The US Food and Drug Administration (FDA) has been facing criticism for its slow approval process, which is stifling medical innovation and leaving patients waiting for potentially life-changing treatments. The FDA’s regulatory framework is complex and often cumbersome, making it difficult for pharmaceutical companies and researchers to bring new treatments to market. This has resulted in a significant delay in the development and approval of new medicines, devices, and therapies. Patients are being forced to wait for years, and in some cases, decades, for treatments that could improve their quality of life or even save their lives. The FDA’s dysfunction is not only affecting patients but also the entire healthcare industry, as companies are reluctant to invest in research and development due to the uncertainty and risk associated with the approval process. The FDA’s budget has been increasing over the years, but the agency’s productivity has not kept pace, leading to a backlog of pending applications. The FDA’s approval process is also plagued by inefficiencies, with multiple layers of review and a lack of transparency. This has led to frustration among patients, researchers, and industry stakeholders, who are calling for reforms to streamline the approval process and promote innovation. The FDA has implemented some reforms in recent years, such as the Breakthrough Therapy designation, which is designed to expedite the development and review of promising new treatments. However, more needs to be done to address the systemic issues that are hindering medical innovation. Patients are suffering as a result of the FDA’s dysfunction, and it is imperative that the agency takes bold action to reform its regulatory framework and promote innovation. The FDA must work to reduce the regulatory burden, increase transparency, and provide more guidance to industry stakeholders. By doing so, the FDA can help to bring new treatments to market more quickly, improving the lives of patients and driving economic growth. The FDA’s dysfunction is a complex issue, and there is no easy solution. However, by working together, patients, researchers, industry stakeholders, and policymakers can help to create a more efficient and effective regulatory framework that promotes innovation and improves public health. The FDA must prioritize the needs of patients and take a more patient-centric approach to regulation. This includes increasing patient engagement and involvement in the regulatory process, as well as providing more information and support to patients who are waiting for new treatments. The FDA must also work to address the issue of drug shortages, which are becoming increasingly common and can have devastating consequences for patients. By taking a more proactive approach to regulation, the FDA can help to prevent drug shortages and ensure that patients have access to the medicines they need. The FDA’s dysfunction is not just a US issue, but a global problem that requires international cooperation and collaboration. The FDA must work with regulatory agencies around the world to harmonize regulatory standards and promote innovation. By doing so, the FDA can help to create a more global and interconnected regulatory framework that promotes public health and drives economic growth. The FDA’s budget for 2023 is $6.5 billion, which is a significant increase from previous years. However, the agency’s budget is not the only issue, and more needs to be done to address the systemic issues that are hindering medical innovation. The FDA must prioritize the needs of patients and take a more patient-centric approach to regulation. This includes increasing patient engagement and involvement in the regulatory process, as well as providing more information and support to patients who are waiting for new treatments. The FDA’s dysfunction is a complex issue that requires a comprehensive solution. By working together, patients, researchers, industry stakeholders, and policymakers can help to create a more efficient and effective regulatory framework that promotes innovation and improves public health.