" 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

The statement emphasizes the importance of regulatory bodies like the FDA (Food and Drug Administration) in ensuring the safety and efficacy of medications available to consumers. It argues against a libertarian perspective that individuals should be solely responsible for evaluating the risks and benefits of medical treatments, suggesting instead that most people lack the necessary expertise and resources to conduct thorough scientific evaluations on their own.

On a deeper level, this quote highlights the complexities involved in balancing individual freedom with collective safety and health standards. While advocating for personal choice is often a cornerstone of libertarian ideology, it can be impractical when applied to areas like pharmaceuticals where scientific knowledge is crucial and specialized testing facilities are essential. The author implies that leaving such decisions entirely up to individuals could lead to widespread harm due to the inherent limitations in individual capacity to discern medical facts from fallacies. This perspective underscores the role of governmental oversight in protecting public health by setting rigorous standards for drug approval, thereby safeguarding consumers from potential risks associated with unverified medications.

Marcia Angell is a respected American physician and author known for her critical views on pharmaceutical industry practices and medical research ethics. She served as the Editor-in-Chief of The New England Journal of Medicine from 1990 to 2000, during which time she became widely recognized for her advocacy in promoting transparent and ethical standards within medicine and healthcare regulation.