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Policy and Practice

Adam

Exploring innovation in health and medicine, and the institutions, incentives, and infrastructure that drive it.

Platform
Substack
PricingOnly free issuesPublishesWeekly
Issues10SubscribersRead learninghealthadam.substack.com

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Latest Issues

Recent posts by this newsletter. Browse the email archive.

Why clinical trials are inefficient. And why it matters.

Clinical trials occupy a strange place in biomedical innovation.

4 months ago
9
0

Risk-based regulation is vague regulation

Rules designed to prevent bad behavior can make things even worse. When Medicare penalized hospitals with higher re-admission rates, hospitals gamed the metrics by sending patients home instead of readmitting them, or bringing them in for “...

4 months ago
10
1

The Badness Police

Imagine, that Congress, in a deregulatory mood, decided to scrap every regulatory law and statute and dismantle every regulatory agency. Instead, they pass just one law, “Don’t be bad”, and empower an agency, the “Badness Police” to enforce...

5 months ago
11
1

A vision for clinical trial abundance

This post is part of a series on clinical trials - why they are so important, why they are so inefficient, and how we can improve them. (You need not have read the previous posts to follow this one). In my last post, I shared, in painstakin...

6 months ago
5
1

Authors

The writers behind this newsletter.

  • Adam

    Former FDAer. I write about innovation in health and the policies, institutions, incentives, and infrastructure that make it possible.

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