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There is a lot of stuff in the medical world where we have no real power to influence manufacturers because we are such a small market

e.g. new drugs, FDA approval is everything because the US is where the drug companies make their money

if FDA approval becomes easier then drug companies will happily lower their standards and in a lot of cases it will be a matter of take it or leave it - it’s not worth spending a ton of money on FDA-unnecessary R&D just to clear the TGA