Thompson
shifts on drug imports
Health sceretary to suggest to that Bush accept bipartisan
bill
Boston Globe May 5, 2004
Adding election-year momentum to an
issue that is popular among seniors, President Bush's chief
healthcare official, Health and Human Services Secretary Tommy
Thompson, said he would recommend that Bush not stand in the
way of a bill to make importing prescription drugs legal.
"I think it's
coming," Thompson said at a news conference about new
Medicare discount cards. "I think Congress is going to
pass it."
The House approved an importation
bill last year, but it died in the Senate. This year, a bipartisan
group of senators, including Democrat Edward M. Kennedy of
Massachusetts and Republicans Trent Lott of Mississippi and
John McCain of Arizona, is rounding up support that appears
to be growing, placing more pressure on the White House.
Thompson's remarks yesterday were
the first indication that the pressure is beginning to erode
opposition within the administration. Until now, the Food
and Drug Administration, which is part of the Department of
Health and Human Services, has vigorously fought widespread
importation of drugs, deeming it illegal. It has echoed the
pharmaceutical industry's argument that allowing importation
would undermine US prices and take money away from the research
and development of drugs. It has also said that importation
could compromise the safety of US consumers by allowing a
channel for counterfeit drugs.
Despite the law, importing drugs from
Canada and other countries with government price controls
is hugely popular with seniors. The AARP, the largest lobbying
group for the elderly, has been running television commercials
in favor of importation.
Furthermore, prices for US discount
cards that were supposed to provide the first savings from
the new Medicare prescription benefit law proved to be a disappointment
when they were unveiled this week. A website that tracks Canadian
and US prices, PharmacyChecker.com, said yesterday that comparisons
on five drugs showed Canadian drugs were still 44 to 78 percent
cheaper than medicine available through the discount cards.
The comparisons confirmed assertions
by the Canadian pharmacy industry that prices remain lower
north of the border. Canadians said the continuing price disparities
removed one of the last arguments against Canadian importation
-- that Washington had taken care of American seniors with
the Medicare bill.
"There is so much momentum to
support reimportation. The wave of support is definitely there,"
Andy Troszok, the president of the Canadian International
Pharmacy Association, said in a telephone interview last night
in response to Thompson's remarks. Troszok said he visited
Washington last week to lobby Congress on the issue.
Boston Mayor Thomas M. Menino, who
received bids from seven Canadian pharmacies yesterday to
supply city workers with imported drugs, applauded Thompson's
remarks. Boston's pilot importation program is set to begin
in July, just weeks before the national spotlight turns on
the city as it hosts the Democratic National Convention.
"Tommy Thompson's statement today
is long overdue," said the Democratic mayor, who traveled
to Washington last year to press the case for importation.
"This is really finally penetrating the inner circle
of Washington."
"It's time to give the consumer
some relief," he said in an interview. "It's not
going to make the pharmaceutical companies bankrupt. They
have record earnings."
With Thompson's remarks yesterday,
the industry appeared to be losing a key ally. The Pharmaceutical
Research and Manufacturers of America, the industry's Washington-based
trade group, remained steadfast in its opposition to foreign
drugs.
"Two secretaries of Health, including
Secretary Thompson, have said importation cannot be done without
compromising patient safety and public health," said
PhRMA spokeswoman Wanda Moebius. "That's the current
law of the land and we believe the right way to go to protect
patients from tainted, counterfeit, and unapproved drugs that
can sneak into the country."
While the FDA has said the practice
of importing drugs is illegal, it has looked the other way
for seniors and other Americans without insurance who have
been purchasing personal supplies from Canada.
Importation began
to catch fire last summer, when Michael Albano, then mayor
of Springfield, signed up with a Canadian pharmacy to supply
city workers and retirees. Republican governors are among
those who have joined the fray since then, including New Hampshire
Governor Craig Benson and Minnesota Governor Tim Pawlenty,
who have set up websites with links to Canadian pharmacies.
A bill is pending in the Massachusetts Legislature to set
up a website for Bay State residents. These events have helped
spur debate in Washington.Click
Here to read the enire article.
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