Joel Lexchin

(He/him)
Health Canada has begun consultations about using the decisions of foreign drug regulators, such as the U.S. Food and Drug Administration (FDA), to approve new drugs in Canada. (Unsplash+/Hal Gatewood)

Why drug approval in Canada should not rely on foreign regulators

Before Canada decides to rely on foreign drug regulators to approve new medicines, Health Canada needs to show that it will improve public health.
Research ethics boards are supposed to ensure that, among other things, patients understand the nature of the research and have given informed consent. (Unsplash/Nappy)

In drug trials, lack of oversight of research ethics boards could put Canadian patients at risk

Canada has no accreditation or inspection system for research ethics boards for clinical drug trials, and no oversight mechanism for the way that they undertake reviews.
New guidelines for the Patented Medicine Prices Review Board are set to take effect Jan. 1, 2026. THE CANADIAN PRESS/Ryan Remiorz

Canada’s new drug pricing guidelines are industry‑friendly

The Patented Medicine Prices Review Board’s mandate is to make sure that drug prices are not excessive. However, new guidelines that change criteria for assessing prices may lead to higher prices.
U.S. President Donald Trump walks toward the Oval Office after signing an executive order at an event to announce new tariffs in the Rose Garden of the White House on April 2, 2025, in Washington. (AP Photo/Mark Schiefelbein)

How Donald Trump’s tariffs threaten Canadians’ access to prescription drugs

U.S. tariffs present not only a risk of Canadian job losses — and loss of access to employer-sponsored drug plans — but also the risk of higher prescription drug prices.
As a first step in determining whose interests patient groups align with, we need more transparency about the source of their revenue. (Shutterstock)

Pharma company funding for patient advocacy groups needs to be transparent

Patient advocacy groups are often funded through pharmaceutical companies, but there are currently no regulations governing disclosure of this potential conflict of interest.
You may want to know more about a new prescription drug, such as how quickly the drug was approved by Health Canada, whether there have been any recent safety warnings about it or how the drug compares to other medications for the same condition. (Shutterstock)

How to find more information about a drug that your doctor prescribed

If you want to know more about a drug, Health Canada provides information online through several websites. However, some information appears to be getting harder to find.
Patients need to know that treatments are recommended based on patient need, not pharma company interests. That’s why it’s important to know how much Big Pharma is paying to health-care providers and organizations. (Shutterstock)

Canadians need to know how much money Big Pharma gives health‑care providers, but this information is far too difficult to find

Canada has a lack of transparency about Big Pharma’s payments to health-care providers and organizations. Disclosure is voluntary, and there’s no central data on even the few companies that do report.
Under a pharmacare plan, a single bargaining agent negotiates for lower prices from drug companies. (Shutterstock)

With a pharmacare bill on the horizon, Big Pharma’s attack on single‑payer drug coverage for Canadians needs a fact check

Pharmaceutical and insurance industries that could lose profit through lower drug prices are not happy that a pharmacare bill is planned for fall. They are speaking out and mobilizing their allies.
Canadians pay high drug prices, but the pharmaceutical industry claims it is a ‘key partner in economic resilience, recovery and growth.’ (Shutterstock)

High drug prices in Canada are just one side of a bad equation

Canadians pay very high drug costs, but Canada also does not receive the same economic benefits from pharmaceutical industry investments as other countries do.
When regulatory agencies like Health Canada approve a new drug, they require the drug company to continue monitoring the product’s safety. (Shutterstock)

Health Canada should be transparent about how it’s monitoring drug safety

Health Canada continues to monitor newly approved drugs to determine if the benefits identified in the pre-market trials hold up to further scrutiny. Canadians need better access to that information.
The degree to which Canadians support effective international co-operation, as essential to future pandemic preparedness and response, will shape Canada’s positioning on the draft international pandemic treaty. (Shutterstock)

The WHO’s international pandemic treaty: Meaningful public engagement must inform Canada’s negotiations

As negotiations for an international pandemic treaty get underway, public engagement is in the best interests of Canadians. Here is how the federal government is consulting affected populations.
The pharma industry warned that if proposed new prescription price guidelines go ahead, drug launches would be delayed and ‘Canadian patients will be deprived of potentially life-saving new medicines.’ (Shutterstock)

How the pharmaceutical industry uses disinformation to undermine drug price reform

The pharma industry claims lower prescription drug prices will mean less access to new medication for Canadians. It’s an old threat that pits profits against patients’ rights to affordable drugs.
OxyContin, an opioid drug heavily marketed by Purdue Pharma, is associated with billions of dollars of health-care costs in Canada related to the opioid crisis. (AP Photo/Toby Talbot)

$150M is not enough: Canada’s proposed Purdue Pharma settlement for opioid damages is paltry and won’t prevent future crises

The Purdue Pharma settlement is paltry compared to costs of the opioid crisis. Without major changes to pharma industry regulation, there is little reason to think a similar crisis won’t occur again.
Very few medical societies have public policies about how to deal with their interactions with companies. (Shutterstock)

Medical societies and health‑care companies may be too close for comfort

Voluntary medical societies have important roles in professional education and advocacy for doctors and patients, but there is need for transparency about relationships with pharma and health industry.
Changes to the Patented Medicine Prices Review Board regulations, which are intended to help lower drug costs in Canada, were originally scheduled to take effect in July 2020. (Shutterstock)

Lower drug prices are a priority for Canadians, but not for the federal government

Changes to Canada’s Patented Medicine Prices Review Board regulations have been postponed for a fourth time in two years as Canadians continue to pay some of the highest drug prices in the world.
Generic drug names are assigned at the global level by the World Health Organization in conjunction with national naming authorities. (Shutterstock)

Generic drug names provide information for doctors, so why is Health Canada promoting the use of pharma brand names?

Generic drug names are often long, but they can tell doctors what type of medicine it is and how it works. But it’s brand names that appear first and most prominently in Health Canada materials.
Anita Anand, Canada’s minister of public services and procurement, opens a box with some of the first 500,000 of the two million AstraZeneca COVID-19 vaccine doses that Canada secured last March through a deal with the Serum Institute of India. THE CANADIAN PRESS/Carlos Osorio - POOL

Canada is virtue signalling while waffling on global access to COVID‑19 vaccines

Despite some public virtue signalling, the Canadian government is not doing all it can to improve global access to COVID-19 vaccines. Canada has yet to announce its position on the WTO patent waiver.
Un travailleur de la santé prépare une dose du vaccin de Pfizer-BioNTech contre la Covid-19 dans une clinique de vaccination de l’UHN à Toronto, le 7 janvier 2021. La Presse Canadienne/Nathan Denette

Voici pourquoi il y a pénurie de vaccins contre la Covid‑19 au Canada

Derrière l’actuelle pénurie de vaccins contre la Covid-19 au Canada, on retrouve plusieurs décennies d’avertissements laissés sans suite, d’opportunités manquées et de ressources démantelées.
A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic in Toronto on Thursday, January 7, 2021. THE CANADIAN PRESS/Nathan Denette

The roots of Canada’s COVID‑19 vaccine shortage go back decades

Behind Canada’s current COVID-19 vaccine shortage is a decades-long tale of unheeded warnings, missed opportunities and dismantled resources that was never going to end well.
The pharmaceutical industry opposes the suspension of intellectual property rights on COVID-19 vaccines and treatments, and no pharma companies have yet contributed to the COVID-19 Technology Access Pool. (Shutterstock)

Can a pharma company change? Profit, not altruism, motivates COVID‑19 vaccine development

We should applaud drug companies for developing COVID-19 vaccines in record time, but let’s not be under any illusion about the profits that are motivating them.

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