My wife’s a doctor, and she had patients begging her for leftover samples of Vioxx after it was pulled from the market. Lots of people with rheumatoid arthritis were willing to take the heart trouble risk in exchange for stopping the pain.

I don’t intend to argue we should kept Vioxx around, just to point out that the calculus can get complicated. I would vastly rather protect my heart than get rid of the insignificant amount of pain I experience. Turn that dial up far enough and people could rationally make the other choice.