Players/The Century of Capture

Stage 3 — Regulatory Capture via PDUFA (1992-2026)

FDA structurally dependent on industry user fees

Plain Read: In 1992, Congress passed the Prescription Drug User Fee Act (PDUFA), authorizing the FDA to collect fees directly from pharmaceutical and biotech companies to fund the drug-review process.

Also in The Century of Capture

Stage 2 — The Liability Shield (1955-1986)All PlayersPBM Oligopoly + Big Three Voting Blocks (1973-2025)