I know a lot of us money hungry investors want a quick payout... but think of it from a doctors point of view...  if the FDA didn't have a strict standard of approval, there would be Millions of new drugs coming out every single day that are claiming to be slightly better than the current standard of care...  Trust me,  I work in a fabrication shop and we get overwhelmed by salesman trying to pitch the next great nut/bolt/washer/spray etc it's nutty...  I'm sure the 1.2 million doctors in North America would tune-out the snake oil salesman, and focus on only the tried, tested, and proven drugs that have met their trial end points... they also need to protect themselves as a prescribed drug that was NOT full understood could get them as in a world of lawsuits.

conversely, when a drug actually does get approval and is considered the new "top standard of care" I'm guessing almost every doctor switches to it instantly