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Border closures worry Americans who come to Canada to buy insulin

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When Travis Paulson drove from his home in northern Minnesota to the Canadian border last month, he thought he’d have little trouble crossing over to buy his insulin.

Paulson, a Type 1 diabetic, has made the trip many times for himself and others as the price of the lifesaving drug has skyrocketed in the United States over the last decade. A vial in Canada costs roughly $25 US, a fraction of the $350 to $400 he would be charged in his home country.

Paulson called Canada Border Services ahead of time to see if he’d still be able to come into Canada. Travel between the two countries has been restricted during the COVID-19 pandemic, but Paulson said he was told he could still make the trip if he only went to the pharmacy and came back the same day.

But when he arrived at the border near Fort Frances, Ont., he said he was told there had been a policy change that very morning — and he couldn’t come into Canada because his trip was not deemed essential.

“It’s devastating because your life depends on it. You’re literally being denied the air that you need to breathe,” said Paulson, the director of the diabetes organization Northern Minnesota Advocacy Group.

“Every few hours you need it, every day. And that you might not be able to get it, I would say it’s a little terrifying.”

 

When coming to Canada, Paulson often buys insulin for himself and for others. (Submitted by Travis Paulson)

 

Many Americans rely on going up north to buy insulin, where it is roughly a tenth of the price. Canada’s Patented Medicine Prices Review Board, a federal agency that establishes the maximum price that can be charged for patented drugs, keeps the prices affordable.

But the COVID-19 border restrictions have meant that option is no longer available.

While some pharmaceutical companies in the U.S. are offering programs for cheaper insulin during the pandemic, advocates say still not enough is being done to make it affordable.

A spokesperson for the Canada Border Services Agency said Americans may be allowed to enter the country to purchase medications, but the agency offers little clarity on who will be allowed in and when.

“Entry to Canada is decided on a case-by-case basis and based on the information made available to the border services officer at the time of entry,” spokesperson Judith Gadbois-St-Cyr said in an email.

Until at least June 21, there is a temporary restriction on all non-essential travel between Canada and the U.S. That could be further prolonged if deemed necessary, Gadbois-St-Cyr said.

 

Transport trucks approach the Canada/USA border crossing in Windsor, Ont., in March. The border closure between the two countries has been extended until at least June 21. (Rob Gurdebeke/The Canadian Press)

 

Quinn Nystrom, a long-time diabetes and affordable health-care advocate in Minnesota, said she’s received several calls since the border closures began, including one from a panicked mother.

“She said her nine-year-old son was on his last insulin pen,” Nystrom said, adding that the woman’s husband had been planning a trip to Canada in the spring to buy more.

“They were just completely distraught over it.”

 

Quinn Nystrom holds the insulin she bought on her trip to Canada in the spring of 2019. (Submitted by Quinn Nystrom)

 

Nystrom gained international attention last year for organizing and taking part in several Caravans to Canada — trips to show just how easy and affordable it is to buy insulin outside of the U.S.

A Type 1 diabetic herself, Nystrom went to her congressman, Pete Stauber, last spring, begging him to protect people with pre-existing conditions and vote to help lower the cost of insulin.

“He promised me he would do that. And after leaving his office and following up with him over the next couple of months, he unfortunately voted against those things,” she said.

“It was so unfortunate to me that I decided to file and run against him.”

On Sunday, Nystrom won the Democratic nomination in Minnesota’s 8th congressional district and will be up against Stauber on the ballot in November.

 

The small group drove five hours from Minnesota to Ontario to buy insulin at one-tenth the cost in the spring of 2019. Travis Paulson and Quinn Nystrom are on the left, and Nicole Smith-Holt and Lija Greensied are on the right. (Rachel Nystrom)

 

Access to affordable insulin can be a matter of life and death for Americans.

Nicole Smith-Holt’s son died in June 2017 at just 26 years old, less than a month after he aged off of his parents’ insurance plan. He couldn’t afford the cost at a pharmacy in Minnesota and chose instead to ration his insulin.

Smith-Holt said the border closures to Canada and Mexico put up “one more barrier” for struggling Americans, especially as many of them have lost their jobs and therefore their insurance during the pandemic.

“People are going to start rationing and people are going to suffer some very long-term health effects or possibly death,” she said.

“A Type 1 diabetic really should not be lowering their dosage or missing doses. It proved fatal for Alec and countless other people.”

But Alec Smith’s family, friends and supporters worked to make sure his death wasn’t in vain.

 

Nicole Smith-Holt with her son, Alec Smith, who died in 2017 from diabetes complications after rationing his insulin when he couldn’t afford it. (Submitted by Nicole Smith-Holt)

 

On July 1, the Alec Smith Insulin Affordability Act will come into effect in Minnesota. It will allow people who cannot afford their insulin to access a 30-day supply at their pharmacy for just $35.

The new law also streamlines the process to access insulin in the long-term and manufacturers can be fined up to $3.6 million for not participating in the program.

“It means that we’re going to have the ability to save lives,” Smith-Holt said.

“People right now, especially during this COVID-19 pandemic, are really struggling. It’s going to be a lifeline for people.”

Pharmaceutical companies making pandemic programs

Since the pandemic started, some pharmaceutical companies in the United States have created programs to help struggling diabetics.

Eli Lilly, the U.S. manufacturer of fast-acting insulin Humalog, created a program in April to help those without insurance access a month’s supply for $35.

But these programs are difficult to apply for, advocates say, and often many people don’t meet the criteria to be eligible.

It’s also just a temporary solution, Nystrom said, adding that the issue of insulin affordability won’t go away when the pandemic does.

 

Several American groups made international headlines in 2019 for the Caravan to Canada, and launched a social media campaign under the hashtag #Insulin4all. (Submitted by Lija Greenseid)

 

With few options due to border restrictions, some Americans, like Paulson, are turning to online Canadian pharmacies.

Some Canadian pharmacies will ship insulin to the U.S., but the National Association of Pharmacy Regulatory Authorities in Ottawa said it’s important to verify the legitimacy of an outlet if ordering online by checking with the province’s regulating body.

One of the most well-known pharmacies to Americans is Mark’s Marine Pharmacy in Vancouver, just 40 kilometres from the U.S. border. It ships insulin to people across the U.S., but requires a doctor’s prescription to do so — a requirement in America.

People also turn to GoFundMe, social media and “underground networks.”

 

Lija Greenseid stands at a pharmacy in Fort Frances, Ont., last spring holding insulin for her teenage daughter. Greenseid organized the Caravan to Canada on the first weekend in May 2019 to buy cheaper insulin. (Submitted by Lija Greenseid)

 

Lija Greenseid, an insulin advocate in St. Paul, Minn., and mother of a 14-year-old daughter who has Type 1 diabetes, said people in local diabetes Facebook groups will share extra insulin if they switch brands and even give up unused vials if someone has died.

“That’s another strange consequence of our health-care system,” said Greenseid, who organized a Caravan to Canada last spring.

While some insurance companies have now capped their deductibles at $25 a month, the list price for insulin in the U.S. hasn’t been cut.

‘The ultimate goal is to be like Canada’

Greenseid had always been comforted by the knowledge that Canada was a short drive away. It’s an option no longer there.

“What is reassuring is knowing that there is an insulin underground network of people who get insulin and give it to people who need it. That’s always there.” Greenseid said.

Nystrom said Americans don’t want to have to rely on outside countries to get affordable medications — and she hopes to make that possible if elected in November.

“The ultimate goal is to be like Canada, where somebody can just go to a pharmacy and pick up insulin for $30 US. That’s our goal,” she said.

“So people don’t have to rely on a pharmaceutical company deciding to be charitable.”

Source: – CBC.ca

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N.S. legal scholar’s book describes ‘mainstream’ porn’s rise, and the price women pay

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HALIFAX – When legal scholar Elaine Craig started researching pornography, she knew little about websites such as Pornhub or xHamster — and she did not anticipate that the harsh scenes she would view would at times force her to step away.

Four years later, the Dalhousie University law professor has published a book that portrays in graphic detail the rise of ubiquitous free porn, concluding it is causing harm to the “sexual integrity” of girls, women and the community at large.

The 386-page volume, titled “Mainstreaming Porn” (McGill-Queen’s University Press), begins by outlining how porn-streaming firms claim to create “safe spaces” for adults to view “consensual, perfectly legal sex,” as their moderators — both automated and human — keep depictions of illegal acts off the sites.

But as the 49-year-old professor worked through the topic, she came to question these claims. Depictions of sex that find their way onto the platforms are far from benign, she says.

“Representations of sex in mainstream porn … that weaponize sex against women and girls, that represent it as a tactic to be deployed against unconscious women or unsuspecting ‘daughters’ when their mothers are not home … do not promote sexual integrity and human flourishing,” she writes in her closing chapter.

Joanna Birenbaum, a Toronto-based lawyer who has worked with sexual assault victims for 20 years, said in a recent email that Craig’s work is the first to “really make the connection between porn, its impact on women and girls … and the ways in which it has evolved to become part of the tech industry.”

“It is eye-opening because it is so frank and concrete … for those who are unaware of what can be found on these mainstream platforms.”

For example, Canadian criminal law is clear that when a person is asleep, they lack the capacity for sexual consent. But Craig’s online searches of porn platforms found “countless videos” depicting the perpetration of sexual assault on “sleeping or unconscious women.” The difference in the pseudo-reality of porn was the women were almost always depicted as pleased and accepting.

Meanwhile, the book finds that “incest-based” porn — and the associated “tags” designed to draw viewers — are “as prolific as they are popular.” Craig said during an interview at her campus office that she believes a subset of this category, showing male family members having sex with female performers depicted as girls, meets the definition of child pornography.

Then there are the depictions of the surreptitious filming of sex without the knowledge of those being recorded, “another relatively common phenomenon on porn-streaming platforms,” she writes. In her closing chapters, she urges all provinces to pass laws to allow rapid removal of such material from sites.

For Craig, a mother of two boys, her journey into this world was draining. After writing the chapter on incest-themed porn, she had to take three months away from the project. “I found it challenging to watch some of it,” she said.

In her book, Craig notes how last year, after a judge sentenced an Ottawa man to seven years in prison for posting secret sex videos, a vice-president with Ethical Capital Partners — which owns Pornhub’s parent Aylo — said the site no longer allows individuals to search for videos under the tag, “hidden camera.”

But when Craig checked she found that, while the term “hidden camera” yielded no videos on Pornhub, using just the term “hidden” did produce results. Titles on the first page of her search results included, “Dragged a sexy classmate into bed and filmed sex on a hidden phone.” Other categories including “secret voyeur,” “real amateur hidden” and “spy” also yielded videos.

A Pornhub spokesman said in an emailed statement this week that the company has a list of more than 35,000 banned keywords and millions of permutations “that prevent users from trying to search for words that may violate our terms of service.” He said the list is “constantly evolving, with new words regularly added in multiple languages.”

In her closing chapters, Craig questions whether using criminal law to go after the producers and possessors of the porn she considers illegal will be effective. Instead she prefers a human rights approach that identifies “hateful” porn and monitors remedies over time.

Her research found that certain graphic slurs directed at women yielded links to hundreds of videos last year on Pornhub, and Craig argues these expressions can be seen as part of a “taxonomy of misogyny and racism” that the sites are building.

She argues for federal legislation to prohibit streaming companies from promoting videos with titles, tags and categories that meet the definition of hate speech — “vilification and detestation on the basis of sex or race, for example.”

The author notes that the Online Harms Act — currently before Parliament — would create a digital safety commission and impose a “duty of responsibility” on porn sites to prevent harmful content toward children. However, Craig calls for the same approach to be applied to “the unique harms” the streaming platforms are creating for women.

Craig argues against an “absolutist” ban on porn, making the case that this is unrealistic, but she calls for a landscape where “sex should not be mean” and where parents and schools start to educate teenagers about the harmful forms of sexuality they may encounter on the free platforms.

“Mainstream porn-streaming platforms should be held more responsible for preventing these harms and for bearing their costs when they fail,” she writes.

This report by The Canadian Press was first published Nov. 13, 2024.



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Trump’s appointees have criticized Trudeau, warned of border issues with Canada

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WASHINGTON – Donald Trump’s second administration is filling up with some of his most loyal supporters and many of the people landing top jobs have been critical of Prime Minister Justin Trudeau and security at Canada’s border.

One expert says there are not many Canadian allies, so far, in the president-elect’s court.

“I don’t see a whole lot of friends of Canada in there,” said Fen Hampson, a professor of international affairs at Carleton University in Ottawa and co-chair of the Expert Group on Canada-U.S. Relations.

As the Republican leader starts making crucial decisions about his administration, designations for foreign policy and border positions have sent signals to Canada, and the rest of the world, about America’s path forward.

Trump campaigned on imposing a minimum 10 per cent across-the-board import tariff. A Canadian Chamber of Commerce report suggests that would shrink the Canadian economy, resulting in around $30 billion per year in economic costs.

The president-elect is also critical of giving aid to Ukraine in its war against Russian aggression and has attacked the United Nations, both things the Liberal government in Canada strongly backs.

Trump tapped Mike Waltz to be national security adviser amid increasing geopolitical instability, saying in a statement Tuesday that Waltz “will be a tremendous champion of our pursuit of Peace through Strength!”

Waltz, a three-term congressman from Florida, has repeatedly slammed Trudeau on social media, particularly for his handling of issues related to China.

He also recently weighed in on the looming Canadian election, posting on X that Conservative Leader Pierre Poilievre was going to “send Trudeau packing in 2025” and “start digging Canada out of the progressive mess it’s in.”

Like Trump, Waltz has been critical of NATO members that don’t meet defence spending targets — something Canada is not doing, and won’t do for years.

Trudeau promised to meet the target of spending the equivalent of two per cent of GDP on defence by 2032.

Immigration and border security were a key focus for Republicans during the election and numerous key appointees have their eyes to the north.

It’s been reported that Florida Sen. Marco Rubio, a vocal critic of China, is expected to be named Secretary of State.

Rubio has pointed to concerns at the Canada-U.S. border. He recently blasted Canada’s move to accept Palestinian refugees, claiming “terrorists and known criminals continue to stream across U.S. land borders, including from Canada.”

Trump’s choice for ambassador to the United Nations, New York Congresswoman Elise Stefanik, has also focused on the border with Canada.

Stefanik, as a member of the Northern Border Security Caucus, called for Homeland Security to secure the border, claiming there had been an increase in human and drug trafficking.

“We must protect our children from these dangerous illegal immigrants who are pouring across our northern border in record numbers,” she posted on X last month.

Stefanik has little foreign policy experience, but Trump described her as a “smart America First fighter.” She repeatedly denounced the UN, saying the international organization is antisemitic for its criticism of Israel’s bombardment of Gaza.

U.S. media reports say longtime Trump loyalist Kristi Noem, South Dakota’s governor, has been chosen to run Homeland Security. She was on the shortlist to be vice-president until controversy erupted over an anecdote in her book about shooting a dog.

“She doesn’t seem to have very warm feelings (toward Canada),” Hampson said

Last year, she claimed to be having conversations with a Canadian family-owned business looking to relocate to her state because of COVID-19 pandemic restrictions.

But Noem has also said that the Canada-U.S.-Mexico Agreement, negotiated under the first Trump administration, was “a major win.”

The trilateral agreement is up for review in 2026.

Robert Lighthizer, Trump’s former trade representative , has been an informal adviser for the president-elect’s transition and Deputy Prime Minister Chrystia Freeland said they remain in contact.

He has been touted by analysts as an option for several jobs in Trump’s second administration, including a return to the trade file, though Hampson said he is unlikely to go back to the trade representative role.

Hampson said there are still significant questions about how sweeping the tariffs could be and if there will be carve-outs for industries like energy. Trump and his team may also hang the tariff threat over upcoming trade negotiations.

“Is he going to stick us with a tariff Day 1 or shortly after?” Hampson asked.

Some experts have called for Canada to remain calm and focus on opportunities rather than fears. Others have called for bold action and creative thinking.

Canada revived a cabinet committee on Canada-U.S. relations a little more than 24 hours after Trump’s win was secured.

Trudeau said Tuesday in Fredericton that under the first Trump presidency, Canada successfully negotiated the trilateral trade deal by demonstrating that the country’s interests and economies are aligned.

“That is going to continue to be the case,” he said.

This report by The Canadian Press was first published Nov. 13, 2024.



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Toronto Sceptres open camp ahead of second PWHL season |

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The Toronto Sceptres have opened training camp for the upcoming PWHL season, with a new logo, new colours, new jerseys and a new primary venue in Coca-Cola Coliseum. The team has a lot to look ahead to after a busy off-season and successful inaugural campaign. (Nov. 12, 2024)



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