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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.

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

“And, you know, at at Johns Hopkins, I had a study, took a year and a half to go through the IRB.”

9:49 / 10:23

Boards that approve research, that meet monthly. And, you know, at 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 it was a nutrition survey. And at the end of a year and a half, it was not approved. 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. And so we need to, have more centralized IRBs

Why this clip

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 - 10:2334sBusiness Mechanics

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What they said next

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.

11:15 - 38s · Consequences

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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.

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