Deregulation Is “The Third Pillar” of Trump’s “Plan to Unleash the Nation’s Economic Potential”

In an earlier entry I agreed with David Henderson that libertarians and classical liberals should give Trump credit where credit is due. We should occasionally take a break from criticizing his tariffs, to spend a few minutes to praise his deregulation. The New York Times article quoted below says that deregulation is “the third pillar” of his program to bring us economic prosperity, and that the “deregulatory push” is accelerating.

(p. B3) The Trump administration accelerated its deregulatory push on Thursday [Dec. 11, 2025] by asking the Financial Stability Oversight Council, a financial crisis-era government panel that monitors threats to the financial system, to take steps to ease regulations that they claim are strangling economic growth.

The focus on deregulation comes as President Trump looks to jump-start economic output ahead of midterm elections next year. Republicans are hopeful that Americans will see benefits from the tax legislation that they passed earlier this year and the fruits of new foreign investments that have been pledged as part of trade agreements.

The loosening of regulations has been described by Mr. Trump’s advisers as the third pillar of his plan to unleash the nation’s economic potential.

Mr. Bessent argued in a letter accompanying the annual FSOC report that financial stability is best achieved through faster economic growth, which is constrained by unnecessary regulations. He is directing the FSOC to create working groups that will focus on Treasury market resilience, the resilience of household finances, opportunities for artificial intelligence to help safeguard the financial system and preparation for cyberattacks.

For the full story see:

Alan Rappeport and Colby Smith. “Bessent Is Accelerating A Regulation Overhaul To Jumpstart Growth.” The New York Times (Weds., December 13, 2025): B3.

(Note: bracketed date added.)

(Note: the online version of the story has the date Dec. 11, 2025, and has the title “Bessent Accelerates Regulation Overhaul to Jumpstart Growth.”)

Federal Government Should Respect Citizens by Being Honest About Vaccine Side-Effects

I believe that some vaccines are among the most effective medical interventions to save lives. But I also believe in free choice, and that the government should be transparent in admitting the side-effects that occur, to varying degrees, with all vaccines. So I was puzzled and annoyed by the article quoted below on a CDC panel vote to withdraw support for immediate vaccination of neonates against hepatitis B. One of those seeking withdrawal of support for the vaccine cited “vaccine-injury claims paid out by the National Vaccine Injury Compensation Program” as evidence of side-effects. Then we get to the part that puzzles and annoys me: “the federal government has said that such settlements shouldn’t be used to draw conclusions about vaccine safety.”

Why not? It’s not the only relevant evidence, but it is relevant evidence. Why should we exclude it? Because it goes against the federal government’s status quo mandate? If there is a better reason, the article does not mention it.

(p. A1) A key vaccine panel at the Centers for Disease Control and Prevention voted 8-3 to nix a recommendation that all newborns be given a first dose of hepatitis B vaccine.

. . .

(p. A4) The newly appointed acting director of the drugs division at the Food and Drug Administration, Dr. Tracy Beth Hoeg, suggested to the panel that hepatitis B vaccines shouldn’t be given to children at all. She pointed to other countries including Denmark that don’t recommend the hepatitis B vaccine for all newborns. CDC scientist Adam Langer said many of those other countries including Denmark have national health systems, in which it is easier to screen and track infected mothers.

[Mark Blaxill, a longtime antivaccine activist who now works at the CDC] argued that vaccine-injury claims paid out by the National Vaccine Injury Compensation Program showed that the hepatitis B vaccine causes harm. But the federal government has said that such settlements shouldn’t be used to draw conclusions about vaccine safety.

For the full story see:

Liz Essley Whyte and Sabrina Siddiqui. “Vaccine Panel Nixes Hepatitis B Guidance.” The Wall Street Journal (Sat., Dec. 6, 2025): A1 & A4.

(Note: ellipsis added; the words in brackets are from a couple of paragraphs earlier in the article.)

(Note: the online version of the story has the date December 5, 2025, and has the title “CDC Panel Remade by RFK Jr. Votes to Alter Hepatitis B Vaccine Guidance.”)

“Scientific Knowledge Can Lie Beyond Language”

By Arthur M. Diamond, Jr.
First Posted to The Institute of Arts and Ideas web site on Weds., March 25, 2026

An experienced nurse in the neonate intensive care unit is mostly focused on the infant who is her main responsibility. But she notices that a nearby infant is cycling through minor changes in skin color. That infant’s primary nurse sees it too. The infant then turns blue-black. The experienced nurse knows it is pneumopericardium, where air pressure around the heart keeps the heart from sending blood into the infant’s body. She knows it because she had been the nurse for an infant who died from pneumopericardium. The heart monitor misleadingly seems to show that the heart is still beating, so the infant’s primary nurse thinks the problem is a collapsed lung. As the chief doctor arrives the experienced nurse “slaps a syringe in his hand” and tells him to “stick the heart” to release the air. An x-ray tech confirms the diagnosis, the doctor acts, and the infant lives.

The experienced nurse was out of line. The infant who lived was not her responsibility and it was not her job to tell the chief doctor what to do. She could have been punished, but she took a chance and acted on intuitive knowledge that she could not immediately articulate. She had intuition that proved correct and her acting on her intuition was literally a matter of life and death. But we set up barriers to discourage ourselves and others from acting on our intuition. We establish regulations, credentials, protocols, manuals.

___

Breakthrough innovative entrepreneurs often have limited formal theoretical knowledge, but high levels of informal unarticulated knowledge.

___

Dr Min Chiu Li was an oncologist at the National Cancer Institute in the US in the early days of administering methotrexate chemotherapy to women who had choriocarcinoma cancer. The NCI protocol mandated that when the visible symptoms of cancer were gone, he should stop chemotherapy. But he had an intuition that small amounts of cancer still lurked after the visible symptoms were gone. So he violated the protocol and gave his patients a longer course of chemotherapy. The administrators at the NCI fired Min Chiu Li for violating the protocol, but later were surprised to observe that the patients treated according to the protocol were dead, and the patients treated by Min Chiu Li were alive.

In my book Openness to Creative Destruction I argue that breakthrough innovative entrepreneurs often have limited formal theoretical knowledge, but high levels of informal unarticulated knowledge. Henry Ford, Bill Gates, and Steve Jobs did not graduate from college. What is true of innovative entrepreneurs is also often true of innovative scientists. When James Watson and Francis Crick had lunch with famous biochemist Erwin Chargaff, Crick could not remember the well-known chemical details of the four bases of DNA. Chargaff dismissed the pair with contempt. Watson and Crick did not excel in the memorization of theory but had intuition that allowed them to see the double-helix structure of DNA. AI expert Melanie Mitchell and cognitive psychologist Gary Klein agree that we have more unarticulated knowledge than articulated knowledge.

But we too seldom ask: how useful is it? Or an even better question is: how useful could it be if we sought to make good use of it rather than sought to ignore or block it? Unarticulated knowledge deserves deeper study, and Klein is one of those who has made a start. Over his career he has modified his taxonomy of the types of unarticulated knowledge. What I am calling “unarticulated knowledge” he calls “tacit knowledge,” a label I prefer to reserve for the kind of muscle-memory bike-riding example the phrase’s originator, Michael Polanyi, made famous. In one of his later efforts, Klein distinguishes five types of unarticulated knowledge: Perceptual, Conceptual, Embodied, Social, and Metacognitive. The type I am most concerned with in this article is the Conceptual, within which he includes: “pattern recognition; mental models; expectancies; mindsets; noticing the absence of expected events; imagining antecedents and anticipating consequences; seeing affordances.”

The size and importance of unarticulated knowledge has implications for the current worries that the growth of AI will create widespread job loss. If worker productivity depends importantly on their unarticulated knowledge, and if AI models are trained solely on databases of articulated knowledge, then we have built-in limits on the extent to which AI can replace humans in the labor market.

The level of regulations in the US has steadily increased over many decades, at the same time that the number of breakthrough innovations has fallen (see also Graeber 2012; Huebner 2005). We may be wrong to rely so much on regulations, credentials, protocols, and manuals, but we do not do so out of simple stupidity or evil intent. We do so for several plausible reasons.

One of the reasons is because unarticulated knowledge is often called (including by Klein and me) “intuition” and we associate intuition with mysticism, knowing that mystics have often made predictions that proved false. We also know that our intuition is sometimes systematically biased in a variety of ways. Daniel Kahneman has many examples in his Thinking, Fast and Slow, including, for example, the anchoring effect, confirmation bias, and loss aversion.

But Klein thinks we sell ourselves short if we dismiss intuition. The intuition that he defends is based on experienced patterns, not mystical epiphany. This kind of intuition is on solid ground partly because it often can be articulated when we have enough time to do so, and when it is worth the time to do so.

In a life-and-death case, Lieutenant Commander Michael Riley on the British HMS Gloucester had about 90 seconds to decide if the object coming towards them on the radar was a friendly American plane or a hostile Silkworm missile. Riley was sure the object was hostile, and at the last second shot it down. He could not explain how he had known and why he was sure. By asking a series of shrewd probing questions, Klein teased out how Riley had known that the blip was hostile. Although the plane and the Silkworm flew at different altitudes, the radar did not directly report altitude. But experienced and focused users of the radar could infer altitude from the distance from the shore when a blip first became visible. In this case, Riley did not have the time to articulate the unarticulated, but later Klein, with Riley’s help, proved that it could be done.

Another reason we rely so much on regulations, credentials, protocols, and manuals is that we worry that we have no good way of judging other people’s claims to have unarticulated knowledge. So we worry that the unscrupulous might take advantage of us. This worry often arises in situations subject to what economists call “the principal-agent problem.” The problem arises when the principal pays the agent to do a task; then the agent takes the money but doesn’t do the task.

The principal-agent problem often exists even when we are dealing with articulated knowledge. An increasing number of scientific journal articles and grant proposals are fraudulent. The journals and the grant agencies are paying (in terms of resume entries and money grants) for bogus research. A prominent sad example is Alzheimer’s research. Charles Piller, a journalist at the distinguished journal Science, has expanded his exposé articles into the book Doctored, documenting that much of the leading research has been fraudulent, helping to explain why progress against this major disease has been so limited. The victims include first and foremost those suffering from Alzheimer’s, but also the taxpayers who fund government research grants, and the Alzheimer’s researchers whose honest but modest results have been rejected for publication and grants because they falsely seem inferior to the fraudulent results.

So we guard against unarticulated knowledge because we worry that if we can be so extensively defrauded when we are dealing with claims of articulated knowledge, how much more extensively will we be defrauded if we do not protect ourselves against claims of unarticulated knowledge?

The principal-agent problem is even more severe in common situations where the principal is acting as a fiduciary for others. So a government grant-giver has a moral duty to act prudently since he is acting as a fiduciary for the taxpayer. And a venture-capital fund investor has a moral duty to act prudently since he is acting as a fiduciary for the investors in his fund.

___

We should seek opportunities to fund on the basis of performance, not based on committee evaluation of written proposals.

___

This contrasts with angel investors who invest their own money and so can morally take greater risks based on more tenuous hunches. When the Omaha billionaire Walter Scott spoke to one of my classes I asked if he had been aware of the technological concerns George Gilder had about the Level 3 fiber optics network firm in which Scott had heavily invested. His somewhat gruff response was that he didn’t know technology, but he did know Jim Crowe, the founder of Level 3. Scott was spending his own money so he was not violating any fiduciary responsibility in mistakenly investing in Level 3.

When the principal and the agent are the same person, the principal-agent problem disappears. When the principal is spending their own money, the principal-agent problem is at least mitigated.

We can avoid the principal-agent problem by making it easier for entrepreneurs and scientists to self-fund their ventures and research, thus avoiding the principal-agent problem. For entrepreneurs this can be done by letting them keep the funds that they earn through successful entrepreneurship. Those who have given us the fullest proof of the value of their innovation by succeeding in the marketplace, are allowed to keep the wealth they thereby earn, so they can try it again. These are the serial innovative entrepreneurs like Commodore Vanderbilt, Steve Jobs, and Elon Musk. (The builders of a new computer in Tracy Kidder’s The Soul of a New Machine, compared what they were doing to the game of pinball, where the reward for doing it well is the chance to do it again.)

New York Times financial columnist Andrew Ross Sorkin wrote a column criticizing Steve Jobs for not signing onto the Bill Gates Foundation pledge to give the foundation a large part of his wealth. Jobs was famously known for his intuition about which new products would be “insanely great.” By retaining wealth from previous successes, he could quickly pivot to the next “insanely great” product as a new idea emerged, without having to articulate and sell the idea to a board of directors or to venture capitalists or to Wall Street. So we should encourage successful innovative entrepreneurs to reject the advice of Andrew Ross Sorkin, and instead hold onto their wealth. And we should oppose legislation being proposed in the US Senate to tax all substantial wealth, including that of deserving serial innovative entrepreneurs.

If a successful innovative entrepreneur runs out of new ideas himself, then rather than use his wealth for general charity, he should try to find and invest in other would-be-innovative entrepreneurs who share the traits that enabled the innovative entrepreneur’s own success. (PayPal entrepreneur Peter Thiel and Netscape entrepreneur Marc Andreesen are following this advice.)

We should seek opportunities to fund on the basis of performance, not based on committee evaluation of written proposals. George Stephenson had no formal education and was not very articulate. He could not give a good explanation of why the safety lamp he invented would prevent miners from dying of gas explosions. But he proved it by entering a mine with the lamp and walking toward a chamber known to contain gas. Later and more famously, Stephenson’s Rocket locomotive was not the sleekest looking in the Rainhill Trials contest, and Stephenson was not the most articulate defender of his entry, but unlike the other locomotives that in one way or another broke down, the Rocket kept chugging along. DARPA is one of the more successful government funders of new technology. They often fund based on contests. The X-prizes, founded by Peter Diamandis, are a private-sector effort to fund based on performance.

To reduce the principal-agent problem in science, we should be more open to citizen scientists self-funding their own research, as was commonly done in an earlier period of science, and as has recently been done by neuroscientist Jeff Hawkins, who earned his wealth by being the entrepreneur who developed the successful PalmPilot personal data assistant. The motto of the first scientific society, the Royal Society of England, was Nullius in verba (take no one’s word for it), meaning that anyone who was willing to show the evidence for their findings could participate in science. Make citizen science respectable again. Even today, not all successful innovative scientists rise through the Ivy league or through Oxford and Cambridge.

We should also experiment to find better ways to fund science where self-funding is not possible. We should consider Robin Hanson’s institutional innovation of a betting market where would-be scientists could bet on scientific propositions. Besides finding ways for would-be scientists to self-fund, we should find ways to reduce the amount of funds needed to participate. Universities could be made more efficient. The costs of entry to doing science in some disciplines is already low; citizen scientists make important contributions to astronomy, archeology, and botany. And the costs of contributing to science in other areas should be reduced by reducing regulations.

More broadly we can encourage managers at all levels to give decision rights to their employees. Assign them domains of action where they will not be micro-managed, where they can be alert to patterns and act on the patterns they observe, where they can make use of their unarticulated intuition. Within those domains the employee is not second-guessed by a micro-managing boss or a detailed operational manual.

BIBLIOGRAPHY (not posted in IAI online version):

Barber, Charles. In the Blood: How Two Outsiders Solved a Centuries-Old Medical Mystery and Took on the Us Army. New York: Grand Central Publishing, 2023.

Christensen, Clayton M., and Henry J. Eyring. The Innovative University: Changing the DNA of Higher Education from the inside Out. San Francisco, CA: Jossey-Bass, 2011.

Cowen, Tyler. The Great Stagnation: How America Ate All the Low-Hanging Fruit of Modern History, Got Sick, and Will (Eventually) Feel Better. New York: Dutton Adult, 2011.

DeVita, Vincent T., and Elizabeth DeVita-Raeburn. The Death of Cancer: After Fifty Years on the Front Lines of Medicine, a Pioneering Oncologist Reveals Why the War on Cancer Is Winnable–and How We Can Get There. New York: Sarah Crichton Books, 2015.

Diamandis, Peter H., and Steven Kotler. Bold: How to Go Big, Create Wealth and Impact the World. New York: Simon & Schuster, 2015.

Diamond, Arthur M., Jr. “How to Cure Cancer: Unbinding Entrepreneurs in Medicine.” Journal of Entrepreneurship and Public Policy 7, no. 1 (2018): 62–73.

Diamond, Arthur M., Jr. Openness to Creative Destruction: Sustaining Innovative Dynamism. New York: Oxford University Press, 2019.

Gigerenzer, Gerd. Gut Feelings: The Intelligence of the Unconscious. New York: Penguin Books, 2007.

Graeber, David. “Of Flying Cars and the Declining Rate of Profit.” The Baffler, no. 19 (2012). https://thebaffler.com/salvos/of-flying-cars-and-the-declining-rate-of-profit

Hanson, Robin. “Could Gambling Save Science? Encouraging an Honest Consensus.” Social Epistemology 9, no. 1 (Jan.-March 1995): 3–33.

Hawkins, Jeff. A Thousand Brains: A New Theory of Intelligence. New York: Basic Books, 2021.

Hawkins, Jeff, and Sandra Blakeslee. On Intelligence. New York: Times Books, 2004.

Huebner, Jonathan. “A Possible Declining Trend for Worldwide Innovation.” Technological Forecasting and Social Change 72, no. 8 (Oct. 2005): 980–86.

Jena, Anupam B., and Christopher M. Worsham. Random Acts of Medicine: The Hidden Forces That Sway Doctors, Impact Patients, and Shape Our Health. New York: Doubleday, 2023.

Jenkins, Tania M. Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession. New York: Columbia University Press, 2020.

Kahneman, Daniel. Thinking, Fast and Slow. New York: Farrar, Straus and Giroux, 2011.

Kidder, Tracy. The Soul of a New Machine. 1st ed. Boston: Little, Brown and Co., 1981.

Klein, Gary A. Sources of Power: How People Make Decisions. 20th Anniversary ed. Cambridge, MA: The MIT Press, [1997] 2017.

Klein, Gary A. “Unpacking Tacit Knowledge; Applying the Tacit Knowledge Concept More Effectively.” Psychology Today, 2023. https://www.psychologytoday.com/us/blog/seeing-what-others-dont/202307/unpacking-tacit-knowledge

Landes, David S. “Why Europe and the West? Why Not China?” Journal of Economic Perspectives 20, no. 2 (Spring 2006): 3–22.

McLaughlin, Patrick A., and Oliver Sherouse. “The Impact of Federal Regulation on the 50 States, 2016 Edition.” Arlington, VA: Mercatus Center, 2016.

Mitchell, Melanie. Melanie Mitchell on Artificial Intelligence. EconTalk, interviewed by Russ Roberts, Jan. 6. 2020. https://www.econtalk.org/melanie-mitchell-on-artificial-intelligence/

Park, Michael, Erin Leahey, and Russell J. Funk. “Papers and Patents Are Becoming Less Disruptive over Time.” Nature 613, no. 7942 (Jan. 2023): 138–44.

Piller, Charles. Doctored: Fraud, Arrogance, and Tragedy in the Quest to Cure Alzheimer’s. New York: Atria/One Signal Publishers, 2025.

Polanyi, Michael. Personal Knowledge: Towards a Post-Critical Philosophy. Chicago: University of Chicago Press, 1958.

Polanyi, Michael. The Tacit Dimension. Garden City, New York: Doubleday & Co., 1966.

Prentice, Claire. “Miracle at Coney Island: How a Sideshow Doctor Saved Thousands of Babies and Transformed American Medicine.” Kindle Single, 2016.

Richardson, Reese A. K., Spencer S. Hong, Jennifer A. Byrne, Thomas Stoeger, and Luís A. Nunes Amaral. “The Entities Enabling Scientific Fraud at Scale Are Large, Resilient, and Growing Rapidly.” Proceedings of the National Academy of Sciences 122, no. 32 (2025): e2420092122.

Rosen, William. The Most Powerful Idea in the World: A Story of Steam, Industry, and Invention. New York: Random House, 2010.

Smiles, Samuel. The Locomotive: George and Robert Stephenson. New and Revised ed, Lives of the Engineers. London: John Murray, Albemarle Street, 1879.

Sorkin, Andrew Ross. “Dealbook; the Mystery of Steve Jobs’s Public Giving.” The New York Times (Tues., Aug. 30, 2011): B1 & B4.

Watson, James D. The Double Helix: A Personal Account of the Discovery of the Structure of DNA. New York: Scribner Classics, [1968] 2011.

The article above was published behind a paywall on the web site of The Institute of Art and Ideas. I retain the copyright, so I am reposting the article here. I submitted a bibliography and internal parenthetical references, but following their usual formatting, they did not post those, but instead incorporated select web links to some of the sources. My submitted title was “Making the Most of Unarticulated Knowledge.” IAI did not like that title, so they chose: “Scientific Knowledge Can Lie Beyond Language.” I did not veto their title although I regretted that it neglected the practical implications of my article, which to me are as important as the scientific implications. The citation for the original posting of the article on IAI is:

Diamond, Arthur M. “Scientific Knowledge Can Lie Beyond Language.” Posted on March 25, 2026. The Institute of Arts and Ideas. Available from https://iai.tv/articles/scientific-knowledge-can-lie-beyond-language-auid-3530.

Arthur Diamond’s “Scientific Knowledge Can Lie Beyond Language” Posted at The Institute of Art and Ideas Web Platform

My agreement with iai allows me to separately post my article, which I plan to do in a future blog post. The title as it appears on the iai platform was chosen by the iai editors. I preferred a title that emphasized the implications of unarticulated knowledge for practice, not just for science. I had the right, if I objected strongly to their title, to veto it. I chose not to veto.

Entrepreneurs Make Leaps: A Critique of the Theory of the Adjacent Possible (TAP)

In my Openness book, I argue that the innovative entrepreneur is a key agent of the innovative dynamism that brings us the new goods and the process innovations through which we flourish. The Theory of the Adjacent Possible, devised by Stuart Kauffman, Roger Koppl, and collaborators, and popularized by Steven Johnson, aims to “deflate” the innovative entrepreneur, and argues that technological progress is an inevitable result of a stochastic process. I have written an extended critique of the TAP, and have posted the latest version to the SSRN working paper archive. In some ways the working paper, especially the last half, can be viewed as further elaboration and illustration of some of the points made in Openness.

The citation for, and link to, my working paper is:

Diamond, Arthur M. “Entrepreneurs Make Leaps: A Critique of the Theory of the Adjacent Possible.” (Written Jan. 26, 2026; Posted Feb. 18, 2026). Available at SSRN: https://ssrn.com/abstract=6166326

My book mentioned in my initial comments is:

Diamond, Arthur M., Jr. Openness to Creative Destruction: Sustaining Innovative Dynamism. New York: Oxford University Press, 2019.


“Several Biting Critiques of the Red-Tape State”

I have been so intrigued by reviews of books by Philip K. Howard that I have bought four of them. I am chagrined to admit that I have not yet read any of them–I am a slow reader, and have a long to-do list. But when I saw Howard’s suggestions of books that critique government red-tape, I made the to-do list even longer.

(p. R5) American government is overdue for a spring-cleaning, so I was delighted to read several biting critiques of the red-tape state, especially Marc Dunkelman’s “Why Nothing Works” and Ezra Klein and Derek Thompson’s “Abundance.” What’s needed is a philosophical shift toward human agency and accountability. In “The Origins of Efficiency,” Brian Potter reveals the role of human ingenuity in refining modern technologies. In “Humanocracy,” Gary Hamel and Michele Zanini describe how decentralizing individual responsibility helps businesses thrive. Barry Lam’s “Fewer Rules, Better People” shows why fairness requires judgment on the spot. Without human oversight, systems always take on a life of their own.

The source for Philip K. Howard’s book suggestions is:

Philip K. Howard. “Who Read What in 2025: Philip K. Howard.” The Wall Street Journal (Saturday, Dec. 13, 2025): R5.

(Note: the online version of Howard’s suggestions has the date December 12, 2025.)

The books suggested by Howard are:

Dunkelman, Marc J. Why Nothing Works: Who Killed Progress―and How to Bring It Back. New York: PublicAffairs, 2025.

Hamel, Gary, and Michele Zanini. Humanocracy: Creating Organizations as Amazing as the People inside Them. Revised & Updated ed: Harvard Business School Press, 2025.

Klein, Ezra, and Derek Thompson. Abundance. New York: Avid Reader Press, 2025.

Lam, Barry. Fewer Rules, Better People: The Case for Discretion. New York: W. W. Norton & Company, 2025.

Potter, Brian. The Origins of Efficiency. South San Francisco, CA: Stripe Press, 2025.

We Do Not See the Benefits That Regulations Block

We owe to Henry Hazlitt the insight that we do not see what wonders would be, if the government was less active. We see the bridge that the government builds with our tax money. But we do not see the refrigerators, televisions and vacations that the taxpayers would have had if they had not been taxed to build the bridge. The same insight applies to government regulation.

The CEO of Oura, an increasingly popular ring that collects health data, has penned a brief op-ed, telling us a couple of features that Oura would now have if they were regulated less:

With a reformed regulatory structure, Oura customers could already be benefiting from a range of advanced features, including screening for high blood pressure. Hypertension is one of the most significant risk factors for heart disease and stroke, while high blood pressure in pregnancy can signal pre-eclampsia, a complication that endangers mother and baby. Another primed capability, sleep-apnea detection, would give users an early-warning tool for a condition that often goes undiagnosed and can lead to serious complications.

The CEO of Oura’s op-ed is:

Tom Hale. “With Less Regulation, Your Oura Ring Could Do More.” The Wall Street Journal (Sat., December 20, 2025): A11.

(Note: the online version of the op-ed has the date Dec. 19, 2025, and has the same title as the print version.)

Henry Hazlitt’s great little book, mentioned in my comments, is:

Hazlitt, Henry. Economics in One Lesson. Irvington-on-Hudson, NY: The Foundation for Economic Education, Inc., 1952.

FDA Worked Better and Much Cheaper Before 1962 Expansion

Before 1962, the FDA regulated for drug safety, but not for drug efficacy. If the FDA returned to regulating only for safety, that would imply that Phase 3 randomized clinical trials would no longer be mandated. Phase 3 trials are usually more expensive than the Phase 1 and Phase 2 trials combined. They cost a lot more, and usually take a lot longer. If the FDA no longer mandate Phase 3 trials we will have more drug innovation, more quickly, and have much lower costs. And we will have more freedom.

(p. A13) From 1938 through 1962, the Food and Drug Administration required proof of safety before drug approval but not proof of efficacy. The approach was abandoned due to a significant misunderstanding of the thalidomide tragedy—when thousands of babies outside the U.S. were born with severe birth defects.

The issue with thalidomide was a failure of safety, not efficacy. But under pressure to react, Congress required, through the Kefauver-Harris Amendments of 1962, proof of efficacy before granting marketing approval. The new rule addressed a problem that didn’t exist and, in doing so, imposed a substantial new cost burden.

Before 1962, developing a drug took about two years. Now it takes 12 to 14 years. Since 1975 real development costs have risen about 7.5% a year, roughly doubling every decade. Today, we estimate that bringing one successful drug to market costs about $9 billion on average.

For the full commentary, see:

Charles L. Hooper and Solomon S. Steiner. “Deregulation Can Make Medications Cheaper.” The Wall Street Journal (Sat., Oct. 18, 2025): A13.

(Note: the online version of the commentary has the date Oct. 17, 2025, and has the same title as the print version.)

New Hampshire Unbinds Electric Entrepreneurs

The energy sector of the economy is both heavily regulated and much in need of innovation and expansion. Unfortunately the heavy regulation often blocks the innovation and expansion. Travis Fisher and Glen Lyons describe New Hampshire’s solution–a new law that greatly reduces regulations for electricity suppliers who do not connect to the broad “public” grid. Unbinding energy entrepreneurs should bring more innovation and greater competition–more electricity at lower prices.

Fisher and Lyons’s commentary is:

Travis Fisher and Glen Lyons. “New Hampshire Sparks a Revolution in Electricity Supply.” The Wall Street Journal (Sat., Sept. 27, 2025): A11.

(Note: the online version of the commentary has the date September 26, 2025, and has the same title as the print version.)

Innovative Entrepreneur Alfred Beach Privately Built and Operated America’s First Subway

Even classical liberals, strong supporters of free markets, often believe that utilities and mass transit need to be built and operated by governments. So I was delighted to learn from the book review quoted below that the first subway in the United States was privately built by a spirited innovative entrepreneur. That spirit still lives today, if we let it. (Ponder Travis Kalanick.)

(p. C9) In November 1869, the New York inventor Alfred Beach pushed the “move fast and break laws” principle to the limit in developing America’s first underground passenger railway. Without city approval—officials thought he was building a small system to improve mail delivery—he carved out a tunnel 8 feet wide, 300 feet long and right under Broadway.

. . .

Beach (1826-96) . . . was a remarkable character, a precocious innovator who channeled the forces—mass media and technological change—that were making the world modern. His father owned the New York Sun, the country’s most popular paper, and co-founded the Associated Press. Beach went to work for the Sun as a teenager; by 22 he was running it with his brother, and by 25 he sold his share to concentrate on his real passion: Scientific American, which he had bought a few years earlier. He and his partner made the publication a success and built a complementary business filing patents for the inventors who read it. When his client Thomas Edison “perfected the phonograph in 1877,” Mr. Algeo notes, he gave Beach the first demonstration, recording himself singing “Mary Had a Little Lamb.”

In 1849, when he was 23, Beach outlined in the magazine’s pages his vision of a railroad beneath Broadway, with two tracks, gas lights and stops on every corner. “The proposal was radical—the world’s first subway wouldn’t open in London for another fourteen years—and the technological hurdles were immense,” Mr. Algeo writes. The projected route involved a tunnel 20 times as long as the longest extant.

. . .

Beach . . . struggled to get approval for his plan, stymied by the interlocking corruption of Tammany bosses and real-estate interests. Elevated railways and other mass-transit rivals threatened in the meantime to crowd him out. When his railway finally did open, it lasted a mere three years, doomed by the financial crisis of 1873.

For the full review see:

Timothy Farrington. “Bookshelf; One Man’s Tunnel Vision.” The Wall Street Journal (Sat., Sept. 27, 2025): C9.

(Note: ellipses added.)

(Note: the online version of the review has the date September 25, 2025, and has the title “Bookshelf; ‘New York’s Secret Subway’: Tunnel Visions.”)

The book under review is:

Algeo, Matthew. New York’s Secret Subway: The Underground Genius of Alfred Beach and the Origins of Mass Transit. Washington, DC: Island Press, 2025.