Canadians are hopping mad about Trump’s drug importation plan. Some of them are trying to stop it

first_img While importation is popular with American consumers (a recent poll found that 80% of Americans surveyed liked the idea), the success of the plan will largely depend on the willingness of wholesalers, both in the U.S. and Canada, as well as retailers, to play ball. Wholesalers, in particular, would have to decide it’s in their best interest to break or renegotiate contracts with pharmaceutical companies that often expressly ban the export of drugs sold for Canadian consumption, and the sales of drugs in the U.S. that weren’t originally packaged for the U.S. market. “The reason they do this is because there’s a big difference in the wholesale price of a drug outside of the U.S. versus inside of the U.S.,” said Neeraj Sood, a professor at the University of Southern California, who studies the drug supply chain. “It’s written to prevent importation.” Sood added that such provisions are commonplace. Wholesalers who have been accused of breaking these contracts have ended up in court, according to Sood, who disclosed he was involved in one such case, although he declined to provide STAT with further details. And early signs show wholesalers are  less than eager to renegotiate these contracts: The Healthcare Distribution Alliance, the U.S. lobby group representing distributors, has called Trump’s plan “simply not worth the risk.” Then there’s the possibility that the threat of importation will give states, wholesalers, and pharmacists the leverage to negotiate better terms with manufacturers, making it unlikely they’d need to import drugs in the first place. “My suspicion is in the short term … it gives the retail sector greater leverage in trying to negotiate some kind of better terms of trade with manufacturers,” Morgan said. There’s already early signs this is occurring. Florida Gov. Ron DeSantis, for example, has said drug makers approached his office after it began pushing an importation bill with offers to sell drugs at a cheaper price. Morgan said: “It’s premature to panic.” In the meantime, that won’t stop Canadians from grousing over the prospect Americans creeping across the border and taking their cheap drugs. “There is no Canadian constituency for this,” the Wilson Center’s Dawson said. Canada’s major newspapers have been peppered in recent weeks with editorials slamming the plan. “Donald Trump, keep your hands off our drugs,” the Globe and Mail wrote. “Welcome,” the paper added, “to the socialist paradise of Canada, Mr. Trump.” Please enter a valid email address. Leave this field empty if you’re human: The process is relatively simple: Canada’s federal cabinet, known as the Governor in Council, can add goods to the export control list at any time. There are some limits on what goods can go on the list, but the government essentially has carte blanche to protect any good against the possibility of shortages, particularly if it can make the case that doing so is in the interest of national defense. The cabinet is technically required to open any such proposal for public comment, but the government has the power to bypass those rules. “Putting a particular good on the export control list is relatively quick and easy,” Geoffrey C. Kubrick, a partner at the Canadian law firm McMillan, told STAT. Passing a new lawWhile Prime Minister Justin Trudeau’s government has unilateral power to control exports, Parliament could also pass a law explicitly banning exports of drugs meant for Canadians. It’s not uncommon for Parliament to do so, even when the cabinet has the power to act unilaterally. “Sometimes legislative actions are taken for the demonstration effect, just so it’s really, really clear that this is not an activity that Canada is in any way sanctioning,” said Laura Dawson, who heads the Canada Institute at the Wilson Center in Washington. And veteran MPs are already familiar with this issue: Parliament nearly passed a similar law in 2005 after the U.S. Congress passed a law two years earlier giving the secretary of health and human services the power to greenlight drug importation. That bill would have empowered Canada’s health minister to “prohibit, by order, the export of a drug or class of drugs” if the government determined such exports could lead to a drug shortage. The proposal was eventually tabled because the ruling party lost power and Parliament dissolved. There’s a major roadblock to passing a similar bill in the coming months, however: Parliament is out of session and the country is in the midst of a federal election. Members of the left-flank New Democratic Party have criticized the ruling Liberal coalition for a lackluster response and called for the legislature to reconvene to address the issue, and the opposition Conservative Party has called for the federal government to act to prevent drug shortages.Advocates like the Best Medicines Coalition have also called for an emergency session of Parliament, but that option seems unlikely. Imposing new tariffs or taxes on drugsCanada could also impose an additional fee — essentially a tariff —  on exports of pharmaceuticals from Canada, thus making the drugs prohibitively expensive for Americans. “It would be easy for other countries to stop this with tariffs,” said Dr. Bob Kocher, a former special assistant to President Obama and a venture capitalist. “The U.S. has certainly broken the glass already on using tariffs to protect local markets.”But the Wilson Center’s Dawson isn’t so sure that’s a great idea, or even possible. These sorts of taxes, for one, are very unwieldy and nobody uses them, she told STAT. “Why would you want to use the least efficient instrument to block these sales, when Canada could simply impose an export control?” she asked. “They could put those spike belts across the highway for trucks that have pharmaceuticals in them … but not so efficient.” Asked if there was a precedent for such a move, the closest example Canada trade experts could point to was Canada’s restrictions on exports of certain lumbers. As part of a long-simmering trade dispute, Canada has at times required exporters to pay a tax when exporting lumber to the U.S. However, even that is an imperfect corollary.  The wait-and-see approachSteve Morgan, a professor at the University of British Columbia, predicts at least in the short term Canada’s strategy will be “watchful waiting.”The reasoning: Even if the U.S. moves forward with its plan and Canada doesn’t respond, existing contracts and business practices make it almost impossible to send prescription drugs across the border. Attempts to do so, experts said, could result in drug companies canceling contracts with wholesalers, wholesalers canceling contracts with pharmacies, and pharmacists being called before professional review boards.  @levfacher Washington Correspondent Nicholas Florko reports on the the intersection of politics and health policy. He is the author the newsletter “D.C. Diagnosis.” By Nicholas Florko and Lev Facher Aug. 12, 2019 Reprints About the Authors Reprints “It’s time for it to crash and burn,” said John Adams, the board chair of the Best Medicines Coalition, a coalition of Canadian patient advocacy organizations, who will be joining the meeting by phone. “Canadians may die.”The meeting will almost certainly be just a first step in a long and complicated process potentially involving obscure trade laws, international treaties, and some cutthroat diplomacy. In advance of that meeting, STAT spoke with nearly a dozen trade and health policy experts in Canada and the U.S. to determine how, exactly, Canadians could thwart Trump’s plan — and how drug makers might just thwart it for them. Here’s what we learned. Adding pharmaceuticals to Canada’s export control listThe most expedient way for Canada to stop Trump’s plan would be to put prescription drugs on its “export control list,” a watchlist of sorts that would require exporters get permission from Canada before shipping drugs across borders, multiple experts told STAT. It’s an odd proposition, to be sure. The list is used primarily to prevent export of deadly weapons. Canada has, however, used the list to protect key products, including certain lumber, and even peanut butter.  Washington Correspondent Lev Facher covers the politics of health and life sciences. Comparing the Covid-19 vaccines developed by Pfizer, Moderna, and Johnson & Johnson Related: Everything (or almost everything) you need to know about importing drugs from Canada Trending Now: [email protected] Privacy Policy [email protected] WASHINGTON — Canadians are furious about the Trump administration’s plan to import their prescription drugs. And some of them are determined to stop the proposal in its tracks. Trump’s plan, which was announced late last month, would allow states, wholesalers, and pharmacies to import cheaper drugs from Canada. It’s a long way off from being implemented, but Canadians are baffled that America would look north to lower its own drug prices, and indignant that such a plan could exacerbate an already pressing drug shortage issue plaguing the country. “You are coming as Americans to poach our drug supply, and I don’t have any polite words for that,” said Amir Attaran, a professor at the University of Ottawa, who calls the plan “deplorable” and “atrociously unethical.” “Our drugs are not for you, period.” advertisement Newsletters Sign up for D.C. Diagnosis An insider’s guide to the politics and policies of health care. Lev Facher PoliticsCanadians are hopping mad about Trump’s drug importation plan. Some of them are trying to stop it @NicholasFlorko Molly Ferguson for STAT Nicholas Florko In the face of opposition, Canada’s health minister will meet Monday with pharmacists, patients, and industry officials to discuss a response. The minister, Ginette Petitpas Taylor, has publicly pledged to “ensure there are no adverse effects to the supply or cost of prescription drugs in Canada.” For the advocates likely to fill the room, that means stopping American businesses from importing Canadian drugs.advertisement Tags drug pricinglast_img read more

Planning permission granted for new Primary Care Centre in Newtowncunningham

first_img By News Highland – December 12, 2018 Google+ Arranmore progress and potential flagged as population grows Facebook WhatsApp AudioHomepage BannerNews FT Report: Derry City 2 St Pats 2 News, Sport and Obituaries on Monday May 24th Planning permission has been granted for a new Primary Care Centre in Newtowncunningham.There’s a listed building on site with a previous application by the HSE to demolish ‘The Castle’ turned down by An Bord Pleanala earlier this year.However, permission has been granted this week which will see the former mother and baby home demolished after further assessments reportedly downgraded its historical value.It’s expected that plans will progress further in the New Year.Local Cllr Paul Canning has been explaining how the change in decision came about:Audio Player Up/Down Arrow keys to increase or decrease volume. Facebook Twitter Google+center_img Loganair’s new Derry – Liverpool air service takes off from CODA WhatsApp Previous articleSinn Féin raise concerns that Brexit vote was postponedNext article129 amusement arcade jobs at risk in Inishowen – IATA News Highland DL Debate – 24/05/21 Planning permission granted for new Primary Care Centre in Newtowncunningham Pinterest Pinterest Important message for people attending LUH’s INR clinic RELATED ARTICLESMORE FROM AUTHOR Twitterlast_img read more

That petrol commotion

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

SC&R Foundation offers incentives

first_imgThroughout the remainder of 2014, the Foundation intends to award up to an additional USD25,000 in grants on a rolling basis, for those individuals wishing to further their career through continuing education courses or a vocational/technical programmes.Going froward, grants will be reviewed six times per year. Applications are being accepted now for the next grants, which will be announced in September.Unlike the previous policy, these grants are also open to the public rather than limited to employees or relative of SC&RA member companies. This strategic change is among a number of steps the Foundation is taking to help member companies fill the industry’s labour shortage.As always, recipients must use the grants to take a continuing education course or attend vocational/technical programmes and enrol in courses such as welding or diesel mechanics, which are vital to companies in the industry. Awards typically range from USD1,000 to USD5,000 each.This year the Foundation awarded grants totalling USD5,000 to three employees of SC&RA member companies, which were announced at the association’s annual conference at Boca Raton in April.The Foundation also plans to continue awarding annual scholarships to students working towards an undergraduate or graduate degree in preparation for careers related to crane, rigging and specialised transportation. The next round of scholarships will open in September.www.scr-foundation.orgwww.scranet.orglast_img read more

Cholera outbreak persists in Nigeria Yobe state

first_imgDeath toll from cholera outbreak in NE Nigeria rises to 35 Nigeria Struggles to Cope with Ebola Outbreak Cholera outbreak leaves 6 dead in Nigeria’s Lagoscenter_img This is a flooded cattle market in Kara-Isheri, in the Ogun State in southwest Nigeria/AFPA cholera outbreak in northern Nigeria’s Yobe State has claimed at least 61 lives, according to a governmnet officialThe local Commissioner for Health, Dr Muhammad Kawuwa, said there were at least 906 reported fresh cases.The state official, calling for emergency assistance, said at least 50 of the reported Acute Water Diarrhoea (AWD) cases were in critical condition in various hospitals.“Some of the AWD cases were caused by Vibrio bacterae, the bacteria that cause cholera,“ the commissioner said.Dr Kawuwa explained that 906 infections were recorded in six local government areas of Gujba, Gulani, Damaturu, Fune, Potiskum and Nangere in two months.“Over 795 patients were successfully treated and discharged, 50 are still on admission in various health facilities across the state.“Unfortunately, we lost 61 patients mainly due to delays in reporting to the healthcare facilities for life saving treatment.”Dr Kawuwa said further that the Ministry of Health, the World Health Organisation (WHO), the University of Maiduguri Teaching Hospital and the Nigeria Centre for Disease Control (NCDC), Abuja were verifying the causes of the outbreak.He said the verification was necessary to scale up response with the support of the international partners.The commissioner identified personal hygiene, absence of sanitation facilities and flooding of water sources by the rains as possible causes of the outbreak.He called on water, sanitation and health sector partners, religious and traditional leaders and the affected communities to cooperate in containing the outbreak and to check spread.The Yobe government had three months ago declared an earlier cholera outbreak in its five local government areas.The commissioner said the initial outbreak recorded 16 deaths, in 404 cases with Bade Local Government having 379 cases, Karasuwa 16, Jakusko, four, Yusufari three and Bursari, two.Relatedlast_img read more

Coronavirus thwarts WDFA developmental plans

first_imgWith the spread of the Covid-19 virus increasing locally, Adrian Giddings, secretary of the West Demerara Football Association (WDFA), has confirmed that the current situation has thwarted all the entity’s developmental plans. Speaking exclusively with Stabroek Sport, Giddings said, “It has a major setback as we were expected to resume on the 11th. We were supposed to continue our senior league and U11 tournament. We also wanted to do the U15 and U17 tournaments. I spoke to various business entities as it relates to the youth tournaments so basically all of that should have started this month end but due to the threat of the Covid-19 we had to rethink our plans and push everything back for the safety of our players and their families.”Travis BessHe added, “Basically all our plans are up in the air, everything is at a standstill. We are waiting to see the silver lining, to know when we can go and play. Every time I see the players I am asked when will we get football and when is the next game and I honestly can’t answer them. Hopefully soon we can resume. By God’s grace, hopefully by the end of June, once God smiles on us and saves us from this pandemic we should be able to start again.”Meanwhile, WDFA Committee Member Travis Bess, echoed similar sentiments regarding the current state of affairs in the region. Bess who is also a National Youth Football coach stated, “The league took a break in the Christmas period for the GFF Year End Tournament and we were supposed to start back in February but due to the elections it was affected because most of the grounds were used as polling stations. Then, after that, the current Covid-19 situation has stopped us because we have to observe social distancing. We are hoping that it blows over so we can get the football up and running. West Demerara had a lot of plans in place for this year.”He added:“We were expected to stage a knockout tournament and it was to feature all the teams in the jurisdiction and start on March 8th and finish on Easter Sunday which would have been the 12th of April. The Covid-19 definitely stopped that. We were in preparation mode for both tournaments. At least by May month-end the hope is for the situation to improve so that we can play. The West Demerara teams look forward for these projects. There is a lot of money invested amongst the various teams.”last_img read more