I haven't read the article, but clearly this statement is true. Drug companies have a hard time getting academic physicians to follow protocols exactly as written. What's gonna happen when people who literally don't know what medicine they're taking or why (and I'm being serious...I reviewed a study once of a surgery group who was surveying patients to determine how many women who were undergoing a hysterectomy could actually name which organ(s) were being removed or why...the numbers, if I recall correctly, were about 40%) are charged with following a precise instruction, while keeping accurate and auditable records? It will not, I'm afraid, be the utopia envisioned by the author. (This is ignoring the other obvious point, which is why in the hell does anyone want clinical trials "democratized" to begin with? What possible benefit to medicine or society could that bring?)Mutherfucker has never participated in a clinical trial. My daughter makes about $300 a year to go sit in a doctor's office and eat pudding four times.