Story Published:
Jun 29, 2005 at 8:39 AM PDT
Story Updated:
Aug 31, 2006 at 1:59 AM PDT
TORONTO - Canada's health minister threatened Wednesday to
overhaul the country's regulations on exporting prescription drugs,
saying Canada would no longer be a cheap "drug store for the
United States."
Health Minister Ujjal Dosanjh said Canada would ban the bulk
export of prescription drugs when their supplies were low at home.
But he left vague how the ban would be put into place - and whether
it would affect the thousands of individual purchases that take
place across the U.S.-Canada border and over the Internet.
The ban is an attempt to head-off an anticipated onslaught of
drug demands from Americans if legislation pending in Congress
legalizes Internet and bulk import of prescription drugs from
Canada.
"Canada cannot be a drug store for the United States of
America; 280 million people cannot expect us to supply drugs to
them on a continuous, uncontrolled basis," Dosanjh said at a news
conference.
Canadians must be assured access to an adequate supply of safe
and affordable prescription drugs, Dosanjh said.
Individual sales would not necessarily be affected by the ban,
but it could affect drug wholesalers or manufacturers in Canada.
They are not permitted to export to the United States under U.S.
law, but could do so under the legislation being considered in
Congress.
He said he would introduce legislation when the House of Commons
reconvenes this fall that would allow for the temporary ban of bulk
exports when supplies are running low at home.
Americans pay the highest prescription drug prices in the world,
and U.S. lawmakers are pushing to legalize the importation of
wholesale prescription drugs as well as Internet purchases from
Canada and other countries. Four bills are pending in Congress, but
have met with opposition from the pharmaceutical lobby and from the
Food and Drug Administration.
Some supporters of the Canadian exports said the proposed ban is
a direct response to threats from the U.S. pharmaceutical industry.
"This is a big strong, wealthy industry and they're fighting as
hard as they can fight so that they can charge the highest prices
in the world for prescription drugs to U.S. consumers," said Sen.
Byron Dorgan, D-N.D.
While it's legal in Canada for pharmacies to mail Americans
drugs - after having been faxed or mailed their physician's
prescriptions - it's illegal in the United States, though the laws
are generally not enforced.
The Canadian government also maintains it is unethical for
doctors to sign prescriptions without examining patients. Dosanjh
said the definition of patient-physician relationship had to be
clarified, but would not confirm whether that meant American
patients would have to meet in person with Canadian doctors.
Any change in that definition, which Dosanjh said needed further
study, could affect individual purchases.
"Our priority must be the health and safety of all Canadians
and the strength of our health care system," Dosanjh said.
Carole Jaquez, a 79-year-old widow from Apple Valley, Calif.,
said she would support changes in U.S. law. She said the drugs she
buys through a Vancouver doctor for her high blood pressure and
asthma cost about $250 a month - half what they cost in the United
States.
"I imagine we have to put the blame on the pharmaceuticals,"
she said in a telephone interview. "Why are they charging so much
and why hasn't the administration in Washington done something?"
Anthony Wright, executive director of the Oakland, Calif.-based
Health Access, a coalition of labor and consumer organizations, had
another proposal. He said state and federal governments in the
United States should imitate Canada and use their purchasing power
to extract discounts from drug companies.
The Bush administration opposes prescription drug imports, and
federal regulators warn they cannot guarantee the safety of drugs
from outside U.S. borders. Canadian officials, however, have said
Canada's regulatory regime is tougher than the U.S. one.
Dosanjh acknowledged no shortages currently exist, and the
minister also conceded he was not aware of any injuries or
illnesses to Americans purchasing drugs in Canada, where the
government set prices typically 40 percent lower than those in the
United States.
The drug-import program, I-SaveRx, uses a Canada-based
clearinghouse to connect residents of Illinois, Vermont, Kansas,
Missouri and Wisconsin to pharmacies and wholesalers in Canada,
Ireland and the United Kingdom. Minnesota and Wisconsin also have
state-operated Web sites to help residents import medications from
Canada.