Well isn't it condescending to assume that Angola can't have reasonable safety laws while Germany can?
Germany is hardly immune to corruption (as a German speaker I am well aware of this) and that indeed was part of the reason why this loophole (placed there at the behest of German medical device manufacturers) was ultimately removed (thanks, EU!) while plenty of poor countries manage to have non-corrupt governments and reasonable protections in place in particular against the depredations of foreign companies.
As it happens Angola this week removed the laws barring same sex relations, making them more liberal than bigger and so-called "more developed" countries like Russia, China, et al.
No. Germany is rich and has a high HDI, both of which correlate with safety laws that would be too expensive in poor countries.
Perhaps. So? Just because an observation is condescending doesn't mean that it's false.
Liberalism doesn't directly correlate with lack of corruption.
“Isn’t it obvious? Black is white.”
“Isn’t it obvious? Germany > Angola because.”
Testing a device in Germany has only indirect harm, if those substandard devices go on to hurt people later.
Back then we did do device studies in Germany because the regulations were at the time quite lax (basically you just needed a German MD to decide it was OK and to actually use the device). They've since tightened up the rules.
Interestingly, in the device case, people who were squeamish about doing studies in poor countries with poor IRBs and such were perfectly happy to do the device studies in Germany. Not sure what to make of that.