The general consensus of many workers in the industry is that the FDA's regulation is about right, rather than being either too tight or too lenient.
It is willful or reckless ignorance to believe that the absence of the FDA will not have serious consequences. There already exists a segment of the drug industry that is nearly completely unregulated by the FDA, as a matter of law. I am of course speaking of the health or dietary supplements. And the experience here does not bode well: there are a sheer number of "miracle" pills and cures that come out of it, unhelpfully promoted by snake oil salesmen like Dr. Oz. And investigations have found that many companies can't even be bothered to put the active ingredients into their products.
It can be argued both ways. Another option without FDA would be people will self-regulate: determine who they trust - individuals, organizations, or networks - and who they don't trust based on hearing word of mouth experiences being spread vs. people being manipulated via bombardment of shallow, cheap advertisements - allowing a functional mechanism of Darwinism while preventing regulatory capture and squashing of drugs that were known to provide great benefit - but couldn't be patented so were controlled - like marijuana, MDMA, psychocybin, etc; presumably anything that kept in circulation in the black market was providing individuals with benefit, and arguably things like opiates kept and pumped into the public market did far more harm than even perhaps the total of harm caused by the black market drugs.
Edit: Just to clarify, I'm not arguing for or against here, I just stated another option - so thanks for that downvote whoever the lazy person was did it.
From my own experience with the Canadian health system, mentioning it as basically a single payer system, not allowing off-label use causes problems - at least the lack of and ability to initiate in a cascading process to initiate research for off-label use is a problem.
It is willful or reckless ignorance to believe that the absence of the FDA will not have serious consequences. There already exists a segment of the drug industry that is nearly completely unregulated by the FDA, as a matter of law. I am of course speaking of the health or dietary supplements. And the experience here does not bode well: there are a sheer number of "miracle" pills and cures that come out of it, unhelpfully promoted by snake oil salesmen like Dr. Oz. And investigations have found that many companies can't even be bothered to put the active ingredients into their products.