1. Deregulate land use (YIMBY stuff) 2. Make transportation insanely great: eVTOL, supersonics, small airports with minimal screening, autonomous dynamic bus service 3. Lower the cost of clinical trials and expand freedom to go around the FDA through informed consent 4. Reform permitting/abolish NEPA/end vetocracy 5. Energy abundance/fix the NRC/fix the nuclear industry/expand geothermal/deploy solar 6. Make government that works and is run by grown-ups (I am a big fan of ranked choice voting for this) 7. Big increases in immigration, with concessions to the xenophobes that immigrants probably need to speak English and get deported if they commit serious crimes 8. End make-work policies that are embedded in almost every sector 9. Make sure safety rules are at least actually adding safety instead of safety theater
Is there good writing somewhere on how to lower the cost of clinical trials 10x? If we focus on the actual cost-lowering, rather than pure deregulation, it’s a rare area where I’ve never even seen someone who seems to know what to do.
1. Deregulate land use (YIMBY stuff)
2. Make transportation insanely great: eVTOL, supersonics, small airports with minimal screening, autonomous dynamic bus service
3. Lower the cost of clinical trials and expand freedom to go around the FDA through informed consent
4. Reform permitting/abolish NEPA/end vetocracy
5. Energy abundance/fix the NRC/fix the nuclear industry/expand geothermal/deploy solar
6. Make government that works and is run by grown-ups (I am a big fan of ranked choice voting for this)
7. Big increases in immigration, with concessions to the xenophobes that immigrants probably need to speak English and get deported if they commit serious crimes
8. End make-work policies that are embedded in almost every sector
9. Make sure safety rules are at least actually adding safety instead of safety theater
Is there good writing somewhere on how to lower the cost of clinical trials 10x? If we focus on the actual cost-lowering, rather than pure deregulation, it’s a rare area where I’ve never even seen someone who seems to know what to do.
Yes, from what I hear, it seems very hard. I’d point you to some recent pieces:
https://www.statnews.com/2022/11/03/why-were-not-prepared-for-next-wave-of-biotech-innovation/
https://milkyeggs.com/biology/why-are-clinical-trials-so-expensive-tales-from-the-beasts-belly/
https://www.nytimes.com/2023/01/27/business/paradigm-startup-clinical-trials.html