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    Faced with the growing cost of prescription drugs and the ease of shopping online, more people are turning to the Internet in search of less expensive medications. FDA-approved medicines that claimed to be from Canada were in fact from India, China and other countries — including countries where U. citizens wouldn’t drink the water, let alone buy medicines. Such a list would be woefully insufficient in reining in illegal online pharmacies. Every day, nearly one million packages are shipped into the U. without electronic data that would allow law enforcement officials to target and screen potentially unsafe packages. The STOP Act would require that all packages shipped by foreign countries to the U. include important electronic security data, which would give U. law enforcement some of the tools it needs to screen and prevent dangerous drugs from entering our country. While this may sound harmless, at any one time there are nearly 34,000 active illegal online pharmacies and 600 new illegal pharmacy websites are launched every month. consumers search for “Canadian online pharmacies,” they find thousands of websites that claim to sell Health Canada-approved drugs supplied by licensed pharmacies in Canada. In an attempt to address this issue, the proposed importation legislation includes a provision for the creation of a list of licensed Canadian online pharmacies and facilities to be maintained by the U. The HHS would still have no oversight into online pharmacies’ supply chains, nor would it have jurisdiction to enforce violations of applicable U. This allows illegal online pharmacies to send drugs to the U. While it would be reckless and irresponsible for the U. federal government to open our borders to Canadian pharmacies by passing the Affordable and Safe Prescription Drug Importation Act, the Alliance for Safe Online Pharmacies (ASOP Global) supports the STOP Act and the work of elected officials to curb the trafficking of deadly and counterfeit drugs through the global postal service. These websites sell prescription medicines, including opioids, without requiring a valid physician’s prescription. However, most of these websites have no real connection to Canada at all; it’s easy to “copy and paste” a maple leaf or seal of approval on a website to dupe customers into believing they are purchasing real medications from a legitimate pharmacy, when what they are really getting is neither legal nor safe. Passage of this bill will not put an end to illegal online pharmacies or the opioid epidemic; however, it will signify progress in protecting the health and safety of all Americans. They exploit a global postal system incapable of sufficiently screening the materials within its shipments, and the products they peddle are often counterfeit or substandard — and can even be deadly. Despite its claims, the truth is that this policy will exacerbate the proliferation of illegal online pharmacies and increase the influx of counterfeit and controlled medicines, endangering consumers rather than helping them and fueling the ongoing opioid epidemic in the U. Worse yet, these “Canadianonline pharmacies often have a bifurcated supply chain that provides Canadian consumers with Health Canada-approved medications while shipping consumers in the U. Some “medications” look genuine but contain too much, too little or no active pharmaceutical ingredients, and/or poisons such as paint thinner, antifreeze and floor wax. pharmacies to buy less expensive but, at the same time, safe and genuine Health Canada-approved prescription drugs from licensed Canadian sellers inspected and approved by the U. Others are not properly handled or stored before reaching customers, diminishing their efficacy or rendering them unsafe. Several members of Congress recently introduced the Affordable and Safe Prescription Drug Importation Act, legislation they claim would allow U. Additionally, there are many more websites that claim to have some nexus to Canada – slap a maple leaf on a website – to dupe U. Like the other “Canadian online pharmacy” websites described above, these sites also do not source drugs that are approved by Health Canada. These sites have no real connection to Canada at all – do not work with a pharmacy or pharmacist licensed by a Canadian province and do not have physical presence in Canada. Indeed, Legit Script has approved a few that are solely targeting Canadian residents and that are operating legally under Canadian laws. Sometimes some of the drugs are, but never all of them. When a pharmacy is physically located in the United States, there is a built-in disincentive against supplying sub-standard drugs to U. residents: the risk of civil or criminal enforcement action. S., if they violate safety rules, the FDA, DEA, or a State Board of Pharmacy can exercise regulatory, even prosecutorial, authority over the pharmacy operators. That’s not just because of the laws prohibiting Americans from buying Health Canada-approved medicines; it’s because we have never seen a case where the website is shipping all or even most drugs from the Canadian pharmacy. government cannot effectively exercise cross- border jurisdiction to ensure that the drugs shipped into the U. Adding more resources, authorities, and penalties won’t change the fact that international criminals can evade U. law enforcement simply by operating off-shore in jurisdictions that don’t prioritize internet pharmacy crime and/or don’t cooperate with U. Simply put, the FDA and other regulatory boards, including Canadian ones, are rendered impotent to protect the public health as they cannot ensure the medicines supplied from online sellers are actually legitimate. Take, for example, the with smuggling $78 million worth of mislabeled, unapproved and counterfeit cancer drugs into the U. If a Canadian (or UK, or Indian, etc.) foreign national does the same, the FDA has no power to execute search warrants or arrest individuals in other countries absent extraordinary circumstances. In some cases, foreign jurisdictions cooperate with the U. on enforcement actions but many internet pharmacy criminals remain at large internationally. pharmacy knowingly swaps out FDA-approved medicine for toxic counterfeits and someone dies, the FDA can execute a search warrant, arrest the offender and protect the public health. Government can and does take action against illegal online pharmacy operators , our government’s power stops at our borders.

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