Marcia Angell : (2) " Unlike the federal government, most states don’t have the option of running a deficit. " - Marcia Angell " There’s a certain libertarian right-wing view that there should be no FDA, that people can decide for themselves whether medicines are safe and effective. That’s nonsense. Most people don’t have the expertise or the resources to mount a proper study to find out whether a treatment is safe or effective. " - Marcia Angell