FDA's Makary wants to increase drug access, reduce 'addictive' foods
"No one has been talking about the fact that food has been designed to be addictive. So when we have a crisis in our nation's children, that is, 40% have a chronic disease and 31% have prediabetes or insulin resistance, it's not their fault," Makary told Yahoo Finance in an interview Wednesday.
"We don't think that our childhood obesity epidemic is a willpower problem. We think this is something adults are doing to kids," Makary added.
He spoke with Yahoo Finance while on a nationwide tour to connect with drug industry leaders at companies big and small. But while Makary is focused on streamlining access to medicines and allowing access to some that may not be fully tested in traditional clinical trials, he is also focused on reducing the use of drugs in daily life.
"We've got to talk about school lunch programs, not just putting every 6-year-old on Ozempic," Makary said, referencing the blockbuster diabetes drug from Novo Nordisk (NVO).
"We've got to talk about sleep medicine and the quality of sleep, not just antihypertensive after antihypertensive [drugs that treat high blood pressure]. And we've gotta talk about environmental exposures that cause cancer, not just the chemo to treat it. We've got to talk about food as medicine and the microbiome," Makary said.
He has also been vocal about revamping the food pyramid, which hasn't been updated in more than a decade, and sees it as one path to regaining trust in the agency — which has declined in the years since the pandemic.
"We are going to rewrite those dietary guidelines. I think that'll go a long way too in rebuilding trust," Makary said.
Research and rebuilding trust
In addition to the FDA's work in addressing chronic diseases, the National Institutes of Health (NIH) are also directing funds to do the same. When asked about cuts to health equity-focused research, including women's health, Makary defended the Trump administration's moves to cut some federally funded research, to the tune of $18 billion, or a 40% reduction.
"The NIH, when we came into office, was a mess. Fourteen percent of grants went to descriptive studies on health equity, not reducing health equities."
Meanwhile, Makary has been focused on ensuring quicker access to drugs, questioning why it takes 10 years for a drug to reach market, and more transparency about drugs that are approved. He did not specify when the public would get greater access to decision letters, but continued to promise more access.
"We're releasing the FDA decision letters so the public can see them, drug developers can see them. We can give more predictability. We're modernizing the agency. We're trying to cut some of the idle time," Makary said, noting this was key to rebuilding trust as well.
Anjalee Khemlani is the senior health reporter at Yahoo Finance, covering all things pharma, insurance, provider services, digital health, PBMs, and health policy and politics. That includes GLP-1s, of course. Follow Anjalee as AnjKhem on social media platforms X, LinkedIn, and Bluesky @AnjKhem.
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