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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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Safety board calls for changes two years after Nova Scotia fisherman’s death at sea

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HALIFAX – An investigation into how the Canadian Coast Guard responded to a Nova Scotia vessel in distress two years ago raises questions about why one fisherman died after a towing operation went awry. 

In an investigation report released Thursday, the Transportation Safety Board says the fishing boat Mucktown Girl was returning to Canso, N.S., with five crew aboard on March 11, 2022, when it was disabled by electrical problems. 

The captain called for a tow from the coast guard as a storm was closing in.

After a seven-hour voyage, the Canadian Coast Guard Ship Jean Goodwill reached the drifting boat and attached a 300-metre tow line to the smaller vessel’s bollard. But as the weather turned rough, the bollard broke off six hours into the recovery mission.

At that point, the decision was made to let the fishing crew ride out the storm aboard the Mucktown Girl rather than attach another tow line that could damage the boat.

By 6 a.m. on March 13, wind speeds had reached 70 to 90 kilometres per hour. The waves were as high as 10 metres — twice the height of the fishing boat, which was then taking on water. Crew aboard Jean Goodwill relayed the mayday distress call from the fishing boat, which was 44 kilometres from shore.

Minutes later, amid heavy rain and dense fog, the five fishermen donned immersion suits and jumped into a life raft. In response, the coast guard crew lowered a scramble net — a type of rope ladder — over the side of the 77-metre medium icebreaker. 

But the water was so rough, the net was washed back onto the ship several times. And as the ship rolled in the big swells, two coast guard crew members were injured and a number of others were almost swept overboard.

“As a result of the environmental conditions, communications broke down and affected the co-ordination of the (rescue effort),” the report says.

At the time, the air temperature was about 12 C, but the water temperature was only 4 C.

Four of the fishermen, including the captain, jumped from the life raft into the frothing water and managed to climb the ladder to safety. But the fifth crewman, 35-year-old Jeremy Hart of Windsor Junction, N.S., drifted to the stern of the coast guard ship and disappeared.

The father of two boys was pulled from the water five hours later by the crew aboard a Cormorant search and rescue helicopter, but he was later declared dead at a Cape Breton hospital.

The report from the independent safety board says there are no Canadian regulations for the towing points on fishing vessels.  

“Without specific guidance for assessing the risks to the towed vessel and its crew, the (coast guard) may underestimate risks and tow vessels with crew on board in hazardous conditions, resulting in an increased likelihood of injuries and loss of life,” the report says. 

But the report does not call for any changes, aside from updating the coast guard’s towing waiver, which explains the responsibilities of those involved and the risks.

More importantly, the report highlights the fact that once the bollard broke, it became clear there were no plans in place to remove the crew from the fishing boat.

“Without comprehensive contingency planning for towing disabled vessels, risks to rescuers as well as crews of vessels under tow may be increased,” the report says.

The safety board’s investigation found that the coast guard’s search and rescue (SAR) training typically involves the use of small, fast-rescue craft rather than larger vessels like the Jean Goodwill. 

“There is limited vessel-specific SAR training such as the use of scramble nets,” the report says. “(This) training does not reflect the realistic conditions and equipment in a rescue operation, where factors can change unpredictably. For example, training is carried out in good weather only, and in … overboard exercises, only one person at a time needs rescue.”

As for the scramble net, the report says it was not suitable for the deplorable conditions that faced the coast guard crew in 2022.

“Although scramble nets do not have specified restrictions for use, they are difficult to climb in rough conditions,” the board says. “They are also difficult to climb in an immersion suit, even in calm weather, and are not usable if a person is injured or incapacitated.”

That’s why the coast guard has already installed a so-called rescue scoop on the Jean Goodwill. The hydraulic device uses an extendable arm to dip a scramble net into the water on its side, allowing the operator to scoop up victims.

The device has been used on other coast guard vessels in the past, and the federal agency is looking at acquiring more. 

“Without emergency drills using realistic scenarios, and their subsequent evaluation, vessel crews may not have the most effective equipment and may not be well prepared to use it in the safest and most effective manner,” the report says.

This report by The Canadian Press was first published Nov. 21, 2024.



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Alberta pitches new rules for auto insurance, including rate hikes, no-fault claims

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EDMONTON – The Alberta government is making changes to auto insurance, including rate hikes and switching to a predominantly no-fault claims model.

Premier Danielle Smith announced the changes at a news conference in the legislature.

Under the new system, car accident victims in most cases won’t be able to sue the party responsible for their injury and, instead, insurers would pay compensation at rates set by the government. 

By cutting down litigation costs, the government estimates that when the new system is in place in 2027, it could lead to savings of up to $400 per year for the average insurance premium. 

It’s also promising better support and benefits for those hurt in collisions. 

Until the new model kicks in, insurers would be allowed to raise rates for good drivers up to 7.5 per cent each year, starting in January. 

This report by The Canadian Press was first published Nov. 21, 2024.

The Canadian Press. All rights reserved.



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Third deer infected with chronic wasting disease in B.C.

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VICTORIA – A new case of chronic wasting disease, an incurable illness that has the potential to decimate deer populations, has been identified in British Columbia. 

The B.C. Ministry of Water, Land and Resource Stewardship says the discovery of the infection in a white-tailed deer hunted in the Kootenay region last month brings the total number of confirmed cases in the province to three, after two cases were confirmed in February. 

It says testing by a Canadian Food Inspection Agency lab confirmed the latest infection on Wednesday.

The ministry says the new case occurred within two kilometres of one of the earlier infections in a white-tailed deer near Cranbrook.

Wasting disease affects deer, elk, moose and caribou. It attacks their central nervous system and causes cell death in the brain.

The ministry says there is no treatment or vaccine and the disease is always fatal.

The ministry says there is no direct evidence the disease can be transmitted to humans, but Health Canada recommends people do not eat meat from an infected animal, since cooking is not able to destroy the abnormal protein that causes the illness. 

In July, the B.C. government introduced mandatory testing for the disease in deer, elk and moose killed in certain zones in the Kootenay region.

The first two cases identified in B.C. were a male mule deer killed by a hunter and a female white-tailed deer killed in a road accident.

Other steps included removing urban deer from Cranbrook and Kimberley.

This report by The Canadian Press was first published Nov. 21, 2024. 

The Canadian Press. All rights reserved.



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