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Why are drugs cheaper in Canada (and elsewhere)?
My Brain

Posted on 01/22/2004 7:29:26 PM PST by maui_hawaii

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To: Ron in Acreage
The Canadian government buys the drugs for $1 and in turn sells them to their citizens for 60 cents.

Do you know that for a fact? I believe the Canadian government strikes a deal to buy the drugs for 60 cents, in turn they give the drug companies an Canadian patent on the drug.
61 posted on 01/22/2004 8:21:59 PM PST by lelio
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To: maui_hawaii
It's all about soaking the rich Americans. Price gouging, suppose to be illegal, but never fear, our laws will be enforced regarding that nassy problem, some day.
62 posted on 01/22/2004 8:22:05 PM PST by MissAmericanPie
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To: lelio
If we can find out that would be great.
63 posted on 01/22/2004 8:25:05 PM PST by maui_hawaii
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To: maui_hawaii
[ Why are drugs cheaper in Canada (and elsewhere)? ]

because...
DRUGS BASE PRICE IS wharever medi-care will pay for it...
as is virtually every other bell, whistle or toot medi-care will pay for.. so this why insurance companys adjust to what medi-care will pay too.....

Force medi-care to lower its price threshold and VOILA! SHAZZAM lower prices for EVERTHING, not just drugs..

64 posted on 01/22/2004 8:26:44 PM PST by hosepipe
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To: MissAmericanPie
I don't know, but for some reason every Democrat on the block says Canada is cheaper even though WE make the stuff. As though Canada is superior.

I am just trying to figure out the substance of this debate.

65 posted on 01/22/2004 8:27:01 PM PST by maui_hawaii
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To: motherof 3

On a program about this they said that a new drug had not been developed in Canada for forty years. Do they just sit around and wait for us to do it?

I suspect that a lot of this price jockeying has to do w/ American companies knocking down potential competition. The drug companies are so big that they can undersell any competition--absorb the loss if they must in order to keep a competitor from making profits. Canada is a small market--a Canadian company would have to export & that means getting it cleared by FDA & FDA is likely stacked w/ ex-American drug company execs....

66 posted on 01/22/2004 8:27:22 PM PST by elli1
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To: maui_hawaii
I posted the following position paper/study some time ago on FR. It is long and well worth the read. The costs everyone gripes about can be laid back at the doorstep of the FDA. The demon of high costs is well documented here.

Reforming the FDA
67 posted on 01/22/2004 8:29:53 PM PST by PA Engineer
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Comment #68 Removed by Moderator

To: MissAmericanPie
I think you and Maui_Hawaii have something. I buy high BP drugs and Diabetes supplies both here for 3 months a year and overseas for 9 months. My overseas costs are pennies to the dollar of American prices. What is noticably different are:

1. Law suit damages are limited to actual damages.

2. Advertizing is zilch.

3. The regulatory environment is very low (everything except narcotic drugs are sold over the counter -- only requiremnet is that a pharmicist (sp?) supervise the store)

4. There is virtually no insurance coverage for drugs.

69 posted on 01/22/2004 8:32:13 PM PST by JimSEA
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To: DMCA
Patents expire in 17/20 years. Not 7.

Keep in mind that patents are taken out when the drug is submitted to the FDA for approval, which can take years. Thus, the patent holder may actually have only 7 or 8 years of real marketing time to recoup their costs.

BTW, I agree that pharmaceutical advertising is BS. The commercials give you a drug name and some pretty pictures, but generally don't even tell what the drug is for. A notable exception I saw a few days ago was something for vaginal dryness, shown at about 5:30 P.M.! You know, just about the time the kids fire up the telly for the evening.

I will agree with Maui that American consumers are subsidising costs globally due to price ceilings in the various socialist sewers around the world. But, with investment in pharmaceutical companies actually being multi-national in nature now, it would probably not be possible to withold shipment to those places that refuse to pay full price.

70 posted on 01/22/2004 8:36:51 PM PST by Morgan's Raider
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To: JimSEA
Any time the average Joe has to compete with the Fed to buy something, he's gonna lose big time. When the Fed will pay ten times more than you can afford, the Fed wins.

Same with rising hospital costs, insurance, anything your in competition with the Fed to purchase. Now it's land, if you sell to the Fed for their price you get 50% off your capital gains tax. So they will end up buying all the choice land.
71 posted on 01/22/2004 8:37:06 PM PST by MissAmericanPie
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To: JimSEA; PA Engineer
Do you think they can limit liability overseas (as well as approval costs) because we spend so much time and money on it here?

I am sure the FDA needs work, but in ways aren't they a nessesary evil?

Seriously. Who would want an untested drug from China that could make you go blind?

These other countries might simply say 'if its good enough for the American market we don't need to have a redundant process here'

Could that have an effect?

72 posted on 01/22/2004 8:37:27 PM PST by maui_hawaii
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To: DMCA
Patents expire in 17/20 years. Not 7.

Whoops! I should've been more clear. I meant that after the FDA finally approves a drug, companies have about 7 years before the patent is up. The patent has to have been granted prior to beginning the approval process. There are some exceptions for rapid approval where the patent can just be applied for. If the patent were 7 years, there would be no drugs. The FDA almost never approves a drug this fast.

However, when I look it up, I see that the average time that a drug can now be sold has increased to 8.1 years. Gotta love that federal process improvement.

Also you know that Drugs are covered under Title 21 not Title 17.

73 posted on 01/22/2004 8:38:25 PM PST by <1/1,000,000th%
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To: maui_hawaii
I am speculating about reasons for the lower costs, not endorsing the system although it does have good points.

1. They let the FDA of the USA and Japan do their work for them, they permit roughly the same drugs to be sold.

2. Doctors are the authority and their recomendations are followed mostly. If you go off on a tangent it is your tough luck. Asian medicine is popular but most people back up the herbs and roots with real drugs.

3. Perhaps the worst thing is the overuse and misuse of antibiotics. People take cipro for everything.

74 posted on 01/22/2004 8:48:34 PM PST by JimSEA
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To: maui_hawaii
Another way to look at it is this hypothetical scenario: General Motors makes cars. The cars sell for $30,000. But the Canucks say: ''No way. $30,000 is way too much to pay for a car. We're not going to pay that much. We'll only pay $20,000 for that car.''

So, General Motors says: ''That's OK. We'll sell you that car for $20,000 and then, to make up the difference, we'll charge Americans $40,000 for the same car.''

What would happen is that no Canadian car industry would develop; General Motors would control the car market in Canada and Americans would get to pay for their car and the profit margin that GM lost when they sold cars to Canadians. Not a few Americans would be screaming from the top of buildings over unfair business practices & quite a few Americans woudld be sneaking off to Canada to buy their new cars. Then General Motors would start whining to the government to outlaw Americans from importing cars from Canada. And the American consumer gets shafted on prices and both Americans & the rest of car-purchasing world has less selection because the development of competing product has been squelched by artifically manipulating prices.

However, quite a few Americans would take the position that this is an OK deal because General Motors builds really fine cars & we ought not monkey around w/ a business model that produces such fine automobiles.

75 posted on 01/22/2004 8:49:03 PM PST by elli1
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To: Morgan's Raider
If drugs are developed in the US at the cost of the US corp and the US taxpayers, under no circumstances should we allow those drugs to be legally exported to any country that does not pay the going rate. If any country expropriates the formula, we should play hard ball. Announce to the world at large, that we regard that country as a thief and we will not trade with that country OR any country that does trade with that country. If it involves a trade war, so be it. I believe the world would come to their sences in good order. Countries of the world just simply cannot afford to be out of our trade and capital markets.
76 posted on 01/22/2004 8:50:27 PM PST by brydic1
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To: elli1
You summed my post up beautifully.
77 posted on 01/22/2004 8:51:00 PM PST by maui_hawaii
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To: JimSEA
They let the FDA of the USA and Japan do their work for them

Exactly.

78 posted on 01/22/2004 8:52:49 PM PST by maui_hawaii
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To: maui_hawaii
Yeh--I see a need to quit beating around the bush & just admit that American prescription drug consumers are subsidizing the rest of the freaking world. And a lot of it is being done by middle/ lower class elderly American folks--many of whom are picking up the tab out of pocket.
79 posted on 01/22/2004 9:08:11 PM PST by elli1
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To: maui_hawaii
You are all forgetting one lesson from your basic economics class. Remember studying about what businesses do as the cost of doing business approaches the margin, that place where the the returns for doing an activity are falling close to the costs?

If costs cross into unprofitability then that activity is ceased, but if they are still profitable they are done. The price Canada is willing to pay for American drugs is too low for our companies to invest time and money into R&D, failed products, legal, FDA, salespeople, ads, marketing, free samples, not to mention the stockholders. These costs must be borne by our market. If they aren't then their will be no new drugs. Period.

If our market pays those costs then companies have factories churning out pills for pennies, but they must be sold to cover the costs listed. If Canada comes knocking and offers to buy some pills for a few dollars they can because they get sales at prices near the margin. It's good business to sell to them.

Suppose Canada then starts undercutting the market by selling their newly bought drugs in the US. As a drug company what would you do. I know what I would do. I'd jack up the price 'til they quit buying, this market was profitable without them, and will be again. All these pols whining about laws that prohibit us from saving money by purchasing from Canada are either stupid or dishonest.

80 posted on 01/22/2004 9:12:02 PM PST by limestone (all aspirin are alike)
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