Perhaps I am being too hasty in my judgement of the new temporary boss of the FDA, the man selected to fill the stinky shoes of the dear, departed Lester Crawford, but the signs are ominous. First, he was chosen by Bush, so that alone puts on the red alert. Second, and most importantly, one has to wonder how committed this man is to being commissioner.
The man chosen to run the Food and Drug Administration said Saturday that he would keep his job as director of the National Cancer Institute while serving as interim chief of the drug agency.
In an interview, the official, Dr. Andrew C. von Eschenbach, said he had a “100 percent commitment” to both jobs.
So Dr. von E thinks that he can be 100% committed to two, heavy duty full time jobs. How is that possible? Simple answer to that one–it’s not. In other words, Dr. von E is going to simply collect two salaries, which you and I are paying for with our taxes, and do a half-assed job at both places.
Neither of these positions can be done on a part time basis. They require the full attention of the person at the helm. And sorry to disappoint, Dr. von E, but you can’t do both. And Bush should have made it crystal clear–while you are temping at the FDA, you have to take a leave of absence from the NCI, without your paycheck.
Now, another minor teeny weeny issue. Conflict of interest. Oops, we forgot to notice that when appointing the good doc to this job. Yes, Virginia, there is a major conflict of interest here, because the NCI serves as a sponsor of many applications seeking permission from the F.D.A. to test cancer drugs in humans.
Moreover, a nationwide network of researchers created by the institute generates some of the data included in drug companies’ applications to sell cancer drugs.
In the interview, Dr. von Eschenbach said he would strike “an appropriate balance” in evaluating the risks and benefits of drugs.
Dr. von E just seems to be an all around Wonderboy, doesn’t he. He can handle two heavy duty full time positions as the head of two large institutes, and balance an obvious conflict of interest. He is just too cool for words. Maybe he’s really the $6 million man in disguise.
And one final note–I think Dr. von E’s brain has been abducted by aliens. The good doctor has declared a goal of “eliminating suffering and death due to cancer by 2015.” This statement has a lot of other cancer experts getting worried about the mental stability of their leader. Richard Nixon also declared “War on Cancer” around 1970, and the only victory claimed so far are a few minor battles. Cancer is alive, well and thriving 35 years later. And Dr. von E expects victory in 10 years.
His rationale is that prevention, early detection and new drugs, while not curing cancer, would make it more of a chronic disease. However, in order to make any inroads into preventing cancer, one would have to start taking action, like prohibiting carcinogens in food, force better protection of workers who are employed in areas where they are exposed to carcinogens, force factories to cut down on toxic emissions (Bush is currently doing the opposite), strengthen laws on polluting air and water (again, Bush is working hard to weaken laws), and so on. All of this involves trampling the feet of very powerful industries, which is why it hasn’t happened thus far.
So how does Dr. von E propose to prevent cancer, without taking any action? Stay tuned…although I have a feeling that the emphasis will be on new diagnostics, which only tell you that you have the disease and don’t prevent it, and new drugs for treatment. Preventing illness in the first place has always taken a back seat in our health care system.
But overall, I find this appointment an absolute disgrace. Even for Bush, it is shocking.
NY Times