Clinical trials have become an excuse to create barriers to entry and protect massive pharma rents.
Perhaps we should consider nationalizing the clinical trials process. If an otherwise unencumbered treatment looks promising, the government should just pay to check it out. If it works, every competent firm can compete to offer it.
cf proprietary poop @ $20K a pop per @pluralistic https://pluralistic.net/2023/05/29/monopolizing-turds/