this testimony and keep you covered on this case as it moves forward through the court system. so much for playback on government snooping. the nsa considering the opposite. how the agency could be expanding its surveillance programs on millions of americans. plus, performing unnecessary surgery in the name of advancing medical knowledge. is that ethical? a controversial study backed by the fda straightahead. [ sneezes, coughs ]
doesn t speak to those issues, it is very specific dealing with environmental concerns. and the administration and environmental people point out there are other ways he administration can get to the same result without looking to the kind of supreme court decision and its authority under that ruling. matter what happens, we are in the weeds for most people here. the supreme court will have said in this case you exceeded your authority. that is the case, the biggest critics will celebrate. it was republican president who brought the epa into existence, do you think he is rolling over in his grave at some of these rulings, some of the decisions they have come up with? i ve always argued richard nixon was less liberal republican president. he launched affirmative action, he was in very many ways the rockefeller republican liberal.
construct, non-inferiority trials were better looking at these questions a new medical device might deliver other benefits besides just better treatment. the medical device i wrote about yesterday was for treatment of high blood pressure. it might be no better than medical management. no better than taking high blood pressure pills. if it in fact it can keep you from having to take the pills that is real benefit. the old trials construct, is better for teasing out secondary questions if you will. things like is it better than the existing approach? is it less invasive? is it easier for the surgeon to do? sometimes the question most important question is not the absolute benefit of a medical device but other questions, is it better than the alternative? these sham trials all they really answer is the medical device better than nothing. in this case nothing is a fake surgery. jenna: interesting. that is one of the things motivated you to write about it considering your experience. scott,