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Why would the market provide these services?

We could start to pay a company to tell us which drugs were safe, but they would only have one customer who would tell everybody else.

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I'm not convinced it would actually work, but what the OP probably meant is that the pharma companies would pay the certification companies so they could put a "Certified by X" sticker on their packaging. The better X would certify, the more they could ask from the pharma company, so the market would reward proper certification.

Erm... that's just the same as it is now. Pharma companies pay scientists to statistically test there products. My first year stats professor described how difficult it is to say to your employer after a year and a lot of cash that their toothpaste did not perform statistically significantly better than the placebo. How many more consultancy contracts are you going to get?

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