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Tainted Drugs, the Candidates Revisit the Import Issue

The issue of drug reimportation came up in conversations last week at the Health Care at Risk conference in Orlando, just about the same time that the presidential campaigns of Sens. Obama and McCain signaled their willingness to take a closer look at their policy positions. From Reuters:

[Recent] scares involving chemical-laced batches of baby formula and the blood thinner heparin — both made in China — have raised new concerns that safely bringing in additional medical products from overseas could be tougher than expected.

“Both candidates were in favor of reimportation and sort of subsequent to the heparin incident (there’s) a lot less enthusiasm,” said Dora Hughes, a health policy adviser to Democratic candidate Obama.

“We have a better understanding of the challenges that go along to support the importation,” she said, speaking before the Generic Pharmaceutical Association’s (GPhA) annual conference in Washington.

Neither adviser said their candidate had abandoned reimportation, but had realized it would be more difficult.

“We now realize the challenges for doing that are greater than before,” Douglas Holtz-Eakin, a senior policy adviser to Republican candidate McCain, told reporters at the conference.

It’s good news that the McCain and Obama campaigns are revisiting this important consumer issue.  Importing prescription drugs opens the door for dangerous counterfeit or adulterated medications, drugs that are not only ineffective but often toxic to consumers.  Costs sure aren’t saved when people get sick from taking bad drugs.

We all want to reduce health care costs, and there are other reform initiatives that will yield significant returns for the American people if enacted, like the implementation of health information technology. Let’s focus our efforts on moving this bipartisan initiative forward.

And for more information on counterfeit drugs, I suggest you visit http://www.safemedicines.org/, a resource-rich website sponsored by the Partnership for Safe Medicines.

Transparency in the Marketing of Pharmaceuticals

Kudos to PhRMA, the leading trade association for the pharmaceutical research and biotech industry, for raising the bar on ethical standards for marketing medicines and interacting with health professionals via its revised “Code on Interactions with Healthcare Professionals.” Key revisions and additions to the 2008 Code include standards to:

  • Eliminate “gifts” to physicians, only allowing for items of educational value to patients or healthcare professionals.
  • Prohibit out-of-office meals from sales representatives.
  • Enhance the independence of “Continuing Medical Education” funded by companies.
  • Set guidelines on the use of prescriber data, supporting appropriate use of the data, allowing for physician opt-out, and providing a contact for physicians.
  • Require training and monitoring of sales representatives to maintain the highest ethical standards.
  • Require company CEOs and Compliance Officers to certify annually that they have policies and procedures in place to foster compliance with the Code (patterned after the Sarbanes-Oxley standard).
  • Provide a venue on the PhRMA website for patients and providers to learn where to voice concerns and view a list of companies that have signed onto the Code.
  • Create a more transparent speaker and consultant relationship by requiring disclosure of relationships with industry and requiring each company to cap the amount of annual compensation an individual physician speaker can receive.

A copy of the press release can be found here.

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