In addition to all of the above points, I have read that the testing that the FDA reviews is often testing conducted by the pharmaceutical company itself, not by an independent third party. Over the years, there have been many instances in which results were found to have been falsified. It would not solve every problem if we were to have a national service with the responsibility of conducting drug trials, since such a group could still be susceptible to influence, but it would be considerably more transparent than a for-profit company testing its own product. In science, results must be replicable, and at the very least, such a service could establish whether the claims of the pharmaceuticals would hold up in additional testing. Right now, it is clear that the foxes are guarding the hen house.