Evidence of meeting #24 for Health in the 45th Parliament, 1st session. (The original version is on Parliament’s site, as are the minutes.) The winning word was companies.

A recording is available from Parliament.

On the agenda

Members speaking

Before the committee

Watson  President and Chief Executive Officer, Apotex Inc.
Bouvier  Professor, As an Individual
M. Somers  Full Professor, As an Individual
Keon  President, Canadian Generic Pharmaceutical Association
Creighton  President, Canadian Pharmaceutical Manufacturers and Exporters Alliance
Hamelin  President and Chief Executive Officer, Innovative Medicines Canada

4:40 p.m.

President, Canadian Generic Pharmaceutical Association

Jim Keon

I'd like to provide an answer to that, and provide some context.

I am the president of the Canadian Generic Pharmaceutical Association, representing all companies, including Apotex.

4:40 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

I'm sorry, Mr. Keon, but I asked Mr. Watson this question. I just want to know whether he can answer that.

4:40 p.m.

President, Canadian Generic Pharmaceutical Association

Jim Keon

I represent Apotex and all generic companies. The—

4:40 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

Are you representing Mr. Watson? I'm sorry. I didn't realize that. I'm sure you'll have questions going to you.

I am going to ask Mr. Watson, because he is the one who spoke to us about—

4:40 p.m.

President, Canadian Generic Pharmaceutical Association

Jim Keon

I was just going to provide some context.

The Vice-Chair Conservative Dan Mazier

I'm using the chair's prerogative.

The question was for Mr. Watson. If Mr. Watson decides to hand it over to you, that's the way it will work.

4:45 p.m.

President and Chief Executive Officer, Apotex Inc.

Jeff Watson

I'm not in a position to talk about part of your question.

I will tell you that we recognize the tragic circumstances that these products have caused for Canadians.

However, as a reminder, as a generic company and part of the generic association, we do not promote generic products to physicians. We don't sell products to physicians or patients. We sell our products to pharmacists through a wholesale chain.

I will defer to Jim because this is an—

4:45 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

I will follow up with another question.

We know Apotex agreed, under a national multistate opioid settlement in the United States, to a compensation package of $72 million.

I want to understand why your company, Apotex, is willing to compensate Americans but not.... Why won't you end the legal battle here in Canada and compensate British Columbians? It's a very important question, I'm sure, for everybody watching online and in this room today.

4:45 p.m.

President and Chief Executive Officer, Apotex Inc.

Jeff Watson

Once again, we recognize the importance of this. We have been working productively, but I'm not in a position to...nor will I be commenting on any ongoing matters.

4:45 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

Further to that, I understand it's a difficult subject, but you've been working on this for seven years. In order for Canadians to trust your company and trust you, we need to understand why they aren't being compensated for the destruction caused by these drugs in British Columbia, which I represent, and throughout Canada.

4:45 p.m.

President and Chief Executive Officer, Apotex Inc.

Jeff Watson

Once again, it's an ongoing matter.

4:45 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

Okay.

I have a final question on this.

As CEO of Apotex, do you take any responsibility for the Canadians who lost their lives to, or have been ruined by, opioid addiction?

4:45 p.m.

President and Chief Executive Officer, Apotex Inc.

Jeff Watson

As the CEO of Apotex, I take the importance, maintenance and impacts of these drugs extremely seriously. Once again, Apotex, like other generic companies, sells products to pharmacies. We do not promote our products. We fulfill existing demand in the marketplace.

However, we do take this topic extremely seriously.

4:45 p.m.

Conservative

Helena Konanz Conservative Similkameen—South Okanagan—West Kootenay, BC

I'm glad to hear that, because I know that you did have a settlement with Quebec. I'm wondering why this company cannot settle with B.C. It's been seven years.

Thank you.

4:45 p.m.

Conservative

The Vice-Chair Conservative Dan Mazier

Ms. Jaczek, you have five minutes.

Helena Jaczek Liberal Markham—Stouffville, ON

Thank you so much, Chair.

To reorient the discussion and remind all our witnesses, the study is to develop recommendations on how Canada can best promote pharmaceutical sovereignty.

To return to that subject, my first question is for Mr. Keon.

Canada is responsible for direct health services for the armed forces and for indigenous populations. Would you recommend that Canada look directly at Canadian manufacturers in terms of procurement for its pharmaceutical requirements for those particular responsibilities?

4:45 p.m.

President, Canadian Generic Pharmaceutical Association

Jim Keon

It absolutely should look to Canadian suppliers. I think the procurement process should also look for reliability, sustainability, good cost and good value. All of those things should be part of the contracts.

Helena Jaczek Liberal Markham—Stouffville, ON

Ms. Creighton, would you like to comment on possible procurement practices?

4:45 p.m.

President, Canadian Pharmaceutical Manufacturers and Exporters Alliance

Terry Creighton

In fact, procurement policies are one of the five action plans we have put together. We have thought about this a lot. We think there is great opportunity in Canada to support domestic producers through procurement. Between the federal and provincial governments, governments in Canada spend over $18 billion a year reimbursing eligible Canadians under the drug plans.

As it stands today, none of that is directed to support Canadian producers, yet the federal government has adopted, or is in the midst of adopting, a buy Canadian policy, which we certainly support. One of the components of that is to direct federal purchases to Canadian suppliers. We are strongly in favour of that including medicines. Through the programs you mentioned, there is an opportunity through formulary management to direct even a portion of those current expenditures to give preference to Canadian-made medicines.

The most important part of that is it would not cost any additional money because those expenditures are already being made. This would be a matter, in the case of generics, of directing some of that to the companies that are here in Canada, have invested in Canada, are making these medicines in Canada and are incurring the cost to do so as a way to support Canadian producers.

Helena Jaczek Liberal Markham—Stouffville, ON

Thank you.

Ms. Creighton, I think you made some comments, or expressed concerns, about our government's new initiatives for regulating Health Canada, trying to modernize the whole regulatory process and speed it up, and moving towards greater international collaboration and reliance, including the ability to rely on assessments by foreign regulators while maintaining Canadian standards for safety, effectiveness and quality.

You viewed this with some trepidation. Can you elaborate on how you think this might be improved?

4:50 p.m.

President, Canadian Pharmaceutical Manufacturers and Exporters Alliance

Terry Creighton

The reliance program is in the midst of consultation. It is a program that is intended to speed up approvals of submissions to Health Canada for sponsors—drug companies—by relying on the approval they have received from other foreign regulatory authorities, such as the FDA in the U.S. or the European Medicines Agency in Europe. The intention of it is to speed up approvals.

Logically, you have to believe that those applications received by Health Canada will get priority review, because the whole point is to speed it up. We are very concerned that, as Jim pointed out, there are already tremendous delays in approving submissions for generic products from Canadian companies as well, and we're concerned that Canadian submissions will inadvertently go to the end of the line.

We know this is not the intention of the reliance program. It is an unintended consequence that we have brought to Health Canada's attention, but it's very concerning to us if it delays the approval of Canadian products.

In the case of generics, we compete against those imported products, and we're concerned that they would gain access to the Canadian market faster and our products would stay in the same queue that currently exists, which is not being addressed and is not being improved, and that we would be subject to the current pathway as opposed to this expedited pathway.

We have recommended, in addition to the reliance program, that Health Canada consider a priority pathway for submissions from Canadian companies and speed up those approvals in a different way.

4:50 p.m.

Conservative

The Vice-Chair Conservative Dan Mazier

Thank you, Ms. Creighton.

Mr. Blanchette-Joncas, you have six minutes.

Maxime Blanchette-Joncas Bloc Rimouski—La Matapédia, QC

Thank you very much, Mr. Chair.

I'll continue with Mr. Bouvier.

This year, the federal government also announced a significant cut to the college and community innovation program.

In your opinion, what impact can this lack of predictability in federal programs have on Canada's ability to build a strong pharmaceutical ecosystem?

4:50 p.m.

Professor, As an Individual

Michel Bouvier

You mentioned a particularly important word, predictability.

One of the major difficulties we've encountered over the years is the inability to know to what extent a program that's been put in place will be supported and maintained for a number of years so that we can establish partnerships, either with other university partners or with industrial partners, to ensure the sustainability of the programs and research we're undertaking. Sustainability is an important issue.

That said, the budget cuts that are being made to training programs, whether at the college or university level, have a major impact on our ability to train the next generation of innovators, both in the pharmaceutical field and in other fields, particularly in the life sciences. We need to train these people here so that they can contribute to the next discoveries and innovations here.

If the climate is not conducive to this training, young people will either choose to leave Canada or choose other career paths, which will jeopardize our ability to innovate in the future.

Maxime Blanchette-Joncas Bloc Rimouski—La Matapédia, QC

Mr. Bouvier, have you heard from research centres that have had to scale back their activities or even close their doors following the elimination of the Centres of Excellence for Commercialization and Research Program?