Campaigns to Block New Direction for Pharmaceutical Sector
Global pharma is attacking public opinion for a new direction for the
sector to serve the people through self-reliance and public enterprise
under the control of a public authority that the people can trust and
hold to account. Global pharma attempts to divert discussion to the
market prices paid for drugs and the introduction or not of a
public-private pharmacare system, which would guarantee an expanded
demand and payment for its commodities. The issue facing
the sector is not the price of drugs global pharma charges or how
Canadians should pay for them. The issue is global pharma's private
control of the pharmaceutical sector and aim of maximum private profit,
and the necessity for a new direction of self-reliance and public
enterprise under the control of the people with the aim to guarantee
the right of all to health care. National Newswatch
recently carried an article entitled "Exempting COVID medicines from
new price controls: Ottawa hypocrisy," by Nigel Rawson and John Adams.[1] The item reads,
"The federal government intends to drastically transform the rules of
its tribunal that sets ceiling prices for new drugs and vaccines in
Canada in January. [...] Key elements of the government's plan have
been strongly criticized by patients, drug developers and analysts
since it was first announced in 2017. Concerns have increased during
the COVID-19 pandemic. Months before implementation, the plan has
already blocked access to new important medicines for Canadian
patients." The authors focus attention on the
government tribunal and the issue of drug prices and the effect this
may have on the production, availability and supply of pharmaceuticals.
They raise problems of "access to new important medicines" from the
point of view of the market for drugs that global pharma produces not
from the point of view of opening a new direction and aim for the
sector that serves the people and their right to health care.
The article insists, "Case studies have shown that the new
rules can require manufacturers to reduce prices to unsustainable
levels. Most importantly, clinical trials funded by drug developers and
the number of new drugs approved in Canada have decreased dramatically."
Alarm is sounded and people are encouraged either to jump to
the defence of global pharma or insist that the tribunal and price
controls are the way to go. The article continues
in this vein, assessing as "hypocrisy" the government's proposal to
allow global pharma to dictate prices for pandemic drugs but not other
medicines: "However, on September 17, Ottawa announced a special policy
to decrease the same tribunal's scrutiny of COVID-19 vaccines and
medicines, such as remdesivir, as part of a 'government-wide effort to
provisionally ease the regulatory pathway' for COVID-19 therapeutics.
"Manufacturers will be able to provide these products at their
own list prices unless the pricing tribunal receives a complaint from
any federal or provincial minister of health. It is good that Ottawa
has started to appreciate that elements of the pricing revisions are a
heavy regulatory burden on drug developers and a barrier to meeting
patients' needs." The authors appear delighted
global pharma will be able to make a killing on selling COVID-19
vaccines and medicines. The pandemic highlights how Canada is captive
to global pharma and the necessity for a new direction of self-reliance
and public enterprise in the pharmaceutical sector. The
article pleads global pharma's case for an end to price controls on all
drugs saying, "Canada is presently a commercially viable market for new
medicines and vaccines, despite the barriers created by federal and
provincial governments that limit, delay or deny access to new drugs,
especially costly ones. "However, the new federal
price controls will prevent many new medicines from coming to Canada at
all. Canadians with rare disorders will be particularly impacted."
The authors
entice Canadians into complaining over the "red tape and price
controls" global pharma faces, which may restrict patients' access to
new drugs or on the contrary perhaps side with the government's
position that the tribunal and price controls are necessary measures.
This diverts Canadians from thinking about, discussing, planning for,
and embarking on a new pro-social direction for the sector outside the
clutches of global pharma altogether. The article
gives an example of a global drug cartel refusing to sell a new drug
called Trikafta in Canada because of "uncertainty around the new
pricing rules." This use of specific cases is meant to emotionally
blackmail Canadians into bowing to global pharma's terms and acceptance
of its dominance, similar to the way big business charities browbeat
people emotionally into donating money rather than facing problems
squarely and solving them with a new direction. For
Trikafta and other new drugs, according to the authors, global pharma
apparently is "taking a wait-and-see approach. Since the regulations
were finalized in August 2019, a growing list of medicines have been
approved in the United States but not submitted to Health Canada for
evaluation." The authors accuse the Trudeau
government of adding "red tape that will decrease Canada's
attractiveness as a place to perform research and launch new medicines
that will reduce Canadians' suffering and extend lives." Canadians
should denounce this argument and direction, and accuse global pharma
of blocking and destroying the development of self-reliant Canadian
research and independent production and availability of medicines and
growth of scientific expertise through public enterprise. The
item concludes, "The pandemic has again demonstrated that our health
care system is a limited and fragile resource. Drugs contribute to the
sustainability of the health system and to patients' lives. The federal
government should recognize the value of other innovative life-changing
medicines and implement rational policies that allow Canadians to
benefit from these technological advances and that promote research and
development in Canada. To do otherwise is hypocritical." Our
"health care system is a limited and fragile resource" precisely
because of its control by the private interests of global pharma that
compete to dominate the sector, make maximum profit from it and block
independent Canadian development. To break away from health care's
"limited and fragile" state requires a new direction under the control
of the people with an aim to guarantee health care as a right for all
and not as a right for a few to make maximum profit. Note
1.
Authors Nigel Rawson and John Adams claim affiliation with the Canadian
Health Policy Institute and Best Medicines Coalition
Canadian Health Policy Institute writes in its
website that it is "focussed on health economics and policy issues
affecting patient access to innovative medical goods and services and
the cost-related issues of sustainability and value for money for
taxpayers." Best
Medicines Coalition says its goal is "Drug programs which deliver high
standards of equitable and consistent access to medications for all
Canadians." These goals
and mission statements are consistent with the aim of global pharma for
maximum profit from selling drugs and its continued control of the
pharmaceutical sector.
This article was published in
Volume 50 Number 41 - October 31, 2020
Article Link:
Campaigns to Block New Direction for Pharmaceutical Sector
Website: www.cpcml.ca
Email: editor@cpcml.ca
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