The Cancer Advocacy Coalition is struggling with just that question of transparency and accountability to the public for just exactly the reasons you have outlined.
The mechanism that seems to be working—at least it's evolving, for example, for the joint oncology drug review mechanism—is that patient representatives are on the committees, sitting there and adjudicating all of this, and they have access to the data. Those committee members, representing patients' voices—the public voices—also have connection to the non-governmental organizations of other cancer patients. They are able to deliver a consensus of opinion of those other organizations to the committee and also provide the information from the committee to these organizations. So mechanisms like that can be set up.