4 Former FDA Heads Criticize Drug Importation
Four former FDA commissioners have penned an open letter to Congress urging the lawmakers to not allow the importation of drugs not approved by the agency as a means to make lower-cost therapies available to U.S. citizens. Signed by Robert M. Califf, Margaret B. Hamburg, Mark B. McClellan, and Andrew von Eschenbach, the letter warns that such importation would be a “complex and risky approach—one that the evidence shows will not achieve the aim, and that is likely to harm patients and consumers and compromise the carefully constructed system that guards the safety of our nation’s medical products.”
The former commissioners support the “closed” distribution system here in the U.S., saying that it “provides assurance that good manufacturing practices are used and that the increasingly complex supply chain, including shipment and storage, is carefully monitored to ensure the quality a concerns about access to and costs of prescription drugs, particularly innovative therapies with major benefits for people with serious diseases.” Allowing drug importation “would be very different from importation of consumer products like watches or clothing, where consumers can more easily discern quality and where there are no health consequences of fake products,” they say. “It could lead to a host of unintended consequences and undesirable effects, including serious harm stemming from the use of adulterated, substandard, or counterfeit drugs. It could also undermine American confidence in what has proven to be a highly successful system for assuring drug safety.”