Counterfeit Drugs 6: Online Drugs, US FDA and G8 on Fighting Fake Drugs

Counterfeit drugs are dangerous. A patient taking it may develop new diseases as the original illness is not cured and may have evolved into something more serious inside the patient's body.

Here are four recent articles in BusinessWorld by Reiner Gloor on the subject. Reiner comes from the federation of mostly innovator and multinational pharma companies, PHAP. So he knows this subject through and through. The four papers are:

1. Medicines online, June 15, 2012
2. What's in a fake drug, June 01, 2012
3. G8 commits to fight global counterfeiting, May 25, 2012
4. Keeping safe from counterfeit drugs, February 23, 2012

(1) Medicines online 

June 15, 2012

Medicine Cabinet -- Reiner W. Gloor

http://www.bworldonline.com/weekender/content.php?id=53465

In the Philippines, a global research marketing group disclosed that one in three Filipinos have access to the internet. The 2011 Nielsen report further said that five in 10 survey respondents have high-speed internet connections at home while others frequent cafés or use their mobile phones to surf the Web.

The rapid growth of internet penetration in the country is expected to result in huge benefits. However, a recent global meeting of world leaders called for the need to put up barriers to threats that could adversely affect a user’s health, among others. The so-called Camp David Declaration of the Group of Eight Nations recently pledged to protect public health and consumer safety by committing to exchange information on rogue internet pharmacy sites that sell counterfeit medical products. The Declaration came ahead of World Anit-Counterfeiting Day on June 7 that also focused on pharmaceutical counterfeiting.

On May 29, the US Food and Drug Administration (FDA) warned consumers and healthcare professionals about a counterfeit version of a medicine used for the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. The fake version of the controlled substance is being sold on the internet.

The FDA reported that preliminary lab tests showed that the counterfeit version of the 30 mg tablets contained the wrong active ingredients. The genuine drug contains four active ingredients. The fake medicine was found to have tramadol and acetaminophen, which are ingredients in medicines used to treat acute pain. The physical look of the fake product purchased from the internet is a giveaway. It did not come in its original package, the color and shape of the pils were irregular, and there were no markings on the tablets. There were also misspellings on the package such as “Singel” instead of “Single” and “Aspartrte” instead of “Aspartate.”

Developed countries have established a system of regulating legitimate online pharmacy sites. But even with safeguards, counterfeit medicines continue to be a threat to those who purchase drugs online.

Some copycat medicines sold on the internet fit the World Health Organization (WHO) description of “spurious, falsely labeled, falsified and counterfeit” medicines. Their ingredients are too strong or weak, have dangerous ingredients, are expired, and are not manufactured using safe standards. If taken by a patient these could have dire health consequences.

Furthermore, fake pharmacy sites sell medicines that are not appropriate for one’s condition while other sites place personal credit information at risk.

Fiscal Irresponsibility 25: Spain Panic, More Eurozone Woes

Just a continuing proof that BIG government is wrong, is also the continuing debt and financial turmoil in Europe. Of course, the same heavy debt burden is also experienced in North America, Japan and other developed economies, regardless of their forms of government -- parliamentary, presidential, federal, centralized, unitary, etc.

Here are some news headlines yesterday, June 5, from BBC, CNN, FT, WSJ. They look self-explanatory.

A good chart from The Economist, Crunch Time, May 28th 2012.

...According to The Economist's credit-crunch index, credit is now tighter in the euro area than it was at the height of the financial crisis (see top-left chart). This is having a detrimental effect on the real economy, as demonstrated in the following three charts. When the index was last at a similar level during 2008-09, economic output tanked, unemployment shot up and stockmarkets plummeted. Unless policymakers find a lasting and credible solution soon, it seems likely that the same will happen again.

Another chart below from the same magazine, A rebalancing act, May 22nd 2012.

GREECE is in a bind. Because it is stuck with the euro, it cannot become more competitive by currency depreciation. Instead it must lower its real exchange rate, by cutting prices and wages. This is proving a painful process. One measure of progress, unit labour costs (the average cost of staffing per unit of output), is declining and will continue to do so, according to the OECD’s latest Economic Outlook. Cheaper labour should result in cheaper goods, making Greek exports more attractive to foreign buyers and helping to improve the trade deficit. But with less money in workers’ pockets domestic demand—the sum of consumption, investment and stock-building expenditure—is likely to fall further. The OECD recommends that trade-surplus economies, such as Germany and the Netherlands, push up costs. This would make Greece more competitve, without dragging on Greek workers' incomes.

And one more chart, also from The Economist, The German motor, May 15th 2012.

(Germany's) economy surpassed expectations by managing to grow by 0.5% during the first three months of the year. As a whole, the euro area registered stagnant growth, and without Germany its economy would have declined by 0.2%. Germany accounts for about 28% of euro-area output, yet its contribution to euro-area growth has increased markedly since 2004. It was responsible for 65% of the region's growth in output on average since 2007. Meanwhile the euro zone's peripheral countries—Portugal, Ireland, Italy, Greece and Spain—have seen their contribution decline from a pre-crisis average of 45% to a drag of 10% since 2007.

Look at that, a 0.7 percent GDP growth is already "high" in EU situation these days. The economic contraction, negative change in GDP size, has spilled over beyond the PIIGS, now covering Britain and the Netherlands.

Being an advocate of lean and limited government -- for limited coercion, regulations, restrictions and taxation -- it does not make me happy either to see these figures of bad economic performance by those economies under BIG governments.  But since those governments and the respective political parties and political groups and NGOs that support them, cannot be convinced easily of the mistake of further expanding government size and costly welfarism, we have to allow the natural course of events to teach them, the public, some hard lessons.

Some libertarian anarchist friends would question, "Why have limited coercion, why not zero coercion by abolishing government entirely?" Well, sports and gun clubs, rotary and other civic clubs, village and professional associations, etc. are mini-governments actually. They have their own bureaucracies, their own set of rules and regulations with respective rewards and punishments, collect mandatory annual dues and other fees that appear like taxes. In the event of conflict among their leaders, or an inter-club (say gun club) disputes, there is a need for a bigger force with its own coercive power, to settle disputes with finality. And we are referring to the promulgation of the rule of law, enforcement of contracts, between and among people, private enterprises, various civil society organizations, as the main "raison d etre" of government.

Suffice it to say that somehow we need government, but it should be a lean one focused on implementing very few functions. Big and expansive, highly intrusive government is wrong.

Ok, one last data for now. The world's largest economies in terms of GDP size, in trillion US$ current prices, 2001, 2006 and 2011.

Source: CNN Money

* Trivia: If the basis for G8 membership is being the "world's largest economies", then Russia and Canada should be out of G8 and China and Brazil should be in. One way to correct this is to expand the association to G10 and Russia and Canada can remain. But it's all about politics by the G8 member-governments.
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See also:
Fiscal irresponsibility 17: Cut Spending and Borrowing, September 19, 2011
Fiscal Irresponsibility 18: Greece Bailout, October 29, 2011
Fiscal Irresponsibility 19: Rich Countries' Debts, November 24, 2011
Fiscal Irresponsibility 20: Trade and Budget Balances, January 06, 2012
Fiscal Irresponsibility 21: Eurozone Debt, GDP and Unemployment, March 06, 2012
Fiscal Irresponsibility 22: China Borrows, China Lends. April 16, 2012
Fiscal Irresponsibility 23: High Debt and Unemployment and Parliamentarism Hard Sell, May 02, 2012
Fiscal Irresponsibility 24: More on the PIIGS and European Debt, May 16, 2012

Foreign Aid 3: Bob Geldoff and More Aid

July this year, Presidents and Prime Minsters from the US, UK, France, Germany, Japan, Italy, Canada and Russia held a G8 summit meeting in Scotland, UK, to discuss more foreign aid, global warming, etc. Bob Geldoff (and Bono and other rock stars) organized the "Live8" series of rock concerts in major cities of the said 8 countries. Their mission: pressure the G8 leaders to commit "more aid", "debt write-offs", to many African countries, to "make poverty history".

One free-market group in London, the International Policy Network (IPN), organized the "Global Development Summit" (GDS) on June 28. I was one of the panel speakers then, it was my first time to see London and UK, thanks IPN :-).

A day before the conference, I revised a famous song (IPN Exec. Director Julian Morris helped me) by Bob Geldoff in the 80s, "I don't like Mondays", and here's what we produced, below. We sang it on stage before the formal conference started.

Original song:

I don't like Mondays
(by Bob Geldoff, Boomtown Rats band)

The silicon chips inside her head
that switched to overload
and nobody's gonna go to school today
she's gonna make them stay at home
and daddy doesn't understand it
he said she was as good as gold
and he can see no reasons
cause there are no reasons
what reasons do you need to be shown
oh-woh-woh-woh

Tell me why -- I dont like Mondays
Tell me why -- I dont like Mondays
Tell me why -- I dont like Mondays
I wanna shoooooot, the whole day down!

Our revised song:

I don't like more aid

The G8 leaders are planning more aid
and that would mean, more taxes
and nobody's gonna go to shops today
they're gonna slash your take home pay
and Blair doesn't understand it
he said he'd wipe out poverty
and he can see no reasons
cause there are no reasons
what alibi you need to be shown
oh-woh-woh-woh

Tell me why -- i dont like more aid
Tell me why -- i dont like debt relief
Tell me why -- i hate protectionism
I wanna shoo-oooooot
The monopolists! :-)

(Chords pattern: C-G-F-G// Am-G, F-G)
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See also:
Foreign Aid 1: MDG Goals = More Debt Addiction, October 26, 2005
The Circuitous and Leaky Process of Foreign Aid, November 03, 2005

Foreign Aid 1: MDG Goals = More Debt Addiction

July this year, leaders of G8 countries promised debt forgiveness or debt write off for some of the world’s highly-indebted countries, mostly in Africa, during the G8 summit in Scotland. September this year, many world leaders gathered in New York for the UN World Summit, and one of the talking points was debt reduction for other indebted poor countries. Some proposals that received considerable support by other leaders of developing countries were “debt for equity” and “debt for Millenium Development Goals (MDG)”. The Philippine’s Speaker of the House of Representatives was among the key campaigners of such proposals.

Such new schemes are similar to debt write-off for highly-indebted poor countries. Other indebted poor countries will also not pay a big portion of their foreign debt to both multilateral/bilateral foreign aid institutions, and private bondholders. Instead, the money to be allocated for some foreign debt service (principal amortization plus interest payment) will be used for lender countries’ institutions, corporations and banks’ investment in some earning assets in poor countries ("debt for equity" scheme). Or use the money to expand the budget for social services to help meet the UN’s MDGs of cutting world poverty in 2015 by half compared to their 1990 levels.

While the goal of such new schemes -- poverty alleviation around the world – is laudable, the means are not. Debt forgiveness and reduction can inspire dictators and corrupt leaders to further rape their countries’ economy since the poorer a country is, the bigger is its chance for debt write off, or debt reduction at least. Hence, a “race to the bottom” can happen and it will condemn poor people of those countries into perpetual poverty and dependence on government for dole-outs.

Past loans for public education, public health care, infrastructure, environmental protection, and other social and economic services in poorer countries should have improved the skills, productivity and health of the people of recipient governments. In turn, these people should have become more productive and entrepreneurial, and they pay various taxes and fees to their governments, and the latter can pay back those loans contracted in the past.

Since many poor countries keep on borrowing purportedly for the same social and economic services, this means that the money from past loans were wasted and/or stolen. If this is so, then the solution to high public debt is not large-scale debt forgiveness or more foreign borrowings to be administered by the same sets of institutions and bureaucracies. Instead, poor countries should engage in large-scale privatization of state enterprises and remove some agencies and bureaucracies to save on annual expenditures. Proceeds from privatization and savings from agency consolidation should be used to retire a big portion of the public debt, and to finance continuing social and economic services to the public.

The Philippines and many other poorer economies have plenty of government corporations, banks and financial institutions, including their respective subsidiaries, that more often than not, distort the business environment since they operate as government monopolies, or siphon off public resources for their capitalization or for their bail out as they keep on losing money. Many if not all of these state enterprises can be privatized, not once but piecemeal. While it is true that privatization proceeds are one-time and non-recurring, savings from interest payment of the retired debt or from further contracting new debts, are recurring.

There are no “market failures” being addressed by these state enterprises as many private enterprises can and do provide the services which the former provide. For instance, in the Philippines, there is no justification why government is into real estate, like Clark Economic Zone, Subic Bay, and National Development Company’s subsidiaries (Batangas Land Co., First Cavite Industrial Estate, Kamayan Realty Corp., and so on). Or why government is into trucking and shipping, like NDC subsidiaries National Trucking and Forwarding Corp., Tacoma Bay Shipping Corp.

Non-payment of debts is a bad practice that encourages "moral hazards" problem of being irresponsible borrowers and being addicted to more debts. If poor country politicians, top bureaucrats and consultants can waste or steal their own people's tax money, how much more with rich Japanese or European or American taxpayers’ money. Non-payment of past loans for whatever social goals will only prolong the malady of debt addiction and the economic distortions of government enterprises that need to be disposed to help correct past mistakes and fund mismanagement.