U.S. Green Light on Internet Pharmacy Threatens Public Health and Safety in Canada
Political Deal Needs Decisive Response by Ottawa to Protect Canadian Drug Supply
TORONTO, Oct. 5 /CNW/ - The return to a hands-off policy by U.S. Customs on prescription drugs purchased by American patients from Canadian internet pharmacies re-opens the door to the depletion of the Canadian drug supply and threatens public health and safety in both countries, the Ontario Pharmacists' Association warned today.
The Department of Homeland Security agreed with congressional leaders this week to cease confiscation by Customs and Border Protection agents of prescription drugs mailed from Canada, returning oversight of Canadian prescription drug imports to the Food and Drug Administration, which lacks capacity for inspection and enforcement. The political deal compounds the move by Congress in September to permit "foot traffic" importation by U.S. patients of a 90-day personal supply of prescription drugs, with the legislation enacting the changes signed Wednesday by President George Bush. Together, the moves effectively re-open all channels of cross-border prescription drug importation by U.S. patients.
"We're back to a free-for-all for cross-border drugs," said Marc Kealey, OPA Chief Executive Officer. "This is a blatant political deal to take high U.S. prescription drug costs off the table as an issue for incumbents in the U.S. mid-term elections. The problem is, no one bothered to ask Canada how we feel about letting American patients come and raid our medicine chest."
"The climbdown on enforcement by Homeland Security means Congress doesn't need another bill to expand the permitted forms of cross-border reimportation to cover internet and mail-order sales. The Bush administration has done it for them."
In late September, U.S. lawmakers tacked onto the Homeland Security Appropriations Act 2007 a provision allowing American patients to visit Canada in person to purchase and carry back across the border 90-day personal supplies of prescription drugs. Both Republicans and Democrats seeking re-election pushed the change, in response to intensive lobbying by patient groups demanding access to lower-cost prescription drugs from Canada. The in-person provision was intended as a compromise permitting limited reimportation while not allowing for internet and mail-order drug importation. But its favouritism of patients in border states led proponents to promise future full-blown reimportation bill legislation. Such legislation has been made moot by the hands-off Customs policy.
"Pharmacists here do not want to become America's drug store," said Kealey. "Our job is to provide medications and expertise to Canadian patients, not provide solutions for the shortcomings of the U.S. health care system and its problem with high drug costs."
"U.S. demand is more than ten times the size of Canadian supply," said Kealey. "We do not have the capacity to feed America's need for lower-cost drugs, and unimpeded depletion of our supply poses a serious threat to public health and safety in Canada."
"The response from Ottawa on this has been radio silence," Kealey observed. "The Harper government has to wake up and take decisive action to shut the door to Americans looking north for a solution to their drug supply problem."
"American patients who bypass their own community pharmacists to buy prescription drugs from Canada face their own health and safety threat," Kealey said. "They relinquish expert consultation and crucial patient-pharmacist interaction, jeopardizing their health and risking dangerous drug interactions."
While internet and mail-order drug importation remains technically illegal for American patients, media reports indicate the hands-off policy is seen as a green light by Canadian internet pharmacies.
"Legitimizing internet and mail-order drug traffic encourages fraud by offshore criminals posing as Canadian pharmacists and selling counterfeit drugs," warned Kealey. "This is not only a health and safety threat to Americans, it creates a national security vulnerability by opening the door to the potential for drug terrorism, with drugs used as a vehicle of attack."
U.S. Customs statistics on mail-order seizures show at least 10% of packages purportedly from Canadian internet pharmacies contain counterfeit drugs.
An April 2005 report to Congress warned "the nation's medicine supply is vulnerable to exploitation by organized criminals, drug traffickers and terrorists. We should not contemplate opening our borders to threats to our medicine supply when in all other aspects we are searching for ways to tighten the security of our borders."
For further information: or to arrange an interview, please contact Yvonne Lee, Ontario Pharmacists' Association, Tel: (416) 441-0788 or 1-877-341-0788 ext. 4228
05 October 2006