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In reference to a more "libertarian" approach to vaccines (or drugs for that matter).

1. Added liability: Without the FDA to thoroughly vet a given drug/vaccine there is of course a heightened risk of danger to the public...or is there? The FDA is largely influenced by big pharma's lobbying groups and therefore has a vested interest in creating single source suppliers for life saving meds/vaccines. If you decentralized this power big pharma would have far more competition. The giant companies wouldn't have pull in the federal government like they do now so they wouldn't be nearly as dominating as they are, smaller players would have more influence. As the free market does with proper competition, the people would demand safe, well vetted drugs/vaccines. The onus and liability falls on the pharmaceutical company though not the FDA at that point. It is therefore in there best interest not to kill people, if for no other reason than avoiding lawsuits and lost revenue. Lastly, as with any branch of the federal government, it's not like the FDA themselves always have your best interests in mind. As much as you may not trust big pharma (and probably rightfully so) the FDA isn't innocent either.

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