You switch positions throughout the essay, sometimes in the same sentence!
“Completely remove efficacy testing requirements” (Motte) ”… making the FDA a non-binding consumer protection and labeling agency” (Bailey)
“Restrict the FDA’s mandatory authority to labeling” logically implies they can’t regulate drug safety, and can’t order recalls of dangerous products. Bailey! ”… and make their efficacy testing completely non-binding” back to Motte again.
“Pharmaceutical manufactures can go through the FDA testing process and get the official “approved’ label if insurers, doctors, or patients demand it, but its not necessary to sell their treatment.” Again implies the FDA has no safety regulatory powers.
“Scott’s proposal is reasonable and would be an improvement over the status quo, but it’s not better than the more hardline proposal to strip the FDA of its regulatory powers.” Bailey again!
I think the success or failure of this model really depends on the nature and number of the factions. If interfactional competition gets too zero-sum (this might help us, but it helps them more, so we’ll oppose it) then this just turns into stasis.
During ordinary times, vetocracy might be tolerable, but it will slowly degrade state capacity. During a crisis it can be fatal.
Even in America, we only see this factional veto in play in a subset of scenarios—legislation under divided government. Plenty of action at the executive level or in state governments don’t have to worry about this.