A customer at the Concourse Drugs pharmacy in the Bronx will pay about $118 to get a month's supply of 20-milligram Lipitor pills. At PharmacyinCanada.com, a Canadian online outlet, the same quantity of the drug, Pfizer's cholesterol-lowering medication, costs $79.
The difference has become a tempting political target. Senator John Kerry, the Democratic presidential candidate, has made a campaign pledge to help cut Americans' prescription drug costs by allowing them to import drugs from Canada. President Bush has conceded that the idea is worth a try "if there's a safe way to do it." Bipartisan legislation in Congress would allow the reimportation of prescription drugs from Canada and other industrialized countries.
It may make political sense to point to Canada as a solution to high prescription drug prices in the United States. But many economists and health care experts say that importing drugs from countries that control their prices would do little to solve the problem of expensive drugs in the United States, where companies are free to set their own prices. Even the nonpartisan Congressional Budget Office estimated that allowing Canadian drug imports would have a "negligible" impact on drug spending.
To begin with, there are not enough Canadians, or drugs in Canada, to make much of a dent in the United States. There are 16 million American patients on Lipitor, for instance - more than half the entire Canadian population.
Drug makers like Pfizer say they would reduce their shipments of drugs to distributors in Canada and other countries that re-export to the United States. "We are not going to supply drugs to diverters, in Canada or elsewhere," said Hank McKinnell, chairman and chief executive of Pfizer.
And Canadian health officials, fearing shortages and higher prices of their own, would probably clamp down on their own pharmacists and distributors to keep their drugs from leaking into the United States. Canadian patient-advocacy groups have already complained about shortages from the exports to the United States that already occur, even though they violate American law.
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But what comes to mind for people like Mr. Love is a political nonstarter: imposing Canadian-style price controls. No Democrat or Republican will be likely to dare to propose such a thing during an election year, or perhaps anytime soon, having seen the political debacle of the Clinton administration's effort to devise a national health care system - and knowing that the pharmaceutical industry is one of Washington's most powerful lobbying forces.
Price controls "wouldn't have a ghost of a chance to pass in the Congress," said Senator Byron Dorgan, the Democrat from North Dakota who is the sponsor of the main drug reimportation bill...
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http://www.nytimes.com/2004/10/16/business/16drug.html