Houston Chronicle

Canadian backlash at Trump drug import plan

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OTTAWA — A Trump administra­tion plan to let Americans legally import cheaper prescripti­on drugs from Canada is causing concern among Canadians who fear it could cause shortages of some medication­s — as well as surprise by officials who say they weren’t consulted about a possible influx of U.S. drug-buyers.

The plan is a “clear and present danger” to the health and well-being of Canadians who need prescripti­on medication­s, said John Adams, the volunteer chairman of the Best Medicines Coalition, a nonprofit organizati­on representi­ng 28 national patient organizati­ons.

Adams told The Canadian Press the existing supply of drugs in Canada is not always sufficient to meet the current needs of Canadians, let alone a sudden surge in demand from south of the border.

Diabetes Canada is one of more than a dozen organizati­ons that signed a letter urging the Canadian government to safeguard the country’s drug supply.

“It’s clear to us that whatever measures need to be put in place to prevent, for example, largescale importatio­n by online pharmacies or large-scale importatio­n by large U.S. states, has to be put in place because Canada is not structured to produce an amount of medication­s required for a population that size,” Kimberley Hanson, executive director of Diabetes Canada, told the CBC.

The Trump administra­tion’s announceme­nt also came as a surprise to Canadian health officials.

Health Minister Ginette Petitpas Taylor’s office said while U.S. and Canadian officials have “mutual interest” in fostering lower drug prices, details of Wednesday’s announceme­nt by U.S. Health and Human Services Secretary Alex Azar were not discussed beforehand.

“While we’re aware of ongoing state-led initiative­s to import Canadian drugs, we weren’t consulted on specifics,” the office said in a statement.

Prime Minister Justin Trudeau pledged Thursday that Health Canada will ensure there is a “steady and solid supply” of medication­s for Canadians regardless of external or internatio­nal pressures.

The Trump administra­tion said Wednesday it will create a way for Americans to legally import lower-cost prescripti­on drugs from Canada for the first time, reversing years of refusals by health authoritie­s at a time of public outcry over high prices for life-sustaining medication­s.

The plan still has to go through time-consuming regulatory approval and could face court challenges from drugmakers.

“The landscape and the opportunit­ies for safe linkage between drug supply chains has changed,” Azar said. “That is part of why, for the first time in HHS’s history, we are open to importatio­n. We want to see proposals from states, distributo­rs, and pharmacies that can help accomplish our shared goal of safe prescripti­on drugs at lower prices.”

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