11 August 2019
by Mary Fernando
Rarely does American primary politics impact Canada, but Senator Bernie Sanders’ ‘Insulin Caravan’ has certainly led to a situation that has ruffled Canadian feathers.
First, let’s be clear on why Sen. Sanders came: “By traveling to Canada, which has a single-payer, government-backed health care system, he was also making an implicit case for his "Medicare for All" plan, which would create a similar system in this country."
The people who came in the caravan didn’t come for political reasons but, rather, for heartbreakingly personal reasons: “Kathy Sego, who made a 7-hour trip from Indiana with her son, Hunter, who requires insulin and has rationed his intake, became emotional as she described choosing between paying a power bill or for the teen's medicine.”
What is the response in Canada? The average Canadian believes that healthcare is a human right and this compassion is best expressed by the Canadian mother of an eight-year-old Type 1 diabetic : "When I see headlines of people passing away because they're having to ration their insulin and they can't afford it [and] when you live with someone with Type 1, I can't imagine," she said. "What if it was your mother? Your brother? Any family member? I would give anything I could to afford the insulin to buy it — but we shouldn't need to do that.”
Then this happened: “[The Trump] administration said it was weighing plans to allow for the legal importation of prescription drugs from Canada to help Americans coping with skyrocketing drug prices in the United States.
The response from Canadians? Sorry, but back off.”
Why such a different response to the individuals coming for drugs and the American government promoting a mass importation of Canadian drugs? It is because Canada has a small population of 37M compared to the massive population of 325M. We already have drug shortages and cannot sustain a mass exodus of our life-saving drugs.
In fact, “the Canadian Medical Association and 14 other groups representing patients, health-care professionals, pharmacists and hospitals wrote last week to Health Minister Ginette Petitpas Taylor. The supply simply does not, and will not, exist within Canada to meet such demands…John Adams, the chair of the Best Medicines Coalition, an advocacy group for access to drugs that signed the letter last week to the health minister, said he’s not encouraged by the Canadian government’s “nonspecific” response to Trump’s proposal.
He called it “a clear and present danger” to the health of Canadians.
This is not the sort of thing that good neighbors do to each other.”
This is Canadian-speak for no, we won’t do that.
So, the consensus seems to be this: if you are in dire need, come here and we’ll share.
If you want - as a nation - to pull drugs away from Canadians, then no. And no again.
Perhaps it’s time that Americans use the Canadian method of price regulation. “The reason for the discrepancy is because Canada regulates drug prices through the quasi-judicial Patented Medicine Prices Review Board designed to prevent gouging...In the U.S., market forces are the lay of the land.”
In speaking to the character of Canada, I would like to thank the Canadian who invented insulin: “Banting famously sold his patent for $1 because he believed his discovery belonged to the world and not for profit.”
I hope America takes Banting’s message and actions to heart and creates a system where citizens can access drugs at a fair price. However, when it comes to pilfering Canadian drugs on a large scale, Canadians have clearly said, sorry but no.
In case our response is misunderstood, translated into American speak, the answer is, “Hell no.”