Marty Makary
speaker
939 appearances
6 recordings
5 series
first heard Jan 2026
last heard 13 May
Marty Makary’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 4.
Appearances
So then the application comes in and it gets farmed out to a dozen different offices, each of whom reviews that section of the application and then sends it back to a central office.
And then of course, because bureaucracies over time naturally grow,
That office then submits it to a higher office and then to another desk.
And so you have this giant bureaucracy to the point now where nobody really feels like we need to get the company an answer quickly, as quickly as we can appropriately review the application.
Instead, it's, okay, we've got a year.
Everyone take your time and get your answers back to us within a year.
Well, that's not good for innovation.
We're getting beat by other countries that have a much more nimble regulatory process.
My goal is very simple.
Modernize the agency to deliver more cures and meaningful treatments to the American public and healthier food for children.
We're doing a ton on bringing AI into the agency, on removing the nine petroleum-based food dyes, on rewriting the broken food pyramid, on defining ultra-processed foods, on working with USDA to create SNAP waivers so that state taxpayer dollars don't have to go to sugary drinks and junk food.
Common sense things.
We are eliminating animal testing requirements.
We're using big data to identify safety and efficacy after we approve a drug.
We are taking a year-long review process of an application and taking it down to weeks by convening the different offices that applications are farmed out to within the agency.
We are creating incentives for domestic manufacturing of medications.
We are changing the way inspections are done overseas, moving them from announced to surprise inspections so we get the real answer.
We are redefining baby formulas to promote innovation.
We are making our decisions public.
That is, our decision letters with drugs and devices are all now public.
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