The Founders most DEFINITELY did not trust "the great mass of people." And like it or not, the functioning of a healthy modern society depends on the work and judgements of experts. Unquestionably, Big Pharma and the entire edifice of the American health care system require extensive and revolutionary reform. In the meantime, allowing quacks, charlatans, grifters, and quick-buck artists in through the backdoor is, to say the least, NOT what the doctor ordered.