The Internet ethos of diversity and competition runs exactly counter to uniform, gatekeeper-oriented medical culture - the technocratic philosophy of the 'one best way' embodied in our pharmaceutical regulations. On the Net, medical information is abundant, and pharmacies, domestic and foreign, operate on many different models.

Internet pharmacies return to consumers the choice promised by supporters of the 1938 Food, Drug and Cosmetic Act. That law established federal requirements for drug safety and labeling but exempted prescription medicines from the labeling rules.

Rogue internet pharmacies continue to pose a serious threat to the health and safety of Americans. Simply put a few unethical physicians and pharmacists have become drug suppliers to a nation.