As Congress considers together with the prescription drug importation as a part of the Meals and Drug Administration’s drug and machine consumer price reauthorization legislative bundle, one precept central to this long-running debate nonetheless holds true: drug importation merely doesn't work as a matter of security and sensible policymaking.
Our nation has the world’s most secure drug provide, and this isn't due to luck or happenstance. The FDA regulates the manufacturing and distribution of medicines within the U.S. all through the extensively lengthy distribution chain. The FDA doesn't examine or approve medicine which can be supposed to be bought in Canada, similar to they don’t examine or approve medicine which can be supposed to be bought in Europe, China or Brazil.
Importing medicine from different nations that aren't topic to rigorous FDA requirements and permitting them into the U.S. drug provide can be tantamount to eliminating present shopper protections.
Even the true medicines from different nations would don't have any FDA testing for security and written supplies, similar to shopper data and warnings. These international medicine might have completely different chemical or biologic make-up, require particular dealing with (in regard to temperature, gentle, and many others.), and haven't had scientific information, labeling or manufacturing operations reviewed by the FDA. Undermining the safety of our system with these medicine would represent a major mistake.
Counterfeit medicines are proliferating world wide, and people liable for this harmful, abhorrent apply excel at making these merchandise look similar to the true deal. The COVID-19 pandemic has solely added to this by necessitating entry to vaccines, therapeutics and private protecting gear at a scale that has hardly ever been seen in historical past.
With the unprecedented demand has come alternatives to counterfeit prescribed drugs and different gear that the general public desperately want. The FDA retains a rolling tally of counterfeit at-home over-the-counter COVID-19 checks which have been found, in addition to different fraudulent COVID-19 merchandise.
Interpol and the Group for Financial Cooperation and Improvement — an intergovernmental group of 38 member nations that the U.S. is part of — have highlighted the worldwide rise in COVID-19 associated counterfeit medical merchandise together with face masks, hand sanitizers and antiviral medicines. Throughout one week, Interpol seized 4.4 million items of counterfeit prescribed drugs, together with greater than 37,000 counterfeit medical gadgets.
In a report in 2020, OECD additionally estimated the overall worth of counterfeit prescribed drugs traded worldwide to be as a lot as $4.3 billion. With so many counterfeit merchandise out there, the U.S. mustn't expose its residents to the hazards of false chemical compounds or harmful placebos that would trigger irreparable injury or dying.
The pandemic has additionally shed an essential gentle on our nation’s psychological well being and substance abuse disaster.
The Facilities for Illness Management and Prevention lately reported that in 2021, there have been 107,622 drug overdose deaths within the U.S., a rise of almost 15%. Most of those overdose deaths had been attributable to artificial opioids, together with fentanyl. Whereas the psychological well being and substance abuse disaster — and the tragic deaths which have occurred due to it — deserves its personal particular coverage options, we can not low cost the opportunity of what would occur if the U.S. had been to open its drug provide chain to merchandise that regulators can not affirm are 100% secure.
I'm one in every of many well being and human providers secretaries who discovered it unimaginable, primarily based on the preponderance of proof and information earlier than me, to certify that importation of medicines from unregulated sellers is secure. In reality, my predecessors and successors from each political events, together with a number of FDA commissioners, have persistently discovered that drug importation carries potential risks that can not be ignored.
The risks and components additional exacerbated by the COVID-19 pandemic and related crises have solely solidified my perception that the importation of medicines is just not the path that the U.S. ought to go.
As an alternative of taking a look at importation and placing the well being and security of our nation in danger, Congressional leaders ought to take a step again and assess why the individuals who’ve seen the implications of importation firsthand proceed to stay opposed.
Michael Leavitt is the previous governor of Utah and former secretary of well being and human providers.