The U.S. Food and Drug Administration is the most powerful
regulatory agency in the world. How did the FDA become so
influential? And how exactly does it wield its extraordinary power?
"Reputation and Power" traces the history of FDA regulation of
pharmaceuticals, revealing how the agency's organizational
reputation has been the primary source of its power, yet also one
of its ultimate constraints.
Daniel Carpenter describes how the FDA cultivated a reputation
for competence and vigilance throughout the last century, and how
this organizational image has enabled the agency to regulate an
industry as powerful as American pharmaceuticals while resisting
efforts to curb its own authority. Carpenter explains how the FDA's
reputation and power have played out among committees in Congress,
and with drug companies, advocacy groups, the media, research
hospitals and universities, and governments in Europe and India. He
shows how FDA regulatory power has influenced the way that
business, medicine, and science are conducted in the United States
and worldwide. Along the way, Carpenter offers new insights into
the therapeutic revolution of the 1940s and 1950s; the 1980s AIDS
crisis; the advent of oral contraceptives and cancer chemotherapy;
the rise of antiregulatory conservatism; and the FDA's waning
influence in drug regulation today.
"Reputation and Power" demonstrates how reputation shapes the
power and behavior of government agencies, and sheds new light on
how that power is used and contested.
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