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43 Am. J.L. & Med. 7 (2017)

handle is hein.journals/amlmed43 and id is 1 raw text is: 



                                       American Journal ofLaw & Medicine, 43 (2017): 7-55
                              American Society of Law & Medical Ethics, C 2017 The Author(s)
                                                      Boston University School of Law
                                                      DOI: 10.1177/1559827617707977

THIS ARTICLE MAKES YOU

SMARTER! (OR, REGULATING

HEALTH AND WELLNESS CLAIMS)

Sarah Duransket










    Information has  power  -  to inspire, to transform, and  to harm.  Recent
technological advancements  have  enabled  the creation of products  that offer
consumers  direct access to a level of personal health information unprecedented in
history. But how are we to balance the promise of health and wellness information
with its risks?
    Two  agencies are tasked with protecting consumers from false claims of health
products: the FDA and the FTC. This Article investigates if they are up to the task. In
part a study of agency policymaking choices, and in part a prescription for more
thoughtful and focused regulation, this Article compares both intra-agency and inter-
agency regulation of informational health and wellness products. Certain procedural
and substantive characteristics ofFDA regulation are unsuited to informational health
and wellness products, rendering comprehensive regulation by the FDA unrealistic.
This gap  creates an opportunity for the FTC to use its distinct and well-tailored
enforcement tools to police harmful product claims that escape the FDA's purview. I
posit that by tailoring the FDA's responsibility and sustaining the FTC's engagement
with health claims, the agencies can dovetail into a cohesive and comprehensive
regulatory regime.


INTRODUCTION
    Every day, consumers rely on health and wellness information provided directly to
them by modem   technology. A genetic test directs a user to a low-carb diet. An app
analyzes a mole for cancer risk. An online symptom checker provides a list of possible
diagnoses based on the user's symptoms. Outside the bounds of the doctor-patient
relationship, consumers must judge whether this information is sufficiently accurate
and useful to rely upon. Some  decisions may be insignificant: eggs or cereal for
breakfast? But other decisions could have major health implications: do I forgo a
doctor's appointment for this low-risk mole?



    I Thomas C. Grey Fellow and Lecturer in Law, Stanford Law School. For their helpful comments and
conversations, I am grateful to Hank Greely, Michelle Mello, Roland Nadler, Normal Spaulding, Natalie
Salmanowitz, Rebecca Wolitz, Yanbai Andrea Yang, and the participants of the 2016 Grey Fellows forum.

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