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Health committee It's important to realize that some drugs are very important, and we should get those on the market. However, they don't necessarily have to come on to the market at the prices that are being demanded by the drug companies. There's an independent organization in the United States
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee In one word, yes. We paid for part of the cost of developing that. We should make sure that the intellectual property rights are public, so that those drugs can not only be produced in Canada or other rich countries but also be shared with the rest of the world to increase vaccin
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee Let me emphasize your point about companies trying to blackmail Canada. This goes back to the early 1970s with the Manitoba government, when they were introducing public payment for drugs. They were saying that if there is a generic on the market, they would cover only the cost o
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee As to why it's refused, you'd have to ask the people in government who are in charge of that kind of decision-making. If you look at the history of Canada, the Canadian government has had to make a choice between supporting improved access to medications in low- and middle-inco
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee The government is putting money into a number of facilities. There's the NRC plant that's being built in Montreal, and there's Medicago in Quebec City. They're investing money in Sanofi in northern Toronto, but none of these are Canadian-controlled companies. What we've seen is
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee There are a number of things that you have to consider. First of all, it's that drug companies, by and large, look at established markets. They see that there's a drug on the market and it has good sales, and they want to get a piece of that pie. They develop their own version
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee Primarily it comes down to economics. Even the large drug companies have limits on resources, and they are going to submit to get a drug on the market in places where they can get the largest return on those drugs, and that's the United States. The United States prices for brand
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee Thank you for the opportunity to appear before the committee. I work as an emergency physician in downtown Toronto. Between 2001 and 2016, I taught health policy at York University. Over the past 40 years, I've been involved in researching and writing about pharmaceutical policy
June 11th, 2021Committee meeting
Dr. Joel Lexchin
Health committee In my view, what we want is a global strategy for this, so that the most vulnerable people in all countries get immunized to decrease the rate of spread. One of the things we know is that the faster the virus spreads and the more people it infects, the higher the likelihood that
February 1st, 2021Committee meeting
Dr. Joel Lexchin
Health committee I think the problem is that the vaccines are being treated as commercial products subject to commercial contracts. The vaccines are not a normal commercial good in the sense that computers might be. They're essential to health, and because they're essential to health, we need to
February 1st, 2021Committee meeting
Dr. Joel Lexchin
Health committee That's certainly a significant problem, that lack of transparency. One of the things we've been faced with over the entire period of the pandemic is that we need public trust in what is happening and what the health community and the government are doing in terms of trying to pro
February 1st, 2021Committee meeting
Dr. Joel Lexchin
Health committee First of all, I think what we're dealing with is a lack of domestic capacity to produce vaccine, which leaves us vulnerable to what's going on in other countries. We're seeing now threats, or moves, by the European Union to possibly restrict the export of vaccines from those cou
February 1st, 2021Committee meeting
Dr. Joel Lexchin
Health committee Thank you very much for the opportunity to speak to the committee. I am an emergency physician and have been one since 1982. I taught health policy at York University from 2001 to 2016, and I've been researching pharmaceutical policy for about 40 years. I'm going to go into fo
February 1st, 2021Committee meeting
Dr. Joel Lexchin