As a commenter to a past post noted, a dynamic physician with business savvy would be crucified at the FDA. Alas, that commenter is likely correct. There are always people who will try to bring down someone who could bring necessary changes and enliven an institution.
But it might be that the current administration will not be able to rely on having its current non-dynamic physician appointed as the FDA Commissioner. Some Senators on the Health, Education, Labor and Pensions Committee, which will be considering the issue on Thursday, have made it very clear that they will be putting a "hold" on the nomination of Dr. Lester Crawford as the permanent FDA Commissioner (he has been the Acting Commissioner for 18 months or so now).