I couldn't agree more Gary.
It has to be remembered that the NPF is directed to the US environment and, as you say, has little influence outside that.
Also, here in the UK we have a little known of body called the
Medicinces Control Agency . It's a government body that overseas every new drug for introduction into the UK market place and they have a reputation for being incredibly strict, even on domestic brands.
Add to that then the additional line of beaurocracy that
EMEA adds and it's a wonder we even managed to get Aspirin admitted.