Health Canada Fails Us Yet Again

On this blog I have frequently extolled the fine investigative journalism practised by The Toronto Star. Whether on issues of municipal, provincial, or federal significance, The Star, as it frequently proclaims, "gets action."

From the standpoint of average Canadians, probably one of its most important investigations in recent times has been into Health Canada and its all too cozy relationship with the pharmaceutical industry, an industry protectorate seems to treat more as an equal than as an activity to be regulated. its relationship with the generic company Apotex is especially troubling.

Despite previous avowals by Health Minister Rona Ambrose that things would improve, it seems that business as usual prevails at Apotex. Yesterday, The Star reported that problems have again been uncovered, this time at its Brantford palant, information that, as in the past, comes not from Health Canada, but the U.S. Food and Drug Administration:

At the Brantford facility in November, FDA inspectors found the company launched an internal review in 2013 to ensure it was effectively cleaning the equipment used to make drug products. Three swab tests of the equipment found unacceptable levels of contamination.

But Apotex shelved its internal review “until (an) effective cleaning procedure is developed,” according to an Apotex memo reviewed by FDA inspectors.

Then, in September 2014, the company made multiple batches “using the same equipment cleaning methods that failed the cleaning validation,” FDA inspectors found.

The company then released the drug products “based on a less stringent” quality-control requirement.

What were the possible contaminants?

An industry expert said the most common contamination from improperly cleaned equipment would be bacteria or trace amounts of another drug or antibiotic made using the same machines.

So where was Health Canada in all of this?

The agency, which had conducted its own inspection in July with similar discoveries, tagged along with the FDA in its November inspection. But that's where common ground diverges. While the FDA made the result of the inspection publicly available, Health Canada says it is still finalizing the report from its July inspection.

A hard-hitting editorial in today's Star makes it abundantly clear that this kind of cavalier foot-dragging is unacceptable:

That’s not good enough. It’s January and drugs that could possibly be contaminated are on the market.

Health Canada must move a lot more quickly to ensure consumer safety. And it clearly needs to take a much more rigorous look into Apotex’s manufacturing practices. The company has a long history of safety issues at its plants.

The editorial ends with sentiments that few Canadians could disagree with:

In the end, consumers are dependent on Health Canada — not the FDA — to ensure that drugs on the Canadian market are safe and effective. Health Canada should immediately identify the drugs in question and issue its report on Apotex’s Brantford plant. And it needs to have a good hard look at all of Apotex’s manufacturing practices.

Consumer safety is at stake.

That, strangely enough, does not seem to be a priority with Health Canada.

The Triumph of Ideology Over Truth

None of us, of course, is free of prejudices, biases, and ideological/philosophical leanings. It is part of being human. But those of us who strive for critical thinking at least make an effort to recognize the aforementioned in our own thinking, and take measures to try to counteract their at-times destructive effects. I like to think that is what separates progressives from the reflexive ranters à la Fox News who substitute blather, invective and demagoguery for reason.

The New York Times' Paul Krugman has written a very interesting piece examining this issue, entitled Hating Good Government.

Krugman starts out by looking at climate change, and the fact that 2014 was the warmest year on record, a fact, however, that will make no difference in the 'debate.'

Evidence doesn’t matter for the “debate” over climate policy, where I put scare quotes around “debate” because, given the obvious irrelevance of logic and evidence, it’s not really a debate in any normal sense. And this situation is by no means unique. Indeed, at this point it’s hard to think of a major policy dispute where facts actually do matter; it’s unshakable dogma, across the board. And the real question is why.

To fully establish his premise, he next looks at the right's most prized article of faith, that tax cuts promote growth:

First, consider the Kansas experiment. Back in 2012 Sam Brownback, the state’s right-wing governor, went all in on supply-side economics: He drastically cut taxes, assuring everyone that the resulting boom would make up for the initial loss in revenues. Unfortunately for his constituents, his experiment has been a resounding failure. The economy of Kansas, far from booming, has lagged the economies of neighboring states, and Kansas is now in fiscal crisis.

So will we see conservatives scaling back their claims about the magical efficacy of tax cuts as a form of economic stimulus? Of course not. If evidence mattered, supply-side economics would have faded into obscurity decades ago.

Next, Krugman turns to health care reform, regarded by the right as an unspeakable evil promoted by the satanic Obama:

...the news on health reform keeps coming in, and it keeps being more favorable than even the supporters expected. We already knew that the number of Americans without insurance is dropping fast, even as the growth in health care costs moderates. Now we have evidence that the number of Americans experiencing financial distress due to medical expenses is also dropping fast.

Those facts, of course, will matter not a whit to the 'true believers' on the right.

Krugman then gets to the heart of the matter, the reason for this intractability that is impervious to facts:

Well, it strikes me that the immovable position in each of these cases is bound up with rejecting any role for government that serves the public interest. If you don’t want the government to impose controls or fees on polluters, you want to deny that there is any reason to limit emissions. If you don’t want the combination of regulation, mandates and subsidies that is needed to extend coverage to the uninsured, you want to deny that expanding coverage is even possible. And claims about the magical powers of tax cuts are often little more than a mask for the real agenda of crippling government by starving it of revenue.

And why this hatred of government in the public interest? Well, the political scientist Corey Robin argues that most self-proclaimed conservatives are actually reactionaries. That is, they’re defenders of traditional hierarchy — the kind of hierarchy that is threatened by any expansion of government, even (or perhaps especially) when that expansion makes the lives of ordinary citizens better and more secure.

We would be indeed foolish to think that such forces are not at work in Canada as well. One only has to look at the Harper regime's near-constant vilification of 'enemies, its suppression of science, its general demagoguery substituting for reasoned policy to see our sad domestic truths echo those of the U.S.

Not a time to be smug here, there, or anywhere.

How Does Stephen Harper Get Away With It?

Because we let him. That is the question asked and answered by a Toronto Star letter-writer in response to a column on democracy by Bob Hepburn, which I posted about last week.

There is an array of excellent letters on this topic, one that could serve as a primer for those who are disengaged. I hope you will check out the full page and share with those who might benefit from the insights offered.

Election best chance to restore faith in democracy, Opinion Jan. 11

This summary is brilliant and speaks to the heart of Canada’s challenge. Poor choices, decisions based on an ideology that excludes more voters than it includes, an arrogant blindness to the growing collateral damage caused by policies made within a narrow context – all of these and more can be reviewed and changed.

This column is a cry and pledge for change driven by the phrase, “How does Stephen Harper get away with it?” At the first step of the democratic ladder, the answer is “we let him get away with it.”

Perhaps it’s time for us (the voter) to ask, “How do we stop this erosion of our democracy?” And then set about a plan to do it, acknowledging that perhaps Mr. Harper’s strongest asset is the diversity and size of Canada making joint projects a geographic nightmare, a land where divide and conquer can be accomplished with our own money ($2.5 million in TV ads) not to mention the overriding complacency of the voter (the fiddle is playing while Ottawa burns). This summary challenges the voter.

The Star has done its job with strong and factual, canary in the mine reporting. We need to respond. Each Harper candidate needs voters to ask them all of these “how does” questions and stand our ground until we get the facts from each and every candidate who wants our vote.

And each voter must look inside her or his soul to discover again the value of our democracy is worth more than ideology.

Don Graves, Burlington

Fox Apologizes?

Surely the end is nigh.



In case you have the interest and the stomach, this is what the apologies were all about:

And Speaking Of Ethics

Or, more accurately, the lack of them at the CBC, letter-writer John Page of Toronto offers this thought:

Re: Minimal mindset of CBC managers, Jan. 16

As a faithful listener and hard-core supporter of the CBC for over 42 years, I recently changed the channel — literally. The story on the conduct of Amanda Lang and CBC management brings home the reality of the decline and likely extinction of the CBC.

Maybe I am naive to think that Harry Brown, Joe Cote, Barbara Frum, and Knowlton Nash would have ever placed themselves in the ethically grey areas that your article touches.

Hoping the Star and other media can do some more investigation and reporting on this important subject.

Egg On His Car

... but not on his face. Yes, our peripatetic and staunch, uncritical supporter of all things Israeli, Foreign Minister John Baird, was spared the ultimate humiliation during a visit to the West Bank city of Ramallah today to meet with Palestinian Foreign Minister Riad Malki.

The protesters, who were waiting as Baird left Malki's office, were kept well back and Baird was not hit, authorities say. One media report says only one of the eggs landed on the roof of his car.

Protesters held signs reading: "Baird you are not welcome in Palestine."

Here is some raw footage of the event, which many Canadians will look upon rather wistfully, I suspect, given that at home, members of the Harper regime have a far more nuanced relationship with the public, appearing only before carefully vetted, friendly groups:

More On The Amanda Lang Imbroglio

The Star's John Semley offers his thoughts on the inadequacy and ineptitude of the CBC's response to the Amanda Lang scandal: