Joel Lexchin

(He/him)
Over 90 per cent of Canadian doctors see pharmaceutical sales representatives. (Shutterstock)

Guidelines governing Canadian doctors’ relationships with pharma companies under review

Patients have a stake in the relationship between doctors and pharmaceutical companies, so the CMA’s current review of its guidelines for doctor/pharma interactions is everybody’s business.
Samples from volunteers are handled in the laboratory at Imperial College in London, on July 30, 2020. Imperial College is working on the development of a COVID-19 vaccine. (AP Photo/Kirsty Wigglesworth)

Canada’s COVID‑19 Vaccine Task Force needs better transparency about potential conflicts of interest

With lives depending on a vaccine, trust in Canada’s COVID-19 Vaccine Task Force is crucial. Members of the task force need to make any industry links or potential conflicts of interest publicly clear.
Despite monitoring the same drugs, Australia, Canada, the United Kingdom and the United States issued the same drug warnings only seven per cent of the time over a 10-year period. (Pixabay)

Drug Safety: Health Canada must act faster when approved medications show risks

Health Canada devotes far more resources to getting new drugs onto the market compared to making sure that drugs already being sold are safe.
The College of Physicians and Surgeons of Ontario has passed a new policy with no requirement that doctors accept after-hours messages. (Shutterstock)

Seeing a family doctor just got even harder in Ontario

Hospital overcrowding in Ontario is at an all-time high. And the College of Physicians and Surgeons of Ontario just passed a policy that will make it worse.
Une lettre adressée aux chefs de tous les partis politiques canadiens par 1200 scientifiques spécialistes des soins de santé réclame l’engagement de leurs partis envers un programme fédéral d’assurance-médicaments. Shutterstock

Il est temps de créer un programme national d’assurance‑médicaments

Des centaines de milliers de Canadiens se privent de nourriture, de chauffage et d'autres dépenses en santé afin de pouvoir se payer les médicaments dont ils ont besoin.
A letter to leaders of Canada’s political parties signed by 1200 academics with expertise in health care calls for parties to commit to a national pharmacare plan. (Shutterstock)

Leave the patchwork to the quilts: The case for pharmacare

The 1964 report that paved the way for Canada’s medicare envisaged that after universal coverage for doctors, the next step would be prescription drugs. But that next step hasn’t come.
When drug companies and drug regulators, such as Health Canada, sit down together at “pre-submission meetings” this may have a negative impact on public health. (Shutterstock)

Health Canada and Big Pharma: Too close for comfort

Drug companies have a job to do and so does Health Canada. When the relationship becomes murky, the public are at risk.
Research shows that six of 11 Health Canada scientific advisory committees had a majority of members with a direct or indirect financial interest. (Shutterstock)

Health Canada committees swimming in financial conflicts of interest

Health Canada must be unbiased and it must be seen to be unbiased – so that Canadians get the best possible value out of prescription drugs.
Canadian finance minister Bill Morneau announced funding for a new Canadian Drug Agency in the 2019 Federal Budget. Here he speaks at a press conference in Toronto, March 20, 2019. THE CANADIAN PRESS/Cole Burston

Federal budget: A Canadian Drug Agency and rare disease funding are not enough

A new agency and money for drugs for rare diseases are only very partial steps on the road towards what Canada really needs: a national pharmacare plan.
A new review of 372 patient group submissions to the Canadian Agency for Drugs or Technology in Health – about whether new medicines should be covered by public plans – reveals a total of 1896 conflicts of interest. (Shutterstock)

How Big Pharma donations may influence public drug coverage

A new study reveals how many patient groups lobby for new drugs to be funded by public plans in Canada – all while receiving funding from the companies manufacturing the drugs in question.
The Chronic Pain Association of Canada has received money from Eli Lilly Canada Inc., Purdue Canada Inc. and Merck Frosst Canada. A blog post on the association’s website contains messages favourable to increased opioid use. (Flickr/Ajay Suresh)

Why Big Pharma must disclose payments to patient groups

Evidence shows that opioid manufacturers fund patient advocacy groups in Canada, distorting policies to protect public health.
An animal experiment in a laboratory of the pharmaceutical company “Chemie Gruenenthal,” which manufactured the drug Thalidomide, in West Germany in 1969. Thalidomide was prescribed by doctors as a mild sleeping pill and for relief of morning sickness but caused the miscarriage and birth of thousands of children with severe malformations globally. (AP Photo/File)

We need answers to the thalidomide tragedy – to ensure drug safety today

A new book, ‘The Thalidomide Catastrophe,’ raises new questions about the conduct of corporations involved. It is the duty of governments to find out the answers.
The ongoing NAFTA renegotiations could put a Canadian national pharmacare program in jeopardy, and could have a particular impact on Canadians who need expensive arthritis drugs. (Shutterstock)

NAFTA negotiations may threaten pharmacare

The ongoing NAFTA renegotiations could put a Canadian national pharmacare program in jeopardy, and have a particular impact on Canadians who need expensive arthritis drugs. Here’s how.
The failure of TV ads to explain the safety risks of over-the-counter drugs can leave people in the emergency department with liver damage or psychosis. (Shutterstock)

Drug ads leave Canadians in the dark about safety risks

It’s time Health Canada took back the regulation of drug advertising – to protect consumers.
Research shows that money and meals from the pharmaceutical industry do increase the amount doctors prescribe the drugs being marketed. (Shutterstock)

What Big Pharma pays your doctor

Big Pharma in Canada is far behind the curve when it comes to disclosing what payments to health-care professionals are for.
The reliability of a new guideline for the management of chronic hepatitis C is questionable, given the financial conflicts of interest documented by its authors. (Shutterstock)

Can you rely on the drugs that your doctor prescribes?

In the run up to the Global Hepatitis Summit 2018, new guidelines for the management of hepatitis C should come under scrutiny – for financial conflict of interest and quality of evidence.
President Donald Trump releases a ‘blueprint’ to reduce prescription drug prices, with Health and Human Services Secretary Alex Azar, in the Rose Garden of the White House in Washington, May 11, 2018. (AP Photo/Carolyn Kaster)

No, raising drug prices in Canada will not help the U.S.

The logic behind U.S. president Donald Trump’s proposal that Canada and other countries have been “free-riding” off high prices in the United States is bizarre at best.
Thousands of people are dying every year of opioid-related overdoses, in an epidemic that traces its roots to 1996 and the introduction of the prescription drug OxyContin. Here, prescription opioids are shown in Toronto during 2017. THE CANADIAN PRESS/Graeme Roy

How Big Pharma deceives you about drug safety

Prescription drugs are policed by industry and Health Canada has never prosecuted a drug company for illegally marketing a drug.

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