also overly simplistic, since even the “leading” causes of death pale in comparison to accidents, which caused ~25x more annualized deaths than COVID.
But the worst part about this is that the CDC likely knew that the data they were presenting was wrong and dangerously misleading. And they used it anyway.
They were so desperate to justify their desire to vaccinate young children that they were willing to use inaccurate information and comparisons to do so.
They knew that the media and influential “experts” around the internet would pick up on the graphic, creating unnecessary fear amongst parents and higher demand for the vaccines. And of course, they were right; CNN’s Leana Wen immediately shared the slides:
Instead of accurately informing the public and allowing parents to make a risk-benefit calculation, the CDC is essentially trying to coerce behavior through fear.
Even better, the lead researcher posted on Twitter that they were aware of the issues and would be making corrections.
But of course, it’s too late. The data has now been spread far and wide; the CDC and their allies did their damage. The vaccines were authorized regardless and many parents will make the decision to vaccinate their children based on misrepresented information.
It’s yet another episode in the depressing saga of experts disgracing themselves to achieve their goals and undercutting the public’s trust in the process.
The Lab Leak
A new story from the Daily Mail reports that World Health Organization Director-General Tedros Adhanom Ghebreyesus privately admits that he believes that the COVID-19 pandemic originated in a Wuhan laboratory.
Tedros apparently made the remarks to a prominent European politician that a “catastrophic accident” was the “most likely explanation” for the beginning of the pandemic.
The WHO in early 2021 started an investigation into the origins of the pandemic, which concluded that the lab leak hypothesis was “extremely unlikely.” However, the researcher who led that investigation claimed that China “pressured” the team to “dismiss” the lab leak theory.
Scientific journal The Lancet attempted an investigation, which was disbanded over conflicts of interest. Eco Health Alliance head Peter Daszak failed to disclose his close ties to the Wuhan lab, resulting in criticism of the committee’s objectivity.
While privately Tedros is now seemingly admitting that the lab leak is the most likely origin, the official position of the WHO is that “all hypothesis” are still possible.
It’s extremely unlikely that they will ever change their official, public statements given China’s importance to the organization.
In early 2020, for example, China contributed an additional $30 million to the WHOin what was described as a “political power move” to “boost its superficial credentials.”
The true origins of the pandemic are obviously an extremely important issue not just for China and the WHO, but the global political landscape. Beyond officially determining where the virus came from, if it is conclusively determined to have resulted from a lab leak, it would be a crushing blow to “experts” like Dr. Anthony Fauci who tried repeatedly to shut down the theory.
“The science” has been repeatedly referenced by media outlets, public health authorities and politicians as an immutable set of beliefs that are unassailable and infallible.
If a deadly global pandemic that has resulted in the deaths of millions of people, destroyed economies, increased poverty and furthered educational deterioration started in a research lab, it could mark a devastating shift in the public’s view of “science.”
What’s most infuriating about Tedros finally (and privately) giving credence to the lab leak is that for much of 2020, proponents of the hypothesis were decried as “conspiracy theorists.”
The Washington Post famously published an article calling it a “debunked” conspiracy theory and were forced to issue a humiliating correction afterwards.
Media outlets like the Post never had any justification to call the lab leak a “debunked” conspiracy, but it’s obvious they felt safe in describing at as such because it was promoted by the wrong people. Tom Cotton, a Republican Senator, had advanced the hypothesis, therefore it must be “debunked” because Cotton belongs to the wrong ideology.
That myopic, politically motivated thinking has been a common function of most major media outlets who are often desperate to declare their allegiance to the correct set of approved liberal opinions.
Social media companies like Facebook used the media and WHO as authoritative sources of information and as a result, banned users from even discussing the lab leak.
Only in mid-2021 did Facebook reverse course after admitting it was not “debunked.”
This story contains all the infuriating elements of COVID discussion – “experts” lying to the public and bowing to political pressure from China, a fake consensus of opinion created by the media, and social media outlets protecting “science” by censoring opposing viewpoints.
While China’s opposition to an actual investigation will likely prevent any conclusive findings, it’s notable that the head of the WHO admits privately that the “conspiracy theorists” were probably right all along.
Vaccine Mandate Hypocrisy
The Supreme Court decision in Dobbs v. Jackson Women’s Health Organization overturning Roe v. Wade has dominated the news cycle since the opinion was released Friday.
Reactions from the pro-abortion side have been ranged from deliberately misleading to woefully inaccurate to offensive, with one comedian labeling half the country as “terrorists.”
But yet another type of hypocrisy has emerged from supposed public health “experts” and politicians.
Best exemplified by U.S. Surgeon General Vivek Murthy and Canadian Prime Minister Justin Trudeau, it’s yet another indicator of how the response to Roe v. Wade is about nothing more than maintaining allegiance to the correct political ideology, intellectual consistency be damned.
In 2021, President Joe Biden attempted to mandate COVID vaccination for millions of workers throughout the United States by appealing to OSHA authority. Any employee who worked for a company with more than 100 employees would have had their freedom of choice removed by being forced to take a vaccine that does nothing to protect the safety of others.
The mandate was ultimately deemed to be illegal, but the attempt was celebrated by public health “experts” and many politicians as the correct decision, regardless of its impact on bodily autonomy.
Back in November of 2021, Murthy defended the government mandating a private health decision by saying: “It’s a necessary step to accelerate our pathway out of the pandemic.” He also referred to it as entirely “appropriate:”
“The president and the administration wouldn’t have put these requirements in place if they didn’t think they were appropriate and necessary,” Murthy told host Martha Raddatz on ABC’s “This Week.” “And the administration is certainly prepared to defend them.”
Murthy believes that when it comes to COVID vaccination, the “essential principle of maintaining an individual’s autonomy and control over their health decisions” is null and void.
Unsurprisingly, he had the exact opposite reaction to the Supreme Court’s decision:
It’s amazing how flexible the “essential principle” of “individual autonomy and control over their health decisions” apparently is.
When it suits Murthy’s political needs, he’s a staunch defender of individual choice. When he wants to mandate control over other’s bodies and personal health decisions, choice is a meaningless, easily dismissed concept.
Justin Trudeau exemplifies the same remarkable lack of shame.

Less than a year ago, Trudeau mandated vaccines for anyone attempting to travel by plane or train across Canada, as well as for all “federally-regulated” workers.
This decision, of course, removed bodily autonomy and choice for millions who need to travel or didn’t want to lose their government jobs.
Undeterred by the abject hypocrisy, Trudeau on Friday declared that “no government, politician, or man should tell a woman what she can and cannot do with her body.”
It’s hard to imagine a more blatant example of political posturing and virtue signaling.
Trudeau, who is a man, politician, and a representative of the government, told many women in Canada exactly what they had to do with their body.
Get vaccinated or lose your job and stay home.
He had no problem removing the “right to choose” when it suited his needs. Only now when he has an opportunity to signal his ideological virtue is he a champion of individual liberty.
It’s nothing new for politicians and public health authorities to be hypocritical. But their ability to blatantly disregard the principles of bodily autonomy and personal control over health decisions just a few months ago means it’s impossible to take them seriously now.
It’s almost assuredly too much to ask “experts” and politicians to be intellectually consistent, but it’s yet another example of why trust in institutions and those that run them continues to deteriorate.
It’s all part of the same depressing pattern. Experts and politicians are willing to lie or purposefully withhold information to achieve their goals.
They mislead and contradict their previous statements, knowing that the media will protect the hypocrisy and misrepresentations.
The FDA buries the data behind the authorization in documents they know no one will read.
The head of the most powerful international health body hides his true feelings to protect China and his financial partners.
It’s hard to see how this gets fixed without these individuals and the organizations they lead coming to terms with their mistakes, apologizing and changing course.
I wouldn’t hold your breath.
After all, Joe Biden already wants to give them more money for the next pandemic.
Reposted from the author’s Substack
Brownstone Institute
Net Zero: The Mystery of the Falling Fertility

From the Brownstone Institute
By
If you want to argue that a mysterious factor X is responsible for the drop in fertility, you will have to explain (1) why the factor affected only the vaccinated, and (2) why it started affecting them at about the time of vaccination.
In January 2022, the number of children born in the Czech Republic suddenly decreased by about 10%. By the end of 2022, it had become clear that this was a signal: All the monthly numbers of newborns were mysteriously low.
In April 2023, I wrote a piece for a Czech investigative platform InFakta and suggested that this unexpected phenomenon might be connected to the aggressive vaccination campaign that had started approximately 9 months before the drop in natality. Denik N – a Czech equivalent of the New York Times – immediately came forward with a “devastating takedown” of my article, labeled me a liar and claimed that the pattern can be explained by demographics: There were fewer women in the population and they were getting older.
To compare fertility across countries (and time), the so-called Total Fertility Rate (TFR) is used. Roughly speaking, it is the average number of children that are born to a woman over her lifetime. TFR is independent of the number of women and of their age structure. Figure 1 below shows the evolution of TFR in several European countries between 2001 and 2023. I selected countries that experienced a similar drop in TFR in 2022 as the Czech Republic.

So, by the end of 2023, the following two points were clear:
- The drop in natality in the Czech Republic in 2022 could not be explained by demographic factors. Total fertility rate – which is independent of the number of women and their age structure – dropped sharply in 2022 and has been decreasing ever since. The data for 2024 show that the Czech TFR has decreased further to 1.37.
- Many other European countries experienced the same dramatic and unexpected decrease in fertility that started at the beginning of 2022. I have selected some of them for Figure 1 but there are more: The Netherlands, Norway, Slovakia, Slovenia, and Sweden. On the other hand, there are some countries that do not show a sudden drop in TFR, but rather a steady decline over a longer period (e.g. Belgium, France, UK, Greece, or Italy). Notable exceptions are Bulgaria, Spain, and Portugal where fertility has increased (albeit from very low numbers). The Human Fertility Project database has all the numbers.
This data pattern is so amazing and unexpected that even the mainstream media in Europe cannot avoid the problem completely. From time to time, talking heads with many academic titles appear and push one of the politically correct narratives: It’s Putin! (Spoiler alert: The war started in February 2022; however, children not born in 2022 were not conceived in 2021). It’s the inflation caused by Putin! (Sorry, that was even later). It’s the demographics! (Nope, see above, TFR is independent of the demographics).
Thus, the “v” word keeps creeping back into people’s minds and the Web’s Wild West is ripe with speculation. We decided not to speculate but to wrestle some more data from the Czech government. For many months, we were trying to acquire the number of newborns in each month, broken down by age and vaccination status of the mother. The post-socialist health-care system of our country is a double-edged sword: On one hand, the state collects much more data about citizens than an American would believe. On the other hand, we have an equivalent of the FOIA, and we are not afraid to use it. After many months of fruitless correspondence with the authorities, we turned to Jitka Chalankova – a Czech Ron Johnson in skirts – who finally managed to obtain an invaluable data sheet.
To my knowledge, the datasheet (now publicly available with an English translation here) is the only officially released dataset containing a breakdown of newborns by the Covid-19 vaccination status of the mother. We requested much more detailed data, but this is all we got. The data contains the number of births per month between January 2021 and December 2023 given by women (aged 18-39) who were vaccinated, i.e., had received at least one Covid vaccine dose by the date of delivery, and by women who were unvaccinated, i.e., had not received any dose of any Covid vaccine by the date of delivery.
Furthermore, the numbers of births per month by women vaccinated by one or more doses during pregnancy were provided. This enabled us to estimate the number of women who were vaccinated before conception. Then, we used open data on the Czech population structure by age, and open data on Covid vaccination by day, sex, and age.
Combining these three datasets, we were able to estimate the rates of successful conceptions (i.e., conceptions that led to births nine months later) by preconception vaccination status of the mother. Those interested in the technical details of the procedure may read Methods in the newly released paper. It is worth mentioning that the paper had been rejected without review in six high-ranking scientific journals. In Figure 2, we reprint the main finding of our analysis.

Figure 2 reveals several interesting patterns that I list here in order of importance:
- Vaccinated women conceived about a third fewer children than would be expected from their share of the population. Unvaccinated women conceived at about the same rate as all women before the pandemic. Thus, a strong association between Covid vaccination status and successful conceptions has been established.
- In the second half of 2021, there was a peak in the rate of conceptions of the unvaccinated (and a corresponding trough in the vaccinated). This points to rather intelligent behavior of Czech women, who – contrary to the official advice – probably avoided vaccination if they wanted to get pregnant. This concentrated the pregnancies in the unvaccinated group and produced the peak.
- In the first half of 2021, there was significant uncertainty in the estimates of the conception rates. The lower estimate of the conception rate in the vaccinated was produced by assuming that all women vaccinated (by at least one dose) during pregnancy were unvaccinated before conception. This was almost certainly true in the first half of 2021 because the vaccines were not available prior to 2021. The upper estimate was produced by assuming that all women vaccinated (by at least one dose) during pregnancy also received at least one dose before conception. This was probably closer to the truth in the second part of 2021. Thus, we think that the true conception rates for the vaccinated start close to the lower bound in early 2021 and end close to the upper bound in early 2022. Once again, we would like to be much more precise, but we have to work with what we have got.
Now that the association between Covid-19 vaccination and lower rates of conception has been established, the one important question looms: Is this association causal? In other words, did the Covid-19 vaccines really prevent women from getting pregnant?
The guardians of the official narrative brush off our findings and say that the difference is easily explained by confounding: The vaccinated tend to be older, more educated, city-dwelling, more climate change aware…you name it. That all may well be true, but in early 2022, the TFR of the whole population dropped sharply and has been decreasing ever since.
So, something must have happened in the spring of 2021. Had the population of women just spontaneously separated into two groups – rednecks who wanted kids and didn’t want the jab, and city slickers who didn’t want kids and wanted the jab – the fertility rate of the unvaccinated would indeed be much higher than that of the vaccinated. In that respect, such a selection bias could explain the observed pattern. However, had this been true, the total TFR of the whole population would have remained constant.
But this is not what happened. For some reason, the TFR of the whole population jumped down in January 2022 and has been decreasing ever since. And we have just shown that, for some reason, this decrease in fertility affected only the vaccinated. So, if you want to argue that a mysterious factor X is responsible for the drop in fertility, you will have to explain (1) why the factor affected only the vaccinated, and (2) why it started affecting them at about the time of vaccination. That is a tall order. Mr. Occam and I both think that X = the vaccine is the simplest explanation.
What really puzzles me is the continuation of the trend. If the vaccines really prevented conception, shouldn’t the effect have been transient? It’s been more than three years since the mass vaccination event, but fertility rates still keep falling. If this trend continues for another five years, we may as well stop arguing about pensions, defense spending, healthcare reform, and education – because we are done.
We are in the middle of what may be the biggest fertility crisis in the history of mankind. The reason for the collapse in fertility is not known. The governments of many European countries have the data that would unlock the mystery. Yet, it seems that no one wants to know.
Author
Brownstone Institute
FDA Exposed: Hundreds of Drugs Approved without Proof They Work

From the Brownstone Institute
By
The US Food and Drug Administration (FDA) has approved hundreds of drugs without proof that they work—and in some cases, despite evidence that they cause harm.
That’s the finding of a blistering two-year investigation by medical journalists Jeanne Lenzer and Shannon Brownlee, published by The Lever.
Reviewing more than 400 drug approvals between 2013 and 2022, the authors found the agency repeatedly ignored its own scientific standards.
One expert put it bluntly—the FDA’s threshold for evidence “can’t go any lower because it’s already in the dirt.”
A System Built on Weak Evidence
The findings were damning—73% of drugs approved by the FDA during the study period failed to meet all four basic criteria for demonstrating “substantial evidence” of effectiveness.
Those four criteria—presence of a control group, replication in two well-conducted trials, blinding of participants and investigators, and the use of clinical endpoints like symptom relief or extended survival—are supposed to be the bedrock of drug evaluation.
Yet only 28% of drugs met all four criteria—40 drugs met none.
These aren’t obscure technicalities—they are the most basic safeguards to protect patients from ineffective or dangerous treatments.
But under political and industry pressure, the FDA has increasingly abandoned them in favour of speed and so-called “regulatory flexibility.”
Since the early 1990s, the agency has relied heavily on expedited pathways that fast-track drugs to market.
In theory, this balances urgency with scientific rigour. In practice, it has flipped the process. Companies can now get drugs approved before proving that they work, with the promise of follow-up trials later.
But, as Lenzer and Brownlee revealed, “Nearly half of the required follow-up studies are never completed—and those that are often fail to show the drugs work, even while they remain on the market.”
“This represents a seismic shift in FDA regulation that has been quietly accomplished with virtually no awareness by doctors or the public,” they added.
More than half the approvals examined relied on preliminary data—not solid evidence that patients lived longer, felt better, or functioned more effectively.
And even when follow-up studies are conducted, many rely on the same flawed surrogate measures rather than hard clinical outcomes.
The result: a regulatory system where the FDA no longer acts as a gatekeeper—but as a passive observer.
Cancer Drugs: High Stakes, Low Standards
Nowhere is this failure more visible than in oncology.
Only 3 out of 123 cancer drugs approved between 2013 and 2022 met all four of the FDA’s basic scientific standards.
Most—81%—were approved based on surrogate endpoints like tumour shrinkage, without any evidence that they improved survival or quality of life.
Take Copiktra, for example—a drug approved in 2018 for blood cancers. The FDA gave it the green light based on improved “progression-free survival,” a measure of how long a tumour stays stable.
But a review of post-marketing data showed that patients taking Copiktra died 11 months earlier than those on a comparator drug.
It took six years after those studies showed the drug reduced patients’ survival for the FDA to warn the public that Copiktra should not be used as a first- or second-line treatment for certain types of leukaemia and lymphoma, citing “an increased risk of treatment-related mortality.”
Elmiron: Ineffective, Dangerous—And Still on the Market
Another striking case is Elmiron, approved in 1996 for interstitial cystitis—a painful bladder condition.
The FDA authorized it based on “close to zero data,” on the condition that the company conduct a follow-up study to determine whether it actually worked.
That study wasn’t completed for 18 years—and when it was, it showed Elmiron was no better than placebo.
In the meantime, hundreds of patients suffered vision loss or blindness. Others were hospitalized with colitis. Some died.
Yet Elmiron is still on the market today. Doctors continue to prescribe it.
“Hundreds of thousands of patients have been exposed to the drug, and the American Urological Association lists it as the only FDA-approved medication for interstitial cystitis,” Lenzer and Brownlee reported.
“Dangling Approvals” and Regulatory Paralysis
The FDA even has a term—”dangling approvals”—for drugs that remain on the market despite failed or missing follow-up trials.
One notorious case is Avastin, approved in 2008 for metastatic breast cancer.
It was fast-tracked, again, based on ‘progression-free survival.’ But after five clinical trials showed no improvement in overall survival—and raised serious safety concerns—the FDA moved to revoke its approval for metastatic breast cancer.
The backlash was intense.
Drug companies and patient advocacy groups launched a campaign to keep Avastin on the market. FDA staff received violent threats. Police were posted outside the agency’s building.
The fallout was so severe that for more than two decades afterwards, the FDA did not initiate another involuntary drug withdrawal in the face of industry opposition.
Billions Wasted, Thousands Harmed
Between 2018 and 2021, US taxpayers—through Medicare and Medicaid—paid $18 billion for drugs approved under the condition that follow-up studies would be conducted. Many never were.
The cost in lives is even higher.
A 2015 study found that 86% of cancer drugs approved between 2008 and 2012 based on surrogate outcomes showed no evidence that they helped patients live longer.
An estimated 128,000 Americans die each year from the effects of properly prescribed medications—excluding opioid overdoses. That’s more than all deaths from illegal drugs combined.
A 2024 analysis by Danish physician Peter Gøtzsche found that adverse effects from prescription medicines now rank among the top three causes of death globally.
Doctors Misled by the Drug Labels
Despite the scale of the problem, most patients—and most doctors—have no idea.
A 2016 survey published in JAMA asked practising physicians a simple question—what does FDA approval actually mean?
Only 6% got it right.
The rest assumed that it meant the drug had shown clear, clinically meaningful benefits—such as helping patients live longer or feel better—and that the data was statistically sound.
But the FDA requires none of that.
Drugs can be approved based on a single small study, a surrogate endpoint, or marginal statistical findings. Labels are often based on limited data, yet many doctors take them at face value.
Harvard researcher Aaron Kesselheim, who led the survey, said the results were “disappointing, but not entirely surprising,” noting that few doctors are taught about how the FDA’s regulatory process actually works.
Instead, physicians often rely on labels, marketing, or assumptions—believing that if the FDA has authorized a drug, it must be both safe and effective.
But as The Lever investigation shows, that is not a safe assumption.
And without that knowledge, even well-meaning physicians may prescribe drugs that do little good—and cause real harm.
Who Is the FDA Working for?
In interviews with more than 100 experts, patients, and former regulators, Lenzer and Brownlee found widespread concern that the FDA has lost its way.
Many pointed to the agency’s dependence on industry money. A BMJ investigation in 2022 found that user fees now fund two-thirds of the FDA’s drug review budget—raising serious questions about independence.

Yale physician and regulatory expert Reshma Ramachandran said the system is in urgent need of reform.
“We need an agency that’s independent from the industry it regulates and that uses high-quality science to assess the safety and efficacy of new drugs,” she told The Lever. “Without that, we might as well go back to the days of snake oil and patent medicines.”
For now, patients remain unwitting participants in a vast, unspoken experiment—taking drugs that may never have been properly tested, trusting a regulator that too often fails to protect them.
And as Lenzer and Brownlee conclude, that trust is increasingly misplaced.
- Investigative report by Jeanne Lenzer and Shannon Brownlee at The Lever [link]
- Searchable public drug approval database [link]
- See my talk: Failure of Drug Regulation: Declining standards and institutional corruption
Republished from the author’s Substack
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