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The guy's job was the ink guy on the fax machine. Just to swap out the ink cartridge. There's a lot of that.

All-In PodcastAll-In Podcast · Supercharging a New FDA: Marty Makary on Science, Power &...

“The guy's job was the ink guy on the fax machine.”

33:05 / 33:44

The guy's job was the ink guy on the fax machine. Just to swap out the ink cartridge. Ink guy. Yeah. There's a lot of that. There's a lot of that. Well, let's shift over to food. Maybe I'll just give you a moment to share what you changed in the food pyramid in the announcement last week. Why you made those changes and why weren't they made before?

Yeah. So we have had decades of medical dogma and corruption putting together food pyramids that make no sense. People can tell. I mean, the open secret was that they make no sense. They're scientifically inaccurate, and they were oftentimes

Why this clip

Absurd bureaucratic waste example that's instantly quotable and relatable. The specificity of 'ink guy on the fax machine' creates a memorable image of government inefficiency that audiences can easily share and remember.

33:05 - 33:4439sBold/Contrarian

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What they said next

At Johns Hopkins, I had a study, took a year and a half to go through the IRB. It was a survey. What are we worried about? It was a nutrition survey.

9:49 - 34s · Business Mechanics

More from this episode

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Bold/Contrarian

That kind of stuff is intolerable when we're competing with China where they're doing phase ones in four weeks. With Australia, that's doing phase ones in six weeks.

Direct competitive framing with specific timelines (4 weeks vs 6 weeks) that highlight US inefficiency. The word 'intolerable' adds emotional weight while contrasting US bureaucracy with international competitors. Perfect soundbite format.

10:08 - 10:5042s

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Business Mechanics

We looked at 20 other developed countries and found that not only are we the international outlier in how high the number of doses we recommend is, but that there's a consensus of a group of core essential vaccines.

Data-driven contrarian take (20 countries, specific dose count of 38) that challenges conventional vaccine policy. Positions US as 'international outlier' which creates controversy while providing concrete framework for reform.

52:40 - 53:2141s

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Business Mechanics

At Johns Hopkins, I had a study, took a year and a half to go through the IRB. It was a survey. What are we worried about? It was a nutrition survey.

Personal anecdote with absurd timeline (1.5 years for a nutrition survey) that illustrates regulatory dysfunction. The rhetorical question 'What are we worried about?' adds incredulity and makes the bureaucratic overreach tangible.

9:49 - 10:2334s

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Consequences

Sixty days just for the FDA to tell you that your application is complete. We're gonna get that down to one day. We're gonna use AI.

Dramatic efficiency improvement promise (60 days to 1 day) with AI as the solution. Shows concrete reform vision with measurable outcomes that demonstrates how technology can solve bureaucratic delays.

11:15 - 11:5338s

All-In PodcastAll-In Podcast

Consequences

There is a race, and when we came to office, we were losing that race. We were behind. We were getting clocked by China, by Australia.

High-stakes competitive framing with vivid language ('getting clocked') that positions US biotech leadership as under threat. Creates urgency around regulatory reform through international competition lens.

8:57 - 9:2831s

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