To be honest, my preferred outcome (he said it at one point) was that medications tested overseas with decent results would be allowed in without an (almost impossibly) lengthy and expensive review.
One of the meds that worked best for me was a drug manufactured in France, but they French were like, "merde" to you, and did not do FDA studies. It is a novel drug with an absolutely stunning and different mechanism of action compared to any antidepressants here. The only side effect of note was that if you had asthma, it might improve your condition. I imported it for several years but the cost was truly prohibitive, and I could only ever get to partial dosage strength, due to the cost, and also importing (while one of those grey areas) really became too difficult. That med also helped various siblings, and they all agreed that compared to the SSRIs, it was phenomenal.
It's now off patent, so no one is going to bother to "scoop it up" in FDA studies.
I would use a new drug rushed through the approval process if I had AIDS, or some terminal cancer. I'd have nothing to lose at that point.
I don't care, necessarily, for big pharma, and use generics every chance I get (mainly because the long term side effects are known and studied-- FDA studies are TWELVE weeks long.
With that also said, as someone who has literally been REQUIRED to deal with "big pharma" (and it certainly wasn't pleasant, but better than my alternatives) and medications, I don't see more choice as a bad thing, and many overseas meds have been tested MORE thoroughly than the FDA requires.
Just offering a real world example. Sometimes, things get tough. At that point in my life, had I not chosen to import (and pay for) a "non-available" med... .Things would have been a lot harder.
And, I will say, I have become more and MORE of a researcher, the longer I have to deal with "Big Pharma." Usually , that can help me avoid many of the major headaches.
But taking meds is JUST one big headache. I'm so happy to be on a stable regimen.
Just thought I'd provide the "other" perspective, and as usual, just my opinion as always.
NONE of it is going to impact vaping however. NONE.
Anna