You assume there is a benefit to be had. Most drugs fail because they don’t do the thing people want them to do.

In general prescription drugs have massive downsides and they still got approved.

They really aren’t, it’s the work of more than one human to keep up with this stuff.

So you need a government agency or a private group doing the same functions while facing huge lawsuits and thus requiring the same or more data. Granted US doctors could use European etc guidelines, but that’s a different discussion.

Yeah they loved giving people oxy