Research Director at Public Citizen's Access to Medicines program. Former journalist covering intersection of pharma, health policy & politics. On Signal at SarahKarlinSmith.34 Views are mine.https://bsky.app/profile/sarahkarlin-smith.bsky.socialhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mlrlbum5uc2z"But many of the contradictions Makary faced or embodied — Robert F. Kennedy Jr.’s distaste for vaccines and embrace of junk science, the Trump administration’s love of flashy announcements but impatience for real governing — will still be there." https://endpoints.news/post-hoc-why-fda-commissioner-marty-makary-was-ousted/14 May 2026 00:38 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mlrlbum5uc2zhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mlrgmosjs22eI was wondering how that could possibly be allowed! [contains quote post or other embedded content]13 May 2026 23:14 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mlrgmosjs22ehttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mlqglk7oes2qI thought journalists had finally grasped this was a misleading, unhelpful story line. But alas… [contains quote post or other embedded content]13 May 2026 13:41 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mlqglk7oes2qhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mlmlhpo7g22x“They’re not interested in holding powerful people accountable, because they’re the powerful people who don’t want to be held accountable. It’s actually really, really troubling.” [contains quote post or other embedded content]12 May 2026 00:58 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mlmlhpo7g22xhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mllhhjbefk2z$2.7b to develop a drug? "That number is bullshit." said by a man who worked in industry himself! "Look, nobody is saying drug development is cheap. ... But these multi-billion-dollar figures are cooked up with some serious accounting magic to make them look way bigger than they really are." https://worldofdtcmarketing.com/why-deloittes-2-7-billion-to-bring-a-drug-to-market-number-is-wrong/11 May 2026 14:13 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mllhhjbefk2zhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mlk6lgigqs2hMy earliest political memories are my dad ranting about Reagan, including to the telemarketers who called during dinner. [contains quote post or other embedded content]11 May 2026 02:02 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mlk6lgigqs2hhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3mleb3absws2zKeep thinking about this quote in Politico earlier this week: “He will not be missed by a single career person,” said an FDA staffer granted anonymity to discuss Makary’s tenure. “And we will only regret it when they manage to find someone worse.” [contains quote post or other embedded content]08 May 2026 17:30 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3mleb3absws2zhttps://bsky.app/profile/sarahkarlin-smith.bsky.social/post/3ml7m52lppc2z"The most-favored nation price point, which President Trump and his top health officials have repeatedly touted as the lowest price for medication in the world, is actually based on the second-lowest price available in a handful of peer nations, according to the new report." https://www.statnews.com/2026/05/06/most-favored-nation-drug-price-savings-estimated-529-billion/?utm_campaign=pharmalot&utm_medium=email&_hsenc=p2ANqtz--m5e0vO1tLcN5QXhvsOU0zAPU1_z6XlRIcLHyqcjUjlS7S9uN0_gRGwILkIz6JJnuxY6favPj6er3l70-FGChXrv3hcQ&_hsmi=417581741&utm_content=417581741&utm_source=hs_email06 May 2026 21:05 +0000at://did:plc:5mbz5pb7xo2o5eef3xeixvgu/app.bsky.feed.post/3ml7m52lppc2z