I can only nod my head in agreement with Jake Seliger’s description of clinical trials in America:

The clinical trial system could be a lot worse, but, in its current state, it’s far from optimal, to the point that I’d characterize it as “pretty decently broken.”

Well, maybe add one thing: it is a small miracle that the system works at all, considering that it is built on top of an even more dysfunctional health care system. (ᔥTyler Cowen)