May 18, 2004

DROPPING THE HAMMER

Canadian clinics cutting off drugs for Americans (Carol M. Ostrom, Seattle Times, May 18th, 2004)

Canadian medical clinics are quietly informing American patients they will no longer help them obtain prescription drugs, after stern warnings from a major insurer that doctors who are sued by Americans won't be covered.

The move threatens to restrict access to cheaper drugs purchased by hundreds of thousands of Americans who visit Canadian clinics or buy online from Canadian pharmacies.

The medical licensing board in British Columbia, where many Washingtonians get prescription drugs, has long held that doctors who write prescriptions for patients without having a legitimate "doctor-patient" relationship are operating unethically and could be sanctioned.

But more recently, the organization that insures the vast majority of Canadian doctors has gone a step further, warning that if doctors continue the "risky activity" of rewriting prescriptions for American patients, they'll be on their own in the event of a lawsuit.

One does imagine there are a lot of power lunches about this issue.

Posted by Peter Burnet at May 18, 2004 9:39 AM
Comments

This whole debacle is based on fantasy economics. A loophole is supposed to unnoticed. A loophole exploited by millions is no longer a flawed law and will be fixed.

That it's the activities of Upper Left Washington's finest ambulance chasers that helps cause the shutdown is just another example of the "Law of Unintended Consequences" working its magic. You gotta figure that people who're willing to play such games in getting their drugs are the same types who will have a habit of heading straight to a lawyer if not satisfied completely satisfied. B.C. is right to do what it can to keep those parasites (both varieties) south of the border.

Posted by: Raoul Ortega at May 18, 2004 11:00 AM

Why is it that, in all the news stories about those cheap Canadian drugs, I can't recall any of them explaining exactly why it is that they're so much cheaper in Canada than in the US?

Can you say "price controls" boys and girls?

Posted by: Roy Jacobsen at May 18, 2004 12:06 PM

Roy:

More complicated than that , I think. There are prices and and then there are prices.

Posted by: Peter B at May 18, 2004 1:39 PM

Peter, from the link you sent I gleaned this:

"All patented prescription drugs sold in Canada are subject to a set of pricing guidelines established in law and administered by the PMPRB [Patented Medicine Prices Review Board]."

It may very well be that there are other factors that contribute to the lower prices. And perhaps the PMPRB uses a complicated set of formulas to do what they do, but a stinkweed by any other name...

So my question remains, and I'll even expand it a bit: Why don't the news stories, or the US politicians who love to harp on this issue, tell us that one of the big reasons drugs are cheaper in Canada is because the Canadian government forces the prices down?

Posted by: Roy Jacobsen at May 18, 2004 2:34 PM

Peter, from the link you sent I gleaned this:

"All patented prescription drugs sold in Canada are subject to a set of pricing guidelines established in law and administered by the PMPRB [Patented Medicine Prices Review Board]."

It may very well be that there are other factors that contribute to the lower prices. And perhaps the PMPRB uses a complicated set of formulas to do what they do, but a stinkweed by any other name...

So my question remains, and I'll even expand it a bit: Why don't the news stories, or the US politicians who love to harp on this issue, tell us that one of the big reasons drugs are cheaper in Canada is because the Canadian government forces the prices down?

Posted by: Roy Jacobsen at May 18, 2004 2:35 PM

Sorry for the double-post. Had a server hiccup, so I refreshed the page, and it reposted.

Posted by: Roy Jacobsen at May 18, 2004 2:38 PM

Roy:

Yes, but I can't get a handle on what effect that has on how much the manufacturer is paid, and they are the ones that are howling. If Canadian taxpayers subsidize drug prices at the retail level, that may be foolish economics, but I don't think it is an unfriendly act. I do not understand the drug companies to be making any complaints about the Canadian market. Drugs are not generally covered by medicare.

It also appears that the manufacturers charge HMO's and governments a lot less than individuals in the States, so the uninsured senior takes a hit, which leads to all those poignant stories. Is that a form of price support when combined with such strict patents and "quality control" regulations and the oligarchic nature of the business? I don't know, frankly.

Posted by: Peter B at May 18, 2004 3:06 PM
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