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In 1998, the FDA notified doctors that Accutane, "may cause depression, psychosis, and rarely, suicidal ideation, suicide attempts and suicide.

During his December 11, 2002 statement to the committee, Congressman Stupak pointed the finger of blame directly at the FDA when stating: "Accutane is a powerful, dangerous drug with devastating consequences for some patients. The birth defects caused by Accutane are horrific. The FDA's response to the birth defects and psychiatric events has been inadequate, irresponsible and unacceptable. Thousands of babies, teenagers, and young adults have died prematurely.

The NHS now has management information that was not at the disposal of anyone before the reforms were made. I used to compare the old unreformed national health service with the Indian state railways: no one was apparently in charge of anything and the system worked only because everyone knew that they had to do roughly what they had done the year before, while hoping that they did not run out of money before the year's end.]