> A peer-approval system would work both ways. Europe would also take into account FDA decisions
This doesn't seem like a given at all. Just because the FDA accepts EMA approvals wouldn't mean the EMA would accept FDA ones and as a European, I wouldn't want it to.
I have a lot more trust in the EMA than the FDA.
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The FDA’s big claim to fame is not approving thalidomide when European regulators did, preventing a bunch of birth defects https://en.wikipedia.org/wiki/Thalidomide
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Peer approval schemes are usually implemented as trade efficiency measures. A one sided peer approval would make it easier to import, while not making it easier to export, causing a delta trade deficit.
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