I want to work for the Federal Government (of the United States,
that is). I think this is especially prescient of me given our current
circumstances. I also think it is a bit
of nostalgia for those days when I worked for the Veterans Administration. I fondly remember the 3 of my 16 years
working there when the government actually passed a budget on time. I also
always loved the last week of the fiscal year when, suddenly, a large pot of
money would appear from nowhere and we would have to get it entirely spent
within the week. Do you know how hard it
is to spend several million dollars (OK – maybe several hundred thousand) in a
week? I have equally fond memories of the last government shutdown (which may
have helped stimulate me to move to the private sector). During the last
shutdown, as a physician, I was considered essential. Unfortunately, lots of
other folks I needed were not – so caring for patients and continuing a
research program became, shall we say, challenging.
It is in this sense of nostalgia for those good old days
plus a deep appreciation for what government employees are now experiencing
that I announce to the world that I want to go back to work for the Federal
Government. And – I want to be paid nothing
– zero – nada. That way – I don’t have to worry about furloughs or anything
else – I’ll be invincible! What can they do – fire me? Of course, I have a specific plan.
As you know, I will be retiring from my consulting business
at the end of this year. I know those of you who are dedicated
readers of my blog are depending on me to keep on keeping on – and I will try
not to disappoint you. The blog will
continue. But I would also like to
continue my work in the area of regulatory policy. To accomplish this, I need to work in a
different way with FDA. As it stands
now, I speak to them – admittedly a little less this year than over the past
several years – but still we speak from time to time. I even think they listen to me sometimes and
I certainly listen to them. I know a number of them read this blog. Unfortunately, I no longer find this to be
enough (I never did, truth be told). I
want to be on the inside, not the outside.
I want to try and give them a more real worldview of the implications of
their policy considerations before they actually become policy and I would like
to do this not just for the anti-infective division, but for those in the
commissioner’s office as well. At the same time, I expect to get a better
understanding of their view of the big policy picture and to try and somehow
help meld these sometimes disparate and paradoxical approaches to the same
issues into something that comes closer to a middle ground.
I have made my wishes known to the FDA – but I admit that I
have not yet seen them gush with enthusiasm over this offer. I was hoping that
my retirement from consulting would ameliorate for them, at least to a certain
extent, any conflict of interest that currently exists. I was also hoping that they
actually would find my experience and knowledge (such as it is) useful to them.
But, I do have a backup plan. If the FDA isn’t interested in my offer, I’ll
just spend more time concentrating on the classical guitar and my next book.
To all you government employees out there – I feel your
pain!
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