Read the excerpt from a letter from Upton Sinclair to President Theodore Roosevelt. There are a hundred streets and avenues by which diseased meat can enter the city and be put on sale in the markets. The public has made no effort to find out and it is left to the men who deal in this merchandise to dump what they please into the stomachs of the blissfully ignorant public. Neither do any of us know how much disease and suffering this food causes. What was a cost of the passage of the Pure Food and Drug Act of 1906? More people died because FDA inspections reduced access to food, leading people to consume spoiled food. Many quality medications were no longer produced because they did not meet FDA requirements. Food producers sometimes went out of business or had to spend money to meet new FDA requirements. Most markets were permanently closed because they created unsafe food conditions, limiting access to food.