659. Can Marty Makary Fix the F.D.A.?

659. 马蒂·马卡里能否拯救食品药品监督管理局?

Freakonomics Radio

2026-01-16

55 分钟
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单集简介 ...

It regulates 20 percent of the U.S. economy, and its commissioner has an aggressive agenda — faster drug approvals, healthier food, cures for diabetes and cancer. How much can he deliver? (Part two of “The Freakonomics Radio Guide to Getting Better.”)   SOURCES:Marty Makary, commissioner of the Food and Drug Administration.  RESOURCES:"Clinical Trials Affected by Research Grant Terminations at the National Institutes of Health," by Vishal Patel, Michael Liu, and Anupam Jena (JAMA Internal Medicine, 2025)."What the evidence tells us about Tylenol, leucovorin, and autism," by Matthew Herper (STAT, 2025)."I Run the F.D.A. Pharma Ads Are Hurting Americans." by Marty Makary (New York Times, 2025).Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health, by Marty Makary (2024).  EXTRAS:"Are You Really Allergic to Penicillin?" by Freakonomics Radio (2025)."How to Fix the Hot Mess of U.S. Healthcare," by Freakonomics Radio (2021)."Bad Medicine, Part 3: Death by Diagnosis," by Freakonomics Radio (2016). Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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  • When it comes to public health,

  • the first year of the second Trump administration has been an unusually busy one and unusually controversial.

  • Most of this has run through Robert F.

  • Kennedy Jr., the Secretary of Health and Human Services.

  • In just the past few weeks,

  • Kennedy overhauled the government's recommendations for childhood vaccines and revised the so-called food pyramid,

  • promoting animal proteins especially, while downgrading ultra-processed foods,

  • refined carbohydrates, and added sugars.

  • Kennedy's policies affect several agencies under his purview,

  • including the Food and Drug Administration.

  • The FDA has had a busy year of its own, approving new treatments for several rare diseases,

  • including cancers, as well as for rheumatoid arthritis and HIV.

  • The agency also approved a non-opioid pain medicine, the first of its kind in many years.

  • The next few years may be even busier.

  • The FDA today is not going to be an FDA in a receive-only mode.

  • We're not going to be stingy librarians.

  • We're going to go into the pipeline,

  • find out what sounds promising, and bring that to the forefront.

  • That is Marty McCary, commissioner of the FDA.

  • He has been on Freakonomics Radio a few times in the past,