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Trump proposes rule for importing prescription drugs from Canada – CBC.ca

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The Trump administration proposed a rule Wednesday to allow states to import prescription drugs from Canada, moving forward a plan announced this summer that the president has said will bring cheaper prescription drugs to Americans.

Importation of drugs from Canada as a way to lower costs for U.S. consumers has been considered for years. Alex Azar, secretary of the Department of Health and Human Services (HHS), called the move “a historic step forward in efforts to bring down drug prices and out-of-pocket costs.”

Industry trade groups in both countries opposed the plan, saying it will not lower costs and could hurt Canadian drug supplies.

Azar said HHS would also offer guidance to drugmakers that wish to voluntarily bring drugs they sell more cheaply in other countries into the United States for sale here.

The pathways for importation were announced in July, when Azar unveiled a “Safe Import Action Plan.”

Many prescription medicines would be excluded from importation from Canada. (Chris Wattie/Reuters)

Azar could not provide an estimate of how soon Americans could start seeing cheaper drugs from Canada. The proposed rule would need to pass through a 75-day comment period before being finalized, he said.

“We’re moving as quickly as we possibly can,” he added.

Governors of states including Florida, Maine, Colorado, Vermont and New Hampshire have already expressed an interest in importing drugs from Canada once the pathway to do so is fully in place, Azar said. States would be required to explain how any proposed drug imports would reduce drug prices for consumers.

The proposal faces opposition from large U.S. pharmaceutical and biotech companies.

Jim Greenwood, current head of biotech industry group BIO and a former Republican congressman, said that importation would not result in lower prices for consumers, citing nonpartisan budget experts and past U.S. Food and Drug Administration commissioners.

“Today’s announcement is the latest empty gesture from our elected lawmakers who want us to believe they’re serious about lowering patients’ prescription drug costs,” Greenwood said.

Ottawa also has criticized the plan. Canada’s ambassador to the U.S. said last month that importing medicines from north of the border would not significantly lower U.S. prices. Reuters previously reported that Canada had warned U.S. officials it would oppose any import plan that might threaten the Canadian drug supply or raise costs for Canadians.

The federal government has suggested it could step in and block exports in the event that any such plans threaten Canada’s drug supply. In fact a previous government already introduced a bill in the House of Commons that would have allowed a block on exports.

The Paul Martin government introduced Bill C-83 in 2005 when American politics was previously awash in talk of importing from Canada. But it never became law, as the Martin government was defeated soon thereafter and the issue died down in the U.S.

Canada drug supply ‘insufficient’

“The drug supply is insufficient for the Canadian market, let alone trying to divert it to a much larger market like the U.S.,” said Daniel Chiasson, president of the Canadian Association for Pharmacy Distribution Management, a trade group that represents drug distributors.

“We’re not supportive of any policy initiative or policy proposal that has the capacity to threaten the stability of medications available to Canadians.”

The Canadian Pharmacists Association (CPHA) was still analyzing the announcement Wednesday afternoon to assess whether it might have a practical impact.

“With an average of five new drug shortages reported each day in Canada, we are not in a position to supply a country 10 times our size. These proposals could significantly restrict the availability of medications for our patients,” CPHA chair Christine Hrudka said in a statement to CBC News. 

Speaking to reporters in Florida on Wednesday, Azar said Canadians’ cheaper drug prices were the result of a free ride off of American investment and innovation.

“Obviously the Canadians are going to be looking out for Canadians,” he said. “We’re here to put American patients first.”

Many prescription medicines would be excluded from importation from Canada, such as biologic drugs, including insulin, controlled substances and intravenous drugs.

Tip-toeing around big pharma

U.S. President Donald Trump, a Republican, has struggled to deliver on a pledge to lower drug prices before the November 2020 election. Health-care costs are expected to be a major focus of the campaign by Trump and Democratic rivals vying to run against him.

The Trump administration in July scrapped an ambitious policy that would have required health insurers to pass billions of dollars in rebates they receive from drugmakers to Medicare patients.

Also in July, a federal judge struck down a Trump administration rule that would have forced pharmaceutical companies to include the wholesale prices of their drugs in television advertising.

Both the House of Representatives and the Senate are proposing drug pricing bills that contain some of the proposals Trump has advocated, such as indexing public drug reimbursements to foreign drug costs.

But Trump has said he will veto the Democrat-led House bill if it comes to his desk on the grounds that it would slow down innovation.

“Once again, the Trump White House is tiptoeing around big pharma with a spectacularly pinched and convoluted proposal that excludes insulin and has no actual implementation date,” said Henry Connelly, a spokesman for U.S. Speaker of the House Nancy Pelosi, a Democrat.

“If President Trump actually wants to lower drug prices, he should pick up the phone and tell Senator McConnell to send him the House-passed Lower Drug Costs Now Act.” 

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Netflix’s subscriber growth slows as gains from password-sharing crackdown subside

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Netflix on Thursday reported that its subscriber growth slowed dramatically during the summer, a sign the huge gains from the video-streaming service’s crackdown on freeloading viewers is tapering off.

The 5.1 million subscribers that Netflix added during the July-September period represented a 42% decline from the total gained during the same time last year. Even so, the company’s revenue and profit rose at a faster pace than analysts had projected, according to FactSet Research.

Netflix ended September with 282.7 million worldwide subscribers — far more than any other streaming service.

The Los Gatos, California, company earned $2.36 billion, or $5.40 per share, a 41% increase from the same time last year. Revenue climbed 15% from a year ago to $9.82 billion. Netflix management predicted the company’s revenue will rise at the same 15% year-over-year pace during the October-December period, slightly than better than analysts have been expecting.

The strong financial performance in the past quarter coupled with the upbeat forecast eclipsed any worries about slowing subscriber growth. Netflix’s stock price surged nearly 4% in extended trading after the numbers came out, building upon a more than 40% increase in the company’s shares so far this year.

The past quarter’s subscriber gains were the lowest posted in any three-month period since the beginning of last year. That drop-off indicates Netflix is shifting to a new phase after reaping the benefits from a ban on the once-rampant practice of sharing account passwords that enabled an estimated 100 million people watch its popular service without paying for it.

The crackdown, triggered by a rare loss of subscribers coming out of the pandemic in 2022, helped Netflix add 57 million subscribers from June 2022 through this June — an average of more than 7 million per quarter, while many of its industry rivals have been struggling as households curbed their discretionary spending.

Netflix’s gains also were propelled by a low-priced version of its service that included commercials for the first time in its history. The company still is only getting a small fraction of its revenue from the 2-year-old advertising push, but Netflix is intensifying its focus on that segment of its business to help boost its profits.

In a letter to shareholder, Netflix reiterated previous cautionary notes about its expansion into advertising, though the low-priced option including commercials has become its fastest growing segment.

“We have much more work to do improving our offering for advertisers, which will be a priority over the next few years,” Netflix management wrote in the letter.

As part of its evolution, Netflix has been increasingly supplementing its lineup of scripted TV series and movies with live programming, such as a Labor Day spectacle featuring renowned glutton Joey Chestnut setting a world record for gorging on hot dogs in a showdown with his longtime nemesis Takeru Kobayashi.

Netflix will be trying to attract more viewer during the current quarter with a Nov. 15 fight pitting former heavyweight champion Mike Tyson against Jake Paul, a YouTube sensation turned boxer, and two National Football League games on Christmas Day.

The Canadian Press. All rights reserved.



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Promise tracker: What the Saskatchewan Party and NDP pledge to do if they win Oct. 28

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REGINA – Saskatchewan’s provincial election is on Oct. 28. Here’s a look at some of the campaign promises made by the two major parties:

Saskatchewan Party

— Continue withholding federal carbon levy payments to Ottawa on natural gas until the end of 2025.

— Reduce personal income tax rates over four years; a family of four would save $3,400.

— Double the Active Families Benefit to $300 per child per year and the benefit for children with disabilities to $400 a year.

— Direct all school divisions to ban “biological boys” from girls’ change rooms in schools.

— Increase the First-Time Homebuyers Tax Credit to $15,000 from $10,000.

— Reintroduce the Home Renovation Tax Credit, allowing homeowners to claim up to $4,000 in renovation costs on their income taxes; seniors could claim up to $5,000.

— Extend coverage for insulin pumps and diabetes supplies to seniors and young adults

— Provide a 50 per cent refundable tax credit — up to $10,000 — to help cover the cost of a first fertility treatment.

— Hire 100 new municipal officers and 70 more officers with the Saskatchewan Marshals Service.

— Amend legislation to provide police with more authority to address intoxication, vandalism and disturbances on public property.

— Platform cost of $1.2 billion, with deficits in the first three years and a small surplus in 2027.

NDP

— Pause the 15-cent-a-litre gas tax for six months, saving an average family about $350.

— Remove the provincial sales tax from children’s clothes and ready-to-eat grocery items like rotisserie chickens and granola bars.

— Pass legislation to limit how often and how much landlords can raise rent.

— Repeal the law that requires parental consent when children under 16 want to change their names or pronouns at school.

— Launch a provincewide school nutrition program.

— Build more schools and reduce classroom sizes.

— Hire 800 front-line health-care workers in areas most in need.

— Launch an accountability commission to investigate cost overruns for government projects.

— Scrap the marshals service.

— Hire 100 Mounties and expand detox services.

— Platform cost of $3.5 billion, with small deficits in the first three years and a small surplus in the fourth year.

This report by The Canadian Press was first published Oct .17, 2024.

The Canadian Press. All rights reserved.



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Bad weather forecast for B.C. election day as record numbers vote in advance polls

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VANCOUVER – More than a million British Columbians have already cast their provincial election ballots, smashing the advance voting record ahead of what weather forecasters say will be a rain-drenched election day in much of B.C., with snow also predicted for the north.

Elections BC said Thursday that 1,001,331 people had cast ballots in six days of advance voting, easily breaking a record set during the pandemic election four years ago.

More than 28 per cent of all registered electors have voted, potentially putting the province on track for a big final turnout on Saturday.

“It reflects what I believe, which is this election is critically important for the future of our province,” New Democrat Leader David Eby said Thursday at a news conference in Vancouver. “I understand why British Columbians are out in numbers. We haven’t seen questions like this on the ballot in a generation.”

He said voters are faced with the choice of supporting his party’s plans to improve affordability, public health care and education, while the B.C. Conservatives, led by John Rustad, are proposing to cut services and are fielding candidates who support conspiracy theories about the COVID-19 pandemic and espouse racist views.

Rustad held no public availabilities on Thursday.

Elections BC said the record advance vote tally includes about 223,000 people who voted on the final day of advance voting Wednesday, the last day of advance polls, shattering the one-day record set on Tuesday by more than 40,000 votes.

The previous record for advance voting in a B.C. election was set in 2020 amid the COVID-19 pandemic, when about 670,000 people voted early, representing about 19 per cent of registered voters.

Some ridings have now seen turnout of more than 35 per cent, including in NDP Leader David Eby’s Vancouver-Point Grey riding where 36.5 per cent of all electors have voted.

There has also been big turnout in some Vancouver Island ridings, including Oak Bay-Gordon Head, where 39 per cent of electors have voted, and Victoria-Beacon Hill, where Green Party Leader Sonia Furstenau is running, with 37.2 per cent.

Advance voter turnout in Rustad’s riding of Nechako Lakes was 30.5 per cent.

Total turnout in 2020 was 54 per cent, down from about 61 per cent in 2017.

Stewart Prest, a political science lecturer at the University of British Columbia, said many factors are at play in the advance voter turnout.

“If you have an early option, if you have an option where there are fewer crowds, fewer lineups that you have to deal with, then that’s going to be a much more desirable option,” said Prest.

“So, having the possibility of voting across multiple advanced voting days is something that more people are looking to as a way to avoid last-minute lineups or heavy weather.”

Voters along the south coast of British Columbia who have not cast their ballots yet will have to contend with heavy rain and high winds from an incoming atmospheric river weather system on election day.

Environment Canada said the weather system will bring prolonged heavy rain to Metro Vancouver, the Sunshine Coast, Fraser Valley, Howe Sound, Whistler and Vancouver Island starting Friday.

Eby said the forecast of an atmospheric weather storm on election day will become a “ballot question” for some voters who are concerned about the approaches the parties have towards addressing climate change.

But he said he is confident people will not let the storm deter them from voting.

“I know British Columbians are tough and they’re not going to let even an atmospheric river stop them from voting,” said Eby.

In northern B.C., heavy snow is in the forecast starting Friday and through to Saturday for areas along the Yukon boundary.

Elections BC said it will focus on ensuring it is prepared for bad weather, said Andrew Watson, senior director of communications.

“We’ve also been working with BC Hydro to make sure that they’re aware of all of our voting place locations so that they can respond quickly if there are any power outages,” he said.

Elections BC also has paper backups for all of its systems in case there is a power outage, forcing them to go through manual procedures, Watson said.

Prest said the dramatic downfall of the Official Opposition BC United Party just before the start of the campaign and voter frustration could also be contributing to the record size of the advance vote.

It’s too early to say if the province is experiencing a “renewed enthusiasm for voting,” he said.

“As a political scientist, I think it would be a good thing to see, but I’m not ready to conclude that’s what we are seeing just yet,” he said, adding, “this is one of the storylines to watch come Saturday.”

Overall turnout in B.C. elections has generally been dwindling compared with the 71.5 per cent turnout for the 1996 vote.

Adam Olsen, Green Party campaign chair, said the advance voting turnout indicates people are much more engaged in the campaign than they were in the weeks leading up to the start of the campaign in September.

“All we know so far is that people are excited to go out and vote early,” he said. “The real question will be does that voter turnout stay up throughout election night?”

This report by The Canadian Press was first published Oct. 17, 2024.

Note to readers: This is a corrected story. An earlier version said more than 180,000 voters cast their votes on Wednesday.



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