There are few people more supportive than I am of prescription drug importation as one policy to help Americans access lower drug prices. But, since I accuse Big Pharma types and the FDA of ignoring reality about the safety of personal drug imports from licensed pharmacies in Canada and other countries, I won’t ignore reality! Canada is concerned about momentum on drug importation coming from the Trump administration and states, particularly Florida, citing its relatively small population and limited drug supplies. The answer is not to pull back on importation, but to expand the scope of countries in the supply network.
As reported in Reuters earlier this week, the Canadian Ambassador to the U.S. stated that she is “sympathetic to U.S. concerns regarding affordable prescription drugs.” On the other hand, she said, “Not only are we too small of a market, Canada cannot increase its domestic pharmaceutical drug supply to meet U.S. demand…” It’s not incredibly cynical of me to suggest that drug company lobbyists, who work internationally, have spoken with Canadian diplomats and said, “Look, we’re not going to increase your supply of far less expensive medicine just so Florida’s state importation plan can work and Trump can get a political win.”
(more…)Tagged with: Canada, Donald Trump, importation
The heat is rising on the pharmaceutical industry because of high drug prices. The politically and economically middle-of-the-road editors at Bloomberg published an opinion piece this week called “U.S Prescription Drug Costs Are a Crime.” The gist in the article is that policy tweaks are not enough, pointing out that President Trump’s rhetoric on drug prices is much stronger that the reality of his actions. Major changes are needed, such as drug price negotiations in Medicare and making importation of lower-cost medication legal (something one in ten Americans already do, according to Bloomberg).
I love this article, but it doesn’t state clearly why drug prices are a crime. The answer is tens of millions of Americans aren’t filling prescriptions because of them each year. Many get sick and some even die because of them. For some cancer patients, it’s extortion. “Give me the money,” pharma says. “Or die.” Your money or your life.
Still, we all know that a crime is an act that violates laws of a governing authority as proven through due process of those laws. And our laws allow the pharmaceutical industry to charge the prices referred to as a “crime” in Bloomberg.
That said, there is litigation targeting drug companies, pharmacies, and insurance companies/PBMs for violating laws to keep drug prices high. Examples include insulin price fixing, collusion between health insurers and pharmacies, and pharmacy kickbacks to PBMs. However, to an extent not found in Australia, Canada, New Zealand and the United Kingdom, U.S. laws permit—even encourage—increasing drug prices out of reach for patients who need them. Lawful but unjust.
It gets sicker and more unjust: technically, a patient who re-imports a medication from Canada because it’s her only affordable option is subject to jail and fines. No, that’s never happened, but it’s despicable that the law makes it a possibility while drug prices continue to climb.
Justice and law, when it comes to prescription drug prices in America, are fully out of whack.
Tagged with: bloomberg, collusion, crime, drug price negotiation, importation, kickbacks
Getting some prescription justice
This week, the group Prescription Justice sent a letter to Congress (House and Senate) signed by prominent non-profit activist and policy organizations – and PharmacyChecker.com (we were the only company!) – that clearly recognizes the lifeline of personal drug importation and the role that safe international online pharmacies play. The focus of the letter is support for the Affordable and Safe Prescription Drug Importation Act of 2017, which would help expand lawful options for importing lower cost medication, through retail and wholesale commerce. I wrote about this drug importation legislation a couple of months ago.
Too frequently I read articles in support or against drug importation that both drive me nuts. You’d think that I love the former and hate the latter but that’s not the case. I’m often equally annoyed when the authors either don’t know or care to write about the reality of prescription drug importation where people just go online, order their medication from Canada or another country, send in their valid prescriptions and get it by mail. As the letter iterates:
“Despite the federal restrictions, millions of Americans already import life-saving medications for their own use. While this practice can be done safely through properly credentialed international online pharmacies, it poses a real danger to patient safety because of rogue Internet drug sellers.”
And that’s why PharmacyChecker.com does what we do: verify and identify the safest international online options, educate and warn about rogue pharmacies, and get vocal about it. While the drug companies are obscenely powerful and are spending through the teeth to create anti-importation op-eds and reports, and giving members of Congress lots of money, the truth is a pretty powerful adversary as well. And importing medication from a licensed pharmacy in Canada (and many other countries) is, in the real world of facts, safe. (more…)
Tagged with: Congress, importation, letter, prescription justice