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November 15, 2009

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Eric Garland

Sally,

First, awesome to see you get some great publicity on the TeeVee box.

This is a truly fascinating development, the crash of two cultures which both cling to their rules: The Internet, which is ungovernable, and The FDA, which is rigid by necessity. I don't want there to be rules about what information is acceptable by the Internet, and I also don't want to see the FDA operate without some sort of rules on drug communications.

I loved following the #FDASM tweets last week. There are no easy answers here, all we have is the opportunity to dialogue. And as the drug companies themselves are admitting, this information flow to and from patients is opening and will NEVER CLOSE AGAIN.

I must compare this with the reaction of the music industry to the change in communications technology, leading them to sue their customers instead of to innovate their business model. You don't need to "solve" the "problem" right away, but as an industry you absolutely CANNOT deny what's going on. FDA and Big Pharma aren't exactly quick about these developments, but they are pointed in the right direction.

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