Remember all the contrarians complaining about the FDA taking too much time with clinical trials? Well, here's what happens when you skip Phase 2 and cut Phase 3 short. This has risks and would cost $50,000 annually, but we can't tell if it sort-of works or doesn't work at all.
It's disconcerting. Typically, a drug is approved on surrogate markers because the condition's rarity or the drug's narrow indication make it difficult to do robust clinical trials.

Here that's no issue. The lack of data is due to the company and the FDA.
The resignations probably need to go farther down the chain as well. The FDA's decision to approve aducanumab was plainly irresponsible.
Totally broken drug approval system:

1) Drug could've been tested via clinical trials, but they were cut short, leaving ambiguous results.

2) Drug approved on a hunch.

3) Price is then made up out of thin air because Medicare can't negotiate it down.

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More from @MaxKennerly

13 Apr
Good evening folks, some of the biggest names on Wall Street are releasing their earnings this week, and so it's time for your favorite show,

📈TRADE
👍LIKE
🗣️A
💰REPUBLICAN
🤡SENATOR

With tonight's guests, @SenCapito & @LeaderMcConnell! Let's see what they're investing in.

/1
.@LeaderMcConnell mostly puts his millions into Vanguard mutual funds—including making money off of underfunded infrastructure that forces municipalities to issue debt—but he's got a special place in his heart for Wells Fargo, which does lots of lobbying. /2
.@LeaderMcConnell and his wife just can't get enough Wells Fargo $WFC stock. Bought some more in March. Wells Fargo announces their earnings Wednesday morning, get your orders in now!
/3
Read 6 tweets
23 Mar
Of course they have. It's America, you can't go to a supermarket without mentally prepping in case someone murders a half-dozen people.

Colorado is a shall-issue concealed carry state. "Good guy with a gun" is no answer. The cop was a "good guy with a gun," now they're dead too.
"But it's in the Bill of Rights!"

Hardly. As of 1789, several states had personal rights to firearms. The Framers ignored those and instead wrote a limited right for state militias. Right-wing Justices made up the personal "right" 200 years later.
Here's a thread of mine from a few months ago about the disingenuous "history" used to justify current Second Amendment law.
Read 4 tweets
15 Mar
The new thing on the right is calling the COVID vaccines "gene therapy." That's like saying horses are solar-powered because they eat plants. It's wordplay, the type of statement that is only "true" in a silly, useless, bad faith way.

Let's discuss.
/1
A viral vaccination works by putting something like the virus in your body so your immune system can learn to fight the virus. You can use a weakened or dead version of the virus, a specific part of the virus, or code for part of the virus.
/2

The vaccines carry code for the COVID spike protein. J&J carries it in DNA stuffed into a virus that can't replicate (Ad26), Moderna & Pfizer carry it in mRNA. Your cells read it and start making the spike protein.

None of them change your own genes.
/3 nytimes.com/interactive/20…
Read 7 tweets
2 Mar
Manchin's hero, Robert Byrd, believed presiding officer + 51 votes = cloture.

But if Manchin disagrees, he leaves @SenSchumer & @VP with no choice: end the "two-track" system and enforce Senate rules for debate.

There's a reason filibusters before 1972 usually failed.

/1
Talk back to the presiding officer? Fail (1837)

Poisoned eggnog? Somebody stepped out? Fail (1908)

Impugn another Senator? Fail (1948)

Need to pee? Trolled by a Senator with a drink? Fail (1957)

That's the real tradition of the filibuster.

getrevue.co/profile/maxken…

/2
.@Sen_JoeManchin talks about Robert Byrd as if he was a Republican obstructionist. The reason cloture is 3/5 now instead of 2/3 is because Dems, including Byrd, used the nuclear option in 1975.

Byrd's own view was chair + 51 votes = cloture.
getrevue.co/profile/maxken…
/3
Read 5 tweets
26 Feb
Reminder about all the supposed "norms" of the Senate: in 2001, when the Senate Parliamentarian "made it harder for the GOP to push President Bush's budget and tax cut proposals through the evenly divided body," Republicans simply fired him: washingtonpost.com/archive/politi…
I don't blame the Senate Parliamentarian, the "rules" of reconciliation are a joke.

In terms of "what now?" both options—VP Harris ruling otherwise or a standalone minimum wage bill—boil down entirely to whether 50 Dems would do it, i.e. Manchin & Sinema.
It's not really up to Harris. Sure, she can disregard the Parliamentarian—but she'll immediately face an appeal of her ruling. If she doesn't have 50 votes to back it up, it's an embarrassing defeat for no reason. The problems here are Manchin & Sinema.
Read 8 tweets
6 Feb
I want to pick up on the 'emergency relief' aspect, because this is yet another example of SCOTUS's "shadow docket" where they decide cases without full proceedings.

Unsurprisingly, they botched the facts of COVID restrictions in California.

/1
Gorsuch, joined by Thomas & Alito, couldn't figure out the rules for singing in movie productions, so inexplicably decided the issue in the church's favor.

Barrett, joined by Kavanaugh, held it was "unclear," but recognized the church bore the burden.

They're all wrong.

/2 ImageImageImage
As California pointed out in its brief, and the Ninth Circuit recognized, the film industry has onerous safety protocols that the church doesn't have and never said they'd adopt. It's not comparable.

And anyway they've also been prohibited from singing indoors since November.
/3 ImageImageImage
Read 4 tweets

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