Theo Jaffee

And then they go, okay, let's audit your entire history here.

And so you're just shortening the approval loops, right?

And you're just taking out a bunch of kind of review periods.

I mean, this is the nature of kind of any, if anyone watching right now, if you've ever worked with, I mean, if you've ever tried to like do some minor renovations in your house and it required some approval from a local,

It's not a criticism necessarily.

It's just like the nature of administrative review is you submit something and then an actual person usually has to sit down and look at what you've submitted and they have to check it against a bunch of standards.

And that itself is like good social technology because it drives a bunch of good outcomes.

But the nature of that process is it takes a long time.

If you do something wrong or you don't put the right data in or you label something incorrectly, they have to come back to you and you just go back to the bottom of the pile.

And it sounds like you're talking about basically they've streamlined the process in such a way

that the actual administrative review process is much faster, but at the same time, they've kind of tried to keep the policy goals of the administrative review process intact.

So the outcome is at the same standard, but the process is much improved.

Is that right?

Oh, interesting.

And the way, I mean, it's contextualized again, it's like 600 days.

I mean, if you, the thing that drives, the thing that drives this is if you are a pharmaceutical company, you've invested a bunch of different, you know, a bunch of money in developing a drug, a target, 600 days might just like make that financially non-viable, right?

So it's just raising the walls to try and compete with a cheap generic.

And so like, I mean, again, to contextualize it, it's like, if you look at the price of the amount of the percentage of GDP spent on healthcare, it just kind of goes up.

If you look at US drug prices compared to the rest of the world, they're quite a lot higher.

There are lots of different reasons for that.