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As we move forward with technology, medication is going to become more personalised and customised to the patients own needs and issues. This does not sit well with the FDA's mode of operation of multiple phases of testing, group testing, etc.

It's hard to group test a pill designed for spurgeonryan's needs when there's only one spurgeonryan.

Many FDA regulations can be easily circumvented, and any pills approved anywhere in the world can be easily (well, with growing ease) obtained in the USA anyway, the FDA's monopoly on power in this field is fading over time. On top of this, some states have began nullifying areas of FDA regulation, for example, Arizona voters have recently approved a law that let's terminal patients sign waivers and legally use non-certified medications.