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Date Posted: 06:07:29 12/15/04 Wed
Author: Repost
Subject: Dosanjh advises provinces not to help on-line drugstores

Dosanjh advises provinces not to help on-line drugstores

Minister reacts to Manitoba bid to keep industry alive by changing regulations



By GRAEME SMITH
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WINNIPEG — Provinces should not lower their regulatory standards to help Internet pharmacies, Health Minister Ujjal Dosanjh says, warning that his government might amend federal law to restrict the cross-border trade.

The minister was reacting yesterday to regulators in Manitoba who say they're working toward new rules that would allow Internet drugstores to satisfy federal Food and Drug Act requirements.

"One does not resolve ethical dilemmas, with respect to ethics and standards that have been established for centuries, by lowering ethical standards," Mr. Dosanjh said.

The federal minister started pushing the provincial regulators in recent weeks to enforce rules that forbid doctors from signing prescriptions for people who are not their patients.

Many Internet pharmacies feared that such enforcement would be fatal to their industry, because they rely on Canadian doctors who approve U.S. prescriptions for patients with whom they have no direct contact.

Regulators in Manitoba, where the majority of the 4,000 to 5,000 Internet pharmacy jobs are located, declared this week that they're trying to find a way to keep the industry alive.

But Mr. Dosanjh said U.S. President George W. Bush's recent visit gave Ottawa reason to be worried about the Internet pharmacies, because officials from the United States said they want to expand the on-line drug trade.

"Those are the indications we received," Mr. Dosanjh said.

"And you know, if that happens, our pricing regime [for conventional prescriptions] may come crashing down."

Any damage to the Canadian system that keeps drug prices about 40 per cent lower than prices in the United States would prompt Ottawa to take action, Mr. Donsanjh said, as would any threat "in any way or shape" to the drug supply.

Federal officials have developed three options for taking action against the Internet pharmacies, Mr. Dosanjh said.

One idea is an amendment to the Food and Drug Act to forbid doctors from co-signing prescriptions or pharmacies from accepting them.

Another proposal would ban Canadian doctors from writing prescriptions for foreigners, unless they are visitors or immigrants.

The third option would add a clause to the act allowing federal officials to place certain drugs on a "protected list" in case of shortages.

"Those are the kinds of issues we're looking at," he said. "It's very important for us to do that work, because ultimately, there are two questions in my mind: One, the security and safety of the supply for Canadians, and two, the ultimate protection of our pricing regime in Canada, which is affordable for all Canadians."

Jim Rondeau, Manitoba's Healthy Living Minister, suggested that Mr. Dosanjh probably has something else on his mind as he pushes against the Internet pharmacies

"This might be Dosanjh reacting to big pharma," Mr. Rondeau said, noting that U.S. pharmaceutical companies have been lobbying Ottawa to restrict the cross-border trade because it undercuts their prices and publicizes the fact that the United States have the highest drug prices in the developed world.

"I think what we have is a change of attitude after the American President's visit and that's passing strange to me," Mr. Rondeau said.

"We're not going to try to supply the entire United States."

Manitoba has become a key battleground in the issue of Internet pharmacies. Regulators in Ontario have already created rules that effectively ban the business, although only one pharmacy has been prosecuted.

Brenda Osmond, deputy registrar of the College of Pharmacists of British Columbia, said her organization will be watching the Manitoba example closely.

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