1). Limit pharma’s activities to manufacturing of drugs, and thus eliminate the sales related activities including advertising, lobbying, influence peddling, and educational activities.

2). The FDA and universities would be responsible for the basic research, clinical trial for drugs. 

3). The FDA would be ran by university professors and researchers who would by selected by their peers.    

4). Medical colleges would set and run basic research and clinical trials, and own the result.  Pharma’s role would be limited to making suggestions. 

5). All Clinical trial results would be available for free over the internet 

6). For FDA approval, heads on-testing of the new drug to the most common treatment, and also placebo controlled study when such is ethical.  Similar requirement for Phase 4 trials, which are for side effects and new indications. 

8)  A system would be set up to resolve important questions about treatments and prevention. 

9).  All laboratory research and trials would be available over the internet in a format that would facilitate access.   

10). Long-term independent monitoring of side effects by independent researchers. His would include open access to all data banks such as of the Veterans hospitals, Kaiser Permanente, HMOs, and Medicare.  Studies using data banks cost less than 1/100^th that of a long-term clinical trial.

11). Require the reporting of side effects with incentives and penalties, and have open access to the data.     

12)  Because patents hinder competition thus drive up prices and promote secrecy in research, such patents would not be applied in the domestic market. 

13). Universities and the FDA who do the research can patent the results and then negotiate for a share of the profits from foreign sales.   

14). Key positions in the FDA be filled by researchers without ties to Pharma.

15). Treatment guidelines would be established through medical colleges with the goal of serving the public.

16). The guideline proposal prior to establishment would be publish with a period of open discussion.     

17).  Guidelines would include a cost analysis.

18).. Enforce laws against price gouging and monopoly price fixing.   

19). Because of the fundamental conflict between corporations drive for profits and quality, affordable  health care all hospital would be community hospitals (like there were 50 years ago), and there would be a national single payer system. 

20).  All imported lots of drugs would have quality control testing before marketing and high tariffs to encourage US manufacturing.

21). Medical colleges would not be operated as business, but rather as public services.  They would be run by their faculty.

22). Continuing education class ran by medical colleges. 

23). Special incentive for research into prevention and the dissemination of results.