Dr. David Kessler was appointed as commissioner of the FDA in 1990. At that time, the FDA had lost public support and credibility due to scandals and inefficient operations with long approval times. Kessler aimed to restore the FDA's reputation by streamlining operations. He applied management theories like dynamic engagement, contingency approach, and systems approach to decentralize decision making, empower managers, and divide the FDA into interrelated segments to solve problems faster. These changes increased the FDA's budget and staff while eliminating delays. Kessler viewed the FDA as an interrelated system and successfully reorganized it from a bureaucratic system to a more transparent one.