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Why do pills cost so much? Blame Canada
The Repository (Canton, OH) ^ | January 22, 2005 | JIM HILLIBISH

Posted on 01/23/2005 4:47:17 AM PST by ResistorSister

It’s called hyperparathyroidism, and many of us dialysis patients eventually must cope with it. It’s important to control it, or painful bone problems will develop.

My doc, after taking all the usual remedial steps, says I need a new drug, the first that alleviates the problem. Fine, write me a script.

“James, you’re not going to want to hear this,” my druggist said.

“It costs $13.35.”

“That’s cheap,” I said.

“Per pill.”

What? That’s $400, per month, for the rest of my life. I could mortgage a house for that, or lease a Cadillac.

I left without them. In the car, it hit me: corporate greed, golden faucets in the drug-company restrooms, executives taking home more in a week than I make in a year.

I had to do something, so I hit the Internet. The greed thing simply did not wash. The company is not exactly rolling in dough. Its stock hasn’t budged for three years. It doesn’t pay a dividend. You could make more money on a bank savings account.

So how did we get to $13.35? More Internet research. I deep scanned the company’s SEC statements and financials.

It’s a new drug with limited potential users. Company officials had to pay for many years of research, liability insurance and field trials and then FDA approval, with zero cash coming in. They have only a few years to sell it at full price before it goes generic.

Now they must sell the pills to countries with socialized medicine where costs are controlled by laws instead of the free market. That’s where the big rub takes place for us.

Americans are picking up the worldwide costs of medications, their development, testing, manufacture and some profit to keep the company in business and employees working. Other countries are not paying their fair share, nowhere close.

It’s insane, but it’s happening with all drugs. Americans are subsidizing the world’s medicine cabinets, rich countries including Canada. Then Canada resells them to us. Neat trick.

What to do? Write your congressman? Let’s pass a law like the others have, cutting prescription prices to affordable prices? Twenty-five cents a pill sounds good.

So Congress does that, and there goes this company and the industry.

(I did check on getting the pills in Canada. That country’s government is close to shutting off the pipeline to the States. They don’t want to knock out the American drug industry. They want to keep their own good deal, and keep us paying for it here).

If the world were a logical place, perhaps these countries would be picking up their fair share of drug prices. Like fun. Governments control prices, not the market. No politician over there ever would increase drug prices just to help us. They prefer to squeeze the fat cats — us. What a surprise.

My case has a silver lining. I have prescription insurance. We called them, and after the sticker shock subsided, they agreed to cover all but $30 a month to keep me walking, mowing the grass and hopefully free from a future of terrible bone pain.

What about the folks not on Medicaid and without insurance? What a scary thought. The $400 would be more than crippling. That’s crippling on their family budgets and crippling on their bodies, too. It’s enough to make even healthy people very sick. My druggist says it’s happening all the time. So far, nobody has a solution, just rhetoric, and we all know what that’s worth.

You can reach Repository New Media Editor Jim Hillibish at (330) 580-8324 or e-mail:

jim.hillibish@cantonrep.com


TOPICS: Business/Economy; Crime/Corruption; US: Ohio
KEYWORDS: canada; healthcare; prescriptiondrugs; socialism; socializedmedicine
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To: beaver fever
It tells me that Merck has no problem selling drugs cheaper in Canada because of bulk buying. They just don't want Americans to know about it. Which they will find out soon enough if they go to dotcom pharmacies.

I'd be curious to know what drug companies liabilities are in Canada. Do they have the same exposure there as they have here with respect to greedy tort lawyers looking to cash in on claims of people being 'damaged' by prescription drugs? I'd guess they don't because you can still buy cyclamates and saccharin in Canada, and those haven't been legal in the US for years.

I'm thinking that goes a LONG way toward explaining why they can sell the drugs so much cheaper in Canada. They don't have to worry about being sued, so they don't have to buy 'extortion insurance', which is what helps drive the cost of pharmaceuticals up in this country.

61 posted on 01/23/2005 12:45:40 PM PST by SuziQ
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To: SuziQ
Saccharin was banned in Canada in 1979, cyclamates didn't turn up in Google wrt Canada but I haven't seen that product for sale in Canada since the seventies so it may have been voluntarily withdrawn from the market.

As for the liabilities of drug companies; thirty percent of the drugs sold in Canada are proprietory and they came from US sources so they have already passed FDA testing in addition the must pass Health Canada testing similar to the FDA. So Drugs originating from the US are tested twice before they are approved. All other drugs are generics that must pass quality controls through Health Canada to ensure that they are safe and contain the compounds in the dosages advertised by the manufacturer.

In terms of liability considerations, if memory serves me the problems with Viox were first discovered in Canada in a Health Canada lab.

Canada has liability laws similar to the US but we only just recently allowed class action suits which means the legal environment in liability cases is similar to the US.

However Canadians is a less litigators than Americans simply because we have had less recourse to the courts than Americans in civil liability cases. Although Canadian lawyers were allowed to advertise pro bono services in the 1970's. This has led to an upsurge in personal injury cases but only in auto accident claims.

In cases of medical liability, doctors are protected from liability because the participate in Provincial Medical Plans. So patients claiming injury due to malpractice must first make a complaint to the Provincial Medical Association.

This discourages frivolous complaints. Only after appeal to a ruling by the Medical Association are plaintiffs free to sue in open court. Plaintiffs may only sue for real damages and compensation for disability. They cannot receive awards for pain and suffering.

This is my understanding of the Tort system in Canada. I may be wrong on finer points, in which case I defer to comments by a Canadian lawyer.
62 posted on 01/23/2005 10:23:57 PM PST by beaver fever
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To: beaver fever
Plaintiffs may only sue for real damages and compensation for disability. They cannot receive awards for pain and suffering.

So they can't fleece pharmaceutical companies like they can here in the States? This is one of the major costs of drug production, the need to collect enough money to pay for the vultures who may come after the companies based on a jury's interpretation of a plaintiff's maladies.

Even drugs that have passed FDA tests have been pulled from the market because some person percieved it to be the cause of a problem and sued the company. The anti nausea drug, Bendectin, was taken off the market in the early 80's because some lawyers convinced some juries that it was the cause of birth defects. As far as I know, there was no study that supported this claim, only the emotions of the juries feeling sorry for women with babies that were born with deformities, some of which would occur naturally in a given number of births. Taking this drug off the market doomed thousands of pregnant women to weeks of nausea and vomiting, putting their health at serious risk.

63 posted on 01/23/2005 11:11:08 PM PST by SuziQ
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To: Nathaniel Fischer

If you are selling me a car an I low bid you, you can always refuse to sell it to me.

If drug companies are unhappy selling drugs in Canada cheaper than in the US they can refuse to do so. Several companies have refused to sell drugs in Canada for the government mandated price.


67 posted on 01/24/2005 7:58:40 PM PST by beaver fever
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To: Nathaniel Fischer

If the Canadian government did that they would be violating the Treaty of Rome. The Treaty of Rome, which Canada signed, provides protection for intellectural property and mandates stiff panalties for patent infringment.

Also the Canadian government does not manufacture drugs.


69 posted on 01/24/2005 8:21:30 PM PST by beaver fever
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