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Northern  posure
US, Canada Clash on Cross-Border Medication Sales
Rebecca Voelker
JAMA. 2003;290:2921-2925.
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Ann Arbor, Mich—Mounting concerns that US consumers' appetite for low-cost prescription medications from Canadian Internet pharmacies will erode their northern neighbors' public health could extinguish such cross-border distribution schemes, say some experts from north of the border.
Recently, Canadians have faced reports of medication shortages and notices of price increases, despite their country's system of price controls on patented medications. Experts say the monetary lure of Internet pharmacies entices pharmacists to trade face-to-face patient contact for a desk and a fax machine. Some even speculate that the growing cross-border trade could lead to the dismantling of Canada's price-setting regulatory agency.
During a mid-November meeting in Ottawa, Ontario, US and Canadian health officials agreed to share information on prescription drugs and collaborate on safety measures, even though US Food and Drug Adminstration Commissioner Mark McClellan, MD, PhD, had sought a stronger stance from Canada to restrict Internet medication . . . [Full Text of this Article]
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