Podcast Summary: “How Deep Does the Corruption Go? | FDA Director Dr. Marty Makary Tells All”
Podcast: Culture Apothecary with Alex Clark
Host: Alex Clark (Turning Point USA)
Date: November 25, 2025
Guest: Dr. Marty Makary, FDA Commissioner, with co-interviewer/guest commentary by Bobby Kennedy Jr.
Overview
In a groundbreaking episode recorded at the FDA headquarters, host Alex Clark sits down with the new FDA Commissioner Dr. Marty Makary and co-leader Bobby Kennedy Jr. to expose the inner workings, past dysfunctions, and ambitious reforms happening at the highest levels of American health regulation. The discussion explores the impact of bureaucracy, special interests, and entrenched dogma, as well as the overhaul spearheaded by the Trump-Kennedy administration. The episode dives into pediatric cancer, transparency in vaccine approvals, food policy, women's health, pharmaceutical pricing, and the implications of decades of regulatory failure.
Major Discussion Points
1. Uncovering Dysfunction and Corruption at the FDA
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“Fiefdom Culture” & Lack of Accountability
- Dr. Makary describes the FDA before his tenure as a series of “empires that made their own rules” with independent revenue, law departments, and little oversight.
“It was a fiefdom culture here, a series of centers functioning on their own, as if there was no accountability to Congress, accountability to the White House...” – Dr. Makary (03:01)
- Dr. Makary describes the FDA before his tenure as a series of “empires that made their own rules” with independent revenue, law departments, and little oversight.
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Past Regulatory Failures:
- Discovery that prior administrations approved processes where American cancer patients’ cells were gene-edited in China, then re-infused in the U.S.
“I found out that in the previous administration they had approved cancer patients … having their cells sent to China to have Chinese labs gene edit the cells of Americans.” – Dr. Makary (25:33)
- Discovery that prior administrations approved processes where American cancer patients’ cells were gene-edited in China, then re-infused in the U.S.
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Suppression of Dissent:
- Employees who tried to innovate were stifled; dissenters faced punishment or their ideas ignored.
“Was dissent punished? … I think it's been stifled.” – Bobby Kennedy Jr. (10:10)
- Employees who tried to innovate were stifled; dissenters faced punishment or their ideas ignored.
2. Overhauling U.S. Health Regulation
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Daily Collaboration and “Big Ideas”
- The heads of FDA, NIH, and CMS (Dr. Makary, Kennedy, and team) hold daily talks to align health policy and funding on “actual cures” and root-cause research.
“We talk every day about how to make healthcare better, because the problem with healthcare is it's so fragmented...” – Dr. Makary (04:15)
- The heads of FDA, NIH, and CMS (Dr. Makary, Kennedy, and team) hold daily talks to align health policy and funding on “actual cures” and root-cause research.
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Accelerated Approval Pathways
- Rewiring application and review processes to get pivotal decisions out in weeks, not years.
“We have this new pilot program to get decisions out in weeks.” – Dr. Makary (18:58)
- Rewiring application and review processes to get pivotal decisions out in weeks, not years.
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Transparency and Public Input
- Radical data disclosure policies, new guidelines for food ingredients, and calls for live-streaming meetings.
“Every piece of data that we can legally release, we are legally releasing ... the amount of stuff that we found that was hidden, that was essentially designed to be kept from the public...” – Dr. Makary (57:49)
- Radical data disclosure policies, new guidelines for food ingredients, and calls for live-streaming meetings.
3. Food as Medicine & Big Food Accountability
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From Starvation to Disease
- The U.S. food system, designed for caloric mass, now produces ultra-processed, addictive food driving disease rates.
“We’ve done something to result in 40% of our nation's kids having the chronic disease...” – Dr. Makary (39:07)
- The U.S. food system, designed for caloric mass, now produces ultra-processed, addictive food driving disease rates.
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National Guidelines, SNAP Reform & Industry Commitments
- Defining “ultra-processed food,” removing funding for junk food in SNAP, pressuring manufacturers (Tyson, Mars, Walmart) to eliminate harmful additives.
“We have now for the first time ever waivers in the SNAP program so that states don't have to use taxpayer dollars to fund these ultra junk food items and sugary drinks.” – Bobby Kennedy Jr. (46:19) “Tyson ... getting rid of high fructose corn syrup, all non petroleum based food dyes, titanium dioxide ... Mars company, the biggest candy maker removed it.” – Dr. Makary (72:20)
- Defining “ultra-processed food,” removing funding for junk food in SNAP, pressuring manufacturers (Tyson, Mars, Walmart) to eliminate harmful additives.
4. Drugs, Vaccines, and Medical Dogma
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Rethinking “Safe and Effective”
- The dangers behind the “safe and effective” slogan—scientific nuance vs. marketing bait.
“Our charge from Congress is to approve drugs that have a substantial amount of evidence that they are safe and effective. Well, what if it's extremely safe but has a very little effect size?” – Dr. Makary (12:22)
- The dangers behind the “safe and effective” slogan—scientific nuance vs. marketing bait.
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Vaccine Policy & Safety Transparency
- Commitment to releasing raw trial data, supporting more flexibility in vaccine schedules, and considering studies comparing vaccinated/unvaccinated populations.
“We believe in radical transparency, and it will penetrate every area of that field.” – Dr. Makary (58:35)
- Commitment to releasing raw trial data, supporting more flexibility in vaccine schedules, and considering studies comparing vaccinated/unvaccinated populations.
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Issues with Drug Approval and Pricing
- Pushing for lower pharmaceutical prices, cutting regulatory red tape, and eliminating unnecessary requirements (e.g., animal testing for drugs already used abroad).
“We're getting rid of regulations, we're cutting red tape ... We were requiring animal testing at the FDA even when a drug was already approved in humans in Europe.” – Dr. Makary (11:19)
- Pushing for lower pharmaceutical prices, cutting regulatory red tape, and eliminating unnecessary requirements (e.g., animal testing for drugs already used abroad).
5. Spotlight on Children’s and Women’s Health
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Pediatric Cancer Moonshot
- Launching AI-driven research and fast lanes for treatments, including rare/early-phase drugs, targeting real roots of childhood cancers and chronic diseases.
“We're going to use AI to try to research cancer differently when it comes to cancer that affects children... we're moving fast.” – Dr. Makary (05:48, 07:01)
- Launching AI-driven research and fast lanes for treatments, including rare/early-phase drugs, targeting real roots of childhood cancers and chronic diseases.
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Hormone Therapy and Medical Myths
- Reversing harmful dogma on hormone replacement for women; recognizing prior bias and promising new guidelines.
“Maybe the biggest screw up in modern medicine is the demonization of hormone therapy for perimenopausal women ... The study they presented showed no increased risk...” – Dr. Makary (48:21)
- Reversing harmful dogma on hormone replacement for women; recognizing prior bias and promising new guidelines.
6. Candid Insights on Conflicts of Interest & Culture
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Corporate Influence
- Both Kennedy and Makary emphasize the role of moneyed interests in shaping research, dietary advice, and drug deployment.
“There are really two political forces ... it's the people who are lying to you and people who are trying to tell you the truth.” – Dr. Makary (28:31)
- Both Kennedy and Makary emphasize the role of moneyed interests in shaping research, dietary advice, and drug deployment.
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Medical Paternalism
- The tradition of concealing data from the public (“We have to tell you, you can’t handle this information.”) is called out repeatedly.
“Medical paternalism has done tremendous damage. And now ... medicine is more democratized.” – Bobby Kennedy Jr. (61:07)
- The tradition of concealing data from the public (“We have to tell you, you can’t handle this information.”) is called out repeatedly.
7. Notable Quotes & Memorable Moments
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On the Pace of Reform:
“Things happen in weeks where it normally takes years.” – Bobby Kennedy Jr. (05:37)
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On Pharma Advertising:
“We took the biggest action in a generation to crack down on pharma ads ... I sent 108 enforcement letters a few weeks ago and another 1,500 letters to the industry.” – Dr. Makary (74:46)
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On Autism & Tylenol
“Twenty-seven studies have found some association between prenatal acetaminophen use in pregnancy and subsequent ... ADHD and autism spectrum disorder.” – Dr. Makary (34:41)
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On Root Causes:
“Almost everything comes back to insulin resistance and general body inflammation, the two things we talk least about.” – Dr. Makary (40:17)
Key Timestamps
- Fiefdom Culture & FDA Dysfunction: 03:01 – 07:19
- New Era of Coordination at FDA/NIH/CMS: 04:02 – 05:41
- Pediatric Cancer Focus & Fast Lanes: 05:41 – 07:19
- Suppression of Dissent, Checklist Transparency: 10:10 – 11:16
- True Meaning of ‘Safe and Effective’: 12:21 – 13:19
- Drug Pricing & Access for Average Americans: 13:19 – 16:26
- Shocking Discovery: Gene-Edited Cells from China: 25:33 – 26:18
- Autism, Leucovorin, & Tylenol Controversy: 30:31 – 38:12
- Big Food’s Role in Disease; Addictive Foods: 38:12 – 41:24
- Ultra-Processed Food Guideline Launch: 45:36 – 47:41
- Women's Health and Hormone Therapy Dogma: 48:21 – 52:12
- Radical Regulatory Transparency/Vaccine Data: 57:39 – 59:35
- Modernizing Vaccine Schedules & Funding New Trials: 64:23 – 66:14
- Pharma Ad Crackdown: 74:46 – 75:05
- Cosmetics Safety, Adverse Event Reporting: 77:57 – 78:36
- Makary’s ‘Remedy’ for Healing Culture: 78:51 – 80:11
Closing: Remedy for a Sick Culture
Dr. Makary’s Prescription:
“Drink water, healthy water, filtered water, and eat foods from good soil or meat from good farms or fish that are raised in a healthy way… you can't overeat if you try on turmeric… Your body will naturally respond with that satiety reflex.” (79:30–80:11)
Bobby Kennedy Jr.:
“The spiritually part is important... It’s behind all the mass depression and drugging our nation’s kids.” (78:51)
Tone & Takeaway
The episode is brisk, candid, and sometimes confrontational—marked by frustration with decades of regulatory inertia and energized by the new regime’s commitment to transparency, speed, and public health-first policies. Both guests interweave technical insights, policy reforms, personal anecdotes, and pointed criticism of past failures. Listeners hear both the challenges and the bold steps being taken, making this a must-listen for anyone interested in the intersection of medicine, government, and cultural health.
