The Booker bashing is why we lose.

[pnwmom]

190. Try WHO, CNN, NBC, Consumer Reports, etc.

http://www.cnn.com/2015/08/31/health/counterfeit-medications/

The World Health Organization estimates as many as 50% of illicit online pharmacies are selling counterfeit medications.

And in a 2014 annual report, the National Association of Boards of Pharmacy in the United States concluded after sampling more than 11,000 Internet pharmacies that a staggering 96% of those pharmacies did not comply with NABP patient safety and pharmacy practice standards, or state and federal laws, and were deemed by the NABP as "not recommended."

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That heart medication being advertised at a fraction of the price might contain rat poison. The cholesterol lowering drug you are taking could be filled with brick dust. And the antibiotic may be filled with other toxic chemicals such as paint or inkjet material.

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The online sellers are clever, often advertising themselves as Canadian to ease the consumer's mind about the source of the drugs. But many of those websites are phony, and the drugs are coming from counterfeiters all over the world. The countries topping the counterfeit drug manufacturing list are India and China.


http://abcnews.go.com/Health/abc-news-investigation-counterfeit-prescription-drug-operations-us/story?id=31077758

A popular way many customers get cheaper prescription drugs is to try to order them online from Canada. There are numerous small storefronts across the country with names like Canada Drugs or Canada Direct, advertising inexpensive drugs, but there are questions over whether the medicines being sold are pure, or even from Canada.

I was one of several ABC News producers to investigate these stores, using real prescriptions from our doctors for four different drugs -- Viagra, Zocor heart medication, generic Cialis and generic Propecia for hair loss -- to see if what we received from these stores was authentic.

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But while all of these stores advertised a Canada connection, Howard Sklamberg with the U.S. Food and Drug Administration Global Regulatory Operations, who is also a former prosecutor, said in reality only a “small percentage” of drugs coming through these storefronts are actually from Canada. He said most of the medicine ordered from these storefronts do not meet FDA standards.

“They could have dangerous contaminants,” he said. “And that's just a really, really, really big risk to take with your health.” Federal authorities point multiple examples of where these counterfeit drugs actually come from – Columbia, Peru, even China. ABC News had all four drugs – the Viagra, Zocor, generic Cialis and generic Propecia – tested at a variety of labs, from the Custom and Border Protection Lab in Newark, New Jersey, Eli Lilly’s Lab in Indianapolis, Indiana and the University of Montreal’s Department of Chemistry.

The generic Cialis and generic Propecia both arrived in packages from India and both came back containing impurities. In fact, a chemical test on the generic Propecia tablet revealed an unknown ingredient and unknown properties mixed in with the active ones.

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http://www.upi.com/Top_News/US/2015/08/11/Canadian-pharmacy-accused-of-selling-fake-cancer-drugs-to-US-doctors/3611439325784/

HELENA, Mont., Aug. 11 (UPI) -- U.S. prosecutors have accused a Canadian pharmacy of selling some $78 million in counterfeit, misbranded and unapproved drugs -- including those that treat cancer -- to U.S. doctors.

In an indictment filed in U.S. District Court in Montana, the company and its affiliates have been charged with smuggling, money laundering and conspiracy. The indictment was returned by a grand jury in November 2014, but a redacted document wasn't unsealed until July.

http://www.consumerreports.org/cro/news/2011/10/save-money-by-ordering-drugs-from-canada-not-so-fast/index.htm

The most prevalent financial problem Americans face month in month out is the inability to afford their medicines. That’s according to a monthly national poll by Consumer Reports National Research Center. Indeed, medication in the U.S. can cost up to twice as much as it does in other parts of the world, so many bargain hunters turn to the Web seeking discounted, name-brand prescription drugs from Canada or other countries. But recent analysis has found that buyers should beware: Only a fraction of online pharmacies are legitimate. Our medical consultants say that given such risks, ordering from foreign websites should be avoided altogether.

Of the more than 8,300 online pharmacies reviewed in July 2011 by the National Association of Boards of Pharmacy (NABP), which accredits online drugstores in addition to representing state pharmacy boards across the U.S., just over 3 percent appear to be sound. It considers the rest to be “rogue” operations.

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And for those seeking safety by ordering specifically from Canadian websites, there’s something else to consider. “Many of the Canadian sites aren’t Canadian at all,” says Carmen Catizone, NABP’s executive director.

While there are legitimate online Canadian pharmacies regulated by Health Canada, a government agency similar to the FDA, Canadian pharmacies that ship prescription medication to the U.S. aren’t subject to Canadian regulatory authority, according to the U.S. Department of Justice.

A spokesperson for Health Canada declined to assess the specific risks posed by these websites to Americans but did point out the Canadian government’s own warnings to its citizens about the risk of purchasing drugs on the Internet.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4105729/

Discussion

The issue of counterfeit drugs has been growing in importance in the United States, with the supply of these counterfeit drugs coming from all over the world. Innovation is important to economic growth and US competitiveness in the global marketplace, and intellectual property protections provide the ability for society to prosper from innovation. Especially important in terms of innovation in healthcare are the pharmaceutical and biopharmaceutical industries. In addition to taking income from consumers and drug companies, counterfeit drugs also pose health hazards to patients, including death. The case of bevacizumab (Avastin) is presented as one recent example. Internet pharmacies, which are often the source of counterfeit drugs, often falsely portray themselves as Canadian, to enhance their consumer acceptance. Adding to the problems are drug shortages, which facilitate access for counterfeits. A long and convoluted supply chain also facilitates counterfeits. In addition, the wholesale market involving numerous firms is a convenient target for counterfeit drugs. Trafficking in counterfeits can be extremely profitable; detection of counterfeits is difficult, and the penalties are modest.

Conclusion

Counterfeit drugs pose a public health hazard, waste consumer income, and reduce the incentive to engage in research and development and innovation. Stronger state licensure supervision of drug suppliers would be helpful. Technological approaches, such as the Radio Frequency Identification devices, should also be considered. Finally, counterfeit drugs may raise concerns among consumers about safety and reduce patient medication adherence.