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Good Politics, Bad Medicine: Drug Importation Legislation Threatens the Future of Life-Saving Therapies
by Dr. Elizabeth M. Whelan
28 September 2005
The
green light for drug importing will prove in the long run to be bad news
for all of us, depriving us of the blockbuster drugs that would otherwise
be in our future.
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This week the Senate,
following an earlier vote by the House, stands on the verge of passing legislation
that will legalize and promote the importation of cheap prescription drugs
from countries like Canada. Many Americans will rejoice, seeing this
as a victory for the little consumer over Big Pharma. Unfortunately,
however, the green light for drug importing will prove in the long run to
be bad news for all of us, depriving us of the blockbuster drugs that would
otherwise be in our future.
Understanding why drug importation is a lose-lose situation for industry
and consumers requires answering two basic questions: Why are drugs so much
less expensive in Canada? Isn't it good old-fashioned, free-market
competition to let them flow through the borders?
Ask a few friends these questions and they'll likely tell you that drugs
are cheaper in Canada because the drug companies up there are more efficient
and less greedy, or that the approval process there is quicker, keeping costs
down. And, they will add, it is good for American companies to have
some competition in the marketplace.
Actually, however, Canadians produce almost none of their own drugs.
They import them from the U.S. The same is true worldwide: the American
pharmaceutical industry designs and produces almost all new drugs.
Drugs are cheaper in Canada because international law treats prescription
drugs differently from other consumer products. U.S. pharmaceutical
companies are required under a 1994 international treaty to sell their drugs
at drastically cut prices to comply with an importing country's price controls.
Any company that fails to comply risks losing its patent protection -- its
drugs can be stolen or copied. Thus, to comply with this treaty, U.S.
companies slash prices for countries with price controls -- including most
countries in the developed world. The purchasing countries in this
"deal" are supposed to agree not to turn around and resell the drugs back
to the U.S. But the pending Senate legislation will make this sell-back
legal.
It gets even worse. As the American demand for "Canadian" drugs has
increased, the Canadian supply has dwindled because U.S. companies, to stem
their losses, sell just enough to meet the purchasing countries' needs, and
thus avoid having the excess resold to the U.S. at cut-rate prices.
As a result, Americans' demand for cheaper drugs from Canada increasingly
cannot be met. And that dissatisfies American bargain-seekers.
Various versions of pending Senate bills would legalize importation and include
a breathtaking provision that would make it "unfair and discriminatory" for
drug companies to limit sales. U.S. companies would thus be legally
required (under threat of penalties) to meet Canada's demand for artificially
cheap drugs no matter how great the demand and despite the fact that the
drugs would be destined for a roundtrip back to the U.S.
To envision the absurdity (and probable unconstitutionality) of this, imagine
a parallel proposal requiring General Motors to sell an unlimited number
of autos at deeply discounted prices to Canadians, who in turn sell them
back to us at below-market price.
Pharmaceutical companies protesting importation have frequently claimed that
it increases the possibility that bogus or unsafe drugs will slip into the
U.S. And indeed that is a possibility. But the real issue here
is that drug importation legislation is the introduction of pharmaceutical
price controls into the U.S. Pharmaceutical companies in countries
with price controls have no incentive to research and develop new drugs.
With price controls -- by means of importation -- in the U.S., the outcome
will be no different. The question of whether to institute price controls
in the United States -- and the inevitable decline in innovation that will
result -- is an issue that needs serious Congressional debate. Price
controls should not be hidden in a congressional Trojan horse that appears
to offer cheap drugs.
Dr. Elizabeth M. Whelan is president of the American Council on Science and Health, and an editor of America's War on "Carninogens": Reassessing the Use of Animal Tests to Predict Human Cancer Risk.
Email Dr. Whelan
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