This microscope image made available by the National Cancer Institute Center for Cancer Research in 2015 shows human colon cancer cells with the nuclei stained red. Sales of medications to treat cancer have nearly tripled in Canada over the past decade, reaching $3.9 billion last year, a report by a federal agency says. THE CANADIAN PRESS/HO, AP, NCI Center for Cancer Research

This microscope image made available by the National Cancer Institute Center for Cancer Research in 2015 shows human colon cancer cells with the nuclei stained red. Sales of medications to treat cancer have nearly tripled in Canada over the past decade, reaching $3.9 billion last year, a report by a federal agency says. THE CANADIAN PRESS/HO, AP, NCI Center for Cancer Research

Cost for cancer-fighting drugs triples in Canada but still no national drug plan

Medicines with 28-day treatment costs exceeding $7,500 made up 43 per cent of private plan oncology drug costs

Sales of medications to treat cancer have nearly tripled in Canada over the past decade, reaching $3.9 billion last year, a report by a federal agency says.

The Patented Medicine Prices Review Board has released data showing cancer medications account for about 15 per cent of all spending on pharmaceuticals.

“In 2019, medicines with 28-day treatment costs exceeding $7,500 made up 43 per cent of private plan oncology drug costs, compared with 17 per cent in 2010,” says the report by the board, which aims to protect consumers by ensuring manufacturers aren’t charging excessive prices for patented medications.

It says growth in the Canadian oncology market last year exceeded that of other countries including the United States and Switzerland, with a 20 per cent increase over sales from 2018.

Sales of oral cancer medications account for half of all oncology sales in Canada, up from 37 per cent in 2010, the report says, adding that while intravenous chemotherapy is publicly funded in all provinces, reimbursement of oral drugs differs across the country.

Steve Morgan, a professor in the School of Population and Public Health at the University of British Columbia, said it doesn’t make sense to cover the cost of intravenous chemotherapy in hospitals and not medications prescribed to patients outside of those facilities, but that’s justified in a country without a national drug plan.

“This is one of the messy bits of the Canadian health-care system,” he said, adding there’s a patchwork system of coverage across jurisdictions, with cancer agencies in some provinces providing limited payment for at-home oncology treatments.

A national pharmacare plan would allow Canada to negotiate better drug prices, Morgan said, noting it’s the only country in the world with a universal health-care system without coverage for prescription drugs.

Much of the national-level negotiating countries do with manufacturers happens in secret, Morgan said, starting with a list or sticker price, much like buying a vehicle at a dealership, as part of a complicated regime involving rebates to bring down prices.

“It’s deliberately made to cloud the real transaction price, the real price to health the system, so that no country can look at it and say, ‘hey, wait a second, I heard that the people in Australia got this amazing new price on this drug.’”

“What we can’t know is exactly which countries are getting the most value for money because we don’t get to see their secret deals. We do know that Canada’s list prices are among the highest in the world, and even above the level that the (Patented Medicine Prices Review Board) would like to see in terms of just the beginning of negotiations,” Morgan said.

Countries with universal single-payer systems for medications, including Norway, Sweden, the United Kingdom, Australia and New Zealand are likely using their negotiating power to get better prices from manufacturers asking for unreasonable amounts of money, he said.

Canada is expected to have about 225,000 new cancer cases and 83,000 deaths from the disease this year alone, the report by the Patented Medicine Prices Review Board says.

Camille Bains, The Canadian Press

Like us on Facebook and follow us on Twitter.

Want to support local journalism? Make a donation here.

Cancer

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Highway 20 is now open but conditions are still challenging (Dawson Road Maintenance photo)
Some customers still without power as additional crews brought in to help

Trees continued to fall onto lines even after the actual storm had passed

The exposure occurred on 24th, 25th, & 26th November 2020, and affects Grade 7, 8, 9, 10 (file photo)
COVID-19 case confirmed at Acwsalcta School

The exposure occurred on 24th, 25th, & 26th November 2020, and affects Grade 7, 8, 9, 10.

A convoy of vehicles passes through Heckman Pass on Highway 20 as cleanup operations continued Saturday. Dawson Road Maintenance is asking motorists to watch for crews and equipment working throughout the area. (Dawson Road Maintenance photo/Facebook)
Highway 20 reopens between Anahim Lake and Bella Coola after winter storm Friday

“We appreciate your patience as we continue to clear wood debris and widen sections of the road.”

Bella Coola RCMP are alerting residents that the road between 4 Mile subdivision and downtown will be closed until at least tomorrow. (File image)
Winter storm closes 4 Mile to downtown road in Bella Coola

Police it will remain closed until Saturday, at least

Provincial health officer Dr. Bonnie Henry updates B.C.’s coronavirus situation at the legislature, Nov. 30, 2020. (B.C. government)
Hockey team brought COVID-19 back from Alberta, B.C. doctor says

Dr. Bonnie Henry pleads for out-of-province travel to stop

B.C. Premier John Horgan on a conference call with religious leaders from his B.C. legislature office, Nov. 18, 2020, informing them in-person church services are off until further notice. (B.C. government)
B.C. tourism relief coming soon, Premier John Horgan says

Industry leaders to report on their urgent needs next week

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

An RCMP cruiser looks on as a military search and rescue helicopter winds down near Bridesville, B.C. Tuesday, Dec. 1. Photo courtesy of RCMP Cpl. Jesse O’Donaghey
B.C. Mountie, suspect airlifted by Canadian Armed Forces from ravine after foot chase

Military aircraft were dispatched from Comox, B.C., say RCMP

An 18-year old male southern resident killer whale, J34, is stranded near Sechelt in 2016. A postmortem examination suggests he died from trauma consistent with a vessel strike. (Photo supplied by Paul Cottrell, Fisheries and Oceans Canada)
“We can do better” — humans the leading cause of orca deaths: study

B.C. research reveals multitude of human and environmental threats affecting killer whales

A logo for Netflix on a remote control is seen in Portland, Ore.,Aug. 13, 2020. Experts in taxation and media say a plan announced Monday by the government will ultimately add to the cost of digital services and goods sold by foreign companies. THE CANADIAN PRESS/AP-Jenny Kane
‘Netflix tax’ for digital media likely to raise prices for consumers, experts say

The government says Canadian companies already collect those taxes when they make digital sales

BIG SALMON ranch in Washington State. (Center for Whale Research handout)
Non-profit buys Chinook ranch in hopes of increasing feed for southern resident killer whales

The ranch, which borders both sides of Washington State’s Elwha River, is a hotspot for chinook salmon

Most Read