FDA Deregulation Increases Safety and Innovation and Reduces Prices

by Alex Tabarrok

In an important and impressive new paper, Parker Rogers looks at what happens when the FDA deregulates or “down-classifies” a medical device type from a more stringent to a less stringent category. He finds that deregulated device types show increases in entry, innovation, as measured by patents and patent quality, and decreases in prices. Safety is either negligibly affected or, in the case of products that come under potential litigation, increased.

After moving from Class III (high regulation) to II (moderate), device types exhibited a 200% increase in patenting and FDA submission rates relative to control groups. Patents filed after these events were also of significantly higher quality, as measured by a 200% increase in received citations and market valuations. These effects do not spill over into similar device types.1 For Class II to I deregulations, the rate of patent filings increased by 50%, though insignificantly, and the quality of patent filings exhibited a significant 10-fold improvement, suggesting that litigation better promotes innovation.

…Down-classification yields considerable benefits, as the proponents of deregulation would predict, but what of product safety? Perhaps counterintuitively, I find that deregulation can improve product safety by exposing firms to more litigation. Despite some adverse event rates increasing after Class III to II events (albeit insignificantly), Class II to I events are associated with significantly lower adverse event rates.3 My analysis of patent texts also reveals that inventors focus more on product safety after deregulation. These results suggest that litigation encourages product safety more than regulation…

Some background. Medical devices are regulated under three categories. …

When Equality Becomes Evil

Lawrence W. Reed

Equality before the law is an indisputably good thing. Using force to make people equal is an entirely different story.

Memorize the following line, teach it to your children, and shout it from the rooftops every chance you get. It’s one of the most important truths you’ll ever learn or teach: Free people are not equal, and equal people are not free.

Your first reaction might be, “I thought equality was supposed to be a wonderful thing, something we should all strive for, but this sounds like a rejection of it.”

As the old saying goes, the devil is in the details. Whether equality is good or bad depends on the kind that you’re talking about. Context makes all the difference in the world.

Equality before the law—such as being judged innocent or guilty based on …