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"Others are ordering drugs by mail and over the Internet from canadian pharmacies. This end run around the high price of drugs in the United States is costing the drug companies significant profits—about $350 million to $650 million worth of drugs are purchased by Americans at the lower Canadian prices each year. PhRMA wanted to curb this trend, especially while Medicare prescription drug coverage was being debated on Capitol Hill. As if out of nowhere, the safety of drugs purchased from other countries became a major issue in the United States."
- John Abramson, Overdosed America: The Broken Promise of American Medicine (P.S.) (Get the book.)

"Eli Lilly told wholesalers they would be violating their contracts if they supplied canadian pharmacies that do business in the United States. AstraZeneca, another British company, said it would limit shipments to canadian pharmacies placing unusually large orders. And so on. The result is that canadian pharmacies doing business in the United States have had to try to obtain drugs from other companies, which adds to their expense and drives up the prices they charge their American customers. Worse, it has apparently created shortages of drugs in Canada."
- Marcia Angell, M.D., The Truth About the Drug Companies: How They Deceive Us and What to Do About It (Get the book.)

"In fact, canadian pharmacies adhere to the same safely standards as U.S. pharmacies, and neither one has a perfect track record. You can go to a U.S. pharmacy and be given a fatal dose of a prescription drug due to the pharmacist's inability to properly read the handwriting of your doctor. They may give you the wrong drug, or a dose that's 10 times what you're supposed to be taking, and not even notice it. Many pharmacists are simply working too many hours, leading to too much stress (which causes mistakes)."
- Mike Adams, Spam Filters for Your Brain (Get the book.)

"He even admits, "Drugs from canadian pharmacies are as safe as drugs from pharmacies in the United States." [69] But his impressive mea culpa doesn't stop there. He slams everyone who makes a connection between drug prices and R&D. "It's a fallacy to suggest that our industry, or any industry, prices a product to recapture the R&D budget spent in development." [46] Finally, in an astonishing intellectual somersault, Dr. McKinnell claims that "price controls always make prices higher in the long run."
- Peter Rost, The Whistleblower: Confessions of a Healthcare Hitman (Get the book.)

"Hank McKinnell has written an astonishing book in which he admits that he doesn't always believe in what he's saying [11], that drugs from canadian pharmacies are safe [69] and that high U.S. drug prices have nothing to do with past r&D expenses [46]. He also writes that "perhaps pharmaceuticals represent too low a percentage of total healthcare spending" [45] and he calls for "price controls to be lifted" around the world [64], because "It is time for Canadians and others to pay their fair share." [65]."

- Peter Rost, The Whistleblower: Confessions of a Healthcare Hitman (Get the book.)

"For comparison, canadian pharmacies are selling Lupron kits for $325-486. Lupron stops production of testosterone by the testes. Side effects with Lupron include breast enlargement and decreased libido, similar to those produced by PC-SPES. Over $876 million of Lupron was sold in 2004. Yet one physician, Glenn Bubley, MD, of Harvard Medical School was quoted as saying the manufacturer of PC-SPES "is making more money than God." [WebMD August 31, 2000] Another comparison: a 10 milliliter dose of Honvol (diethylstilbestrol) costs about $90 from a Canadian pharmacy."
- Bill Sardi, You Don't Have to be Afraid of Cancer Anymore (Get the book.)

"AstraZeneca, another British company, said it would limit shipments to canadian pharmacies placing unusually large orders. And so on. The result is that canadian pharmacies doing business in the United States have had to try to obtain drugs from other companies, which adds to their expense and drives up the prices they charge their American customers. Worse, it has apparently created shortages of drugs in Canada. Ironically, those shortages could lead to the very thing the drug companies claim they want to prevent—the growth of a market in unregulated drugs from other parts of the world."
- Marcia Angell, M.D., The Truth About the Drug Companies: How They Deceive Us and What to Do About It (Get the book.)

"By enabling state employees to have their prescriptions filled by canadian pharmacies, we have the potential for significant savings for the State of Minnesota and our employees." The drug companies, for their part, took out insurance in case the FDA scare tactics failed. They threatened to shut off supplies to canadian pharmacies if sales to Americans continued. If necessary, the industry was prepared to deprive sick Canadians of their medicine to keep prices higher in the States. In a "Dear Pharmacy Owner/Pharmacist" letter to every Canadian pharmacy, Pfizer Inc."
- Donald L. Barlett and James B. Steele, Critical Condition: How Health Care in America Became Big Business (Get the book.)

"To make sure you are dealing with a legitimate Canadian online pharmacy you may wish to follow these guidelines: • All canadian pharmacies must be licensed in their province and must post their provincial pharmacy license number on their Web site. Make sure it is there. • Look for a physical address on the Web site. It should be somewhere in Canada. •Telephone the Provincial Regulatory Authority to confirm that the license is genuine. You can find the regulators listed online at www.napra.org and www.pharmacists.ca. • Look for a toll-free number for calls from the United States."
- Joe Graedon, M.S. and Teresa Graedon, Ph.D., Best Choices From the People's Pharmacy (Get the book.)

"If you worry about generic drug quality in the United States or you want to save money on a brand-name product, canadian pharmacies may be an alternative. In our opinion, quality control there is better than it is in the United States. Buying prescription medicine from Canada makes particular sense for people who do not have insurance to cover drug costs and for Medicare recipients who expect their drug bills to total more than $2,250 but less than $5,100 on medications during the year. Follow the guidelines on the previous pages to avoid taking unnecessary risks when buying online."

- Joe Graedon, M.S. and Teresa Graedon, Ph.D., Best Choices From the People's Pharmacy (Get the book.)

"The result is that canadian pharmacies doing business in the United States have had to try to obtain drugs from other companies, which adds to their expense and drives up the prices they charge their American customers. Worse, it has apparently created shortages of drugs in Canada. Ironically, those shortages could lead to the very thing the drug companies claim they want to prevent—the growth of a market in unregulated drugs from other parts of the world. The drug companies gave two justifications for their actions."
- Marcia Angell, M.D., The Truth About the Drug Companies: How They Deceive Us and What to Do About It (Get the book.)

"As the price differences became widely known, people all over the United States started to purchase drugs from Internet mail order canadian pharmacies or from storefront operations that had deals with these pharmacies. Canadian doctors would write the prescriptions or copy U.S. prescriptions. By 2002, over a million Americans bought their drugs from Canada, and it was a $700 million business. In 2003, according to IMS Health, that jumped to $1.1 billion. One poll that year found that 7 percent of respondents had purchased drugs from Canada."

- Marcia Angell, M.D., The Truth About the Drug Companies: How They Deceive Us and What to Do About It (Get the book.)

"The agency so obsessed with products coming out of canadian pharmacies was more tolerant of a domestic drug company. It allowed Bristol-Myers to keep Serzone on the U.S. market—far and away its most lucrative—and the company agreed to advise doctors and other health care professionals of the new concerns. In a warning letter dated October 2, 2003, Bristol-Myers said that in some cases liver damage occurred "as early as a few weeks" after patients began taking the drug, and in other instances after up to three years of continuous use."
- Donald L. Barlett and James B. Steele, Critical Condition: How Health Care in America Became Big Business (Get the book.)

"They threatened to shut off supplies to canadian pharmacies if sales to Americans continued. If necessary, the industry was prepared to deprive sick Canadians of their medicine to keep prices higher in the States. In a "Dear Pharmacy Owner/Pharmacist" letter to every Canadian pharmacy, Pfizer Inc., whose inventory includes a half-dozen drugs that bring in more than one billion dollars a year each, asserted its "commitment to safeguarding the integrity of the pharmaceutical supply system and protecting the supply of Pfizer medicines for Canadians . . ."

- Donald L. Barlett and James B. Steele, Critical Condition: How Health Care in America Became Big Business (Get the book.)

"Minnesota officials also visited each of the canadian pharmacies listed on the Web site, assured they were licensed by the province where they were located, "and reviewed the safety standards required by Canadian authorities and the safety procedures used by the pharmacies in filling mail order prescriptions."

- Donald L. Barlett and James B. Steele, Critical Condition: How Health Care in America Became Big Business (Get the book.)

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