this post was submitted on 22 Dec 2025
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It’s a fundamental tenet of health care in America: Generic drugs are just as safe and effective as brand-name ones. The only difference is the price.

“The same high quality, strength, purity and stability,” the Food and Drug Administration assured the public years ago as factories started to flood the market with their own, cheaper versions of commonly used drugs, from antibiotics to cancer treatments.

But the agency stakes that promise on a risky gamble.

It doesn’t routinely test generics for quality concerns or to see if they’re working as effectively as brand-name medications. Instead, the agency heavily relies on drug companies, often in countries as far away as India and China, to do their own testing and to report any problems.

Yet the FDA largely dismissed the warnings and has only sporadically tested a sampling of generic drugs, which now account for about 90% of prescriptions in the United States. That means the government can’t always say which ones may be compromised or how often that happens. And patients can’t make informed choices about which drugmakers to depend on.

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[–] thesohoriots@lemmy.world 10 points 2 months ago

ProPublica (I believe) also did a massive rundown of all the manufacturers that weren’t up to par but still were allowed to continue manufacturing generics anyways, as you mention. This is just another piece in a much larger issue that they seem to be the only ones really getting at. While generics may technically have the same active ingredient, the other 99% of that pill can make a huge difference.