It is a great pleasure to be here with you today to discuss this topic.
[English]
The Forest Products Association of Canada is the national trade association that represents Canada's integrated pulp, paper, and lumber producers. The industry at large represents about 12% of Canada's manufacturing GDP. We directly employ 240,000 Canadians across the country and another 500,000 or so indirectly.
We are found in pretty much 200 communities across the country. When I say we're “in” those communities, I mean we are the economic lifeblood of many of those communities, keeping the towns running and keeping the jobs in the communities.
For many of you around this table, we've had numerous discussions over the years. Many of your constituencies are no strangers to the industry and certainly to the trials and tribulations we've gone through in the most recent economic downturn. Obviously many jobs have been shed in the sector. Many of you have felt the impact directly in your constituencies over the past couple of years.
I'd like to say that we're coming out of the economic unrest, but it looks like there's still some more uncertainty ahead. I am pleased to report, however, that the industry has taken some steps during the most recent economic downturn to better prepare itself to come out of the next economic malaise a little bit better prepared.
We've certainly undertaken progress on a number of fronts. We've improved our competitiveness and our productivity. We've looked to diversify our product stream. We're getting into the bioeconomy in a more fulsome fashion. We're adding that to our existing lumber, pulp, and paper production and trying to extract more value out of each and every tree.
The other two key parts of our transformational strategy include market diversification and leveraging our environmental reputation abroad. I think those last two components are integral to the Canada-European free trade agreement that we're going to discuss today.
Our industry is a significant exporter. We export well over 50% of our product, about $26 billion a year, to markets outside of Canada. We are one of Canada's largest exporting industries. We're also one of the most successful forest products exporting industries in the world.
Our primary market is, of course, the U.S. marketplace, where about 65% of our product goes. We send another 30% or so of our product to Asia, and certainly are looking at China as an increasingly important part of our product mix. The EU represents about another 5% of our market share. Various markets elsewhere around the world make up the remainder.
The government has been extremely supportive of the industry in terms of diversifying its marketplace in a number of ways. One is direct support for market development and market expansion in other parts of the world. Particularly if you look at China, the government has supported a lot of our development of that market. Ministers Oliver and Fast were recently over there doing some significant work in terms of outreach to their government. Much of this is government to government, so that's enormously helpful.
The second aspect of the government support that's been very useful for the industry in developing new marketplaces and diversifying our markets has been through free trade deals such as the one we're discussing today. I've been before this committee to discuss the Jordanian deal, the Panamanian deal, and also the Colombian deal, all of which are significantly smaller than this one but nonetheless help to diversify our marketplace. For that reason, we are very supportive of the deal we're talking about today, the deal with the EU.
To give you a sense of it, the EU imports from countries outside of the EU family about $23 billion worth of product annually. We ship about $1.5 billion worth of product to the EU. You can divide it almost into thirds: pulp, paper, and then wood products.
Our pulp and paper goes into that marketplace relatively tariff-free, but we do face a 7% tariff on our OSBs, the oriented strand boards, and plywood products going into that marketplace, which essentially renders our industry uncompetitive vis-à-vis our competitors.
On this particular deal, we've been working very closely with officials in the government in structuring the deal. There are two components of it that we're very supportive of. One, of course, is the removal of that 7% duty on our plywood products.
The second part is fairly unique. I don't know whether the committee has actually discussed this to date. We've advocated an annex for forest products procurement with governments. Right now the government procurement process for forest products in the EU is a fairly behind-closed-doors process. We're advocating something that's a little bit more open and that taps into leveraging our environmental pedigree.
The industry has come a long way in terms of its sustainability practices and its harvesting practices. We think that's an advantage in the marketplace. We would like to see that being used in the development of government procurement practices. So an annex to this deal has been written, and we believe it is on the table for discussion at this particular point in time in the next round. We understand that things are progressing smoothly. We're looking forward to seeing the final version of that.
All of that is to say that this is an important deal for us in that it opens up new markets for us. It expands our marketplace and is part of a market diversification plan that this industry has undertaken. We are grateful for the government's support in this regard. I look forward to entertaining questions from the committee after Mr. Pomerleau has provided his testimony.
Thank you, Mr. Chair.
:
Mr. Chairman and honourable members of Parliament, I am pleased to be here today to present the position of the Canadian pork industry on the comprehensive economic and trade agreement with the European Union.
First I will say a few words about our organization. Canada Pork International was established in 1991 as the export market development agency of the Canadian pork industry. It is a joint initiative of the Canadian Pork Council and the Canadian Meat Council, and our membership includes all the stakeholders from the hog producers to the processors and trading houses.
Our organization deals primarily with market access issues: promoting Canadian pork abroad, providing market intelligence, and working on other significant export-related issues.
It should be noted that more than 50% of the pork produced in Canada is exported. Canada is the world's third-largest pork exporter, behind the EU and the United States, and we account for nearly 20% of the world pork trade, so we are a significant player at the world level.
In 2010 we exported to over 100 different countries, close to 1.1 million tonnes, and that was worth $2.8 billion. This year we are on track to exceed the $3 billion mark, and our exports right now are up by close to 5% at this point.
Our industry is quite proud of the fact that we have been able to achieve an effective market diversification strategy. While more than a decade ago the U.S. market accounted for more than 75% of our total exports--and I'm quite sure you have heard that from many other sectors in the past--it's now just 32% of our total exports.
An essential factor for our success has been the opening of new market opportunities through the Uruguay Round in the mid-1990s, but also through regional trade agreements like the one we have with Mexico.
We need to note that Canada has been an exporter for over 100 years. Our export capacity was first built to supply the British market, from which we are excluded at this point, because when they joined the European Union, or the EEC at the time, we were excluded from that market. Therefore, we are very thankful to be given the opportunity today to express our views on the proposed agreement between Canada and the European Union.
As I mentioned earlier, Canada holds around 20% of the world's total pork trade, in spite of the fact that in practice our products have yet to gain meaningful access to the European Union, which is the world's second-largest pork-consuming market, behind China. To give you an idea of the size, China would consume around 50 million tonnes of pork per year and the European Union around 20 million. For that reason, CPI and its members are strongly in support of Canada concluding a comprehensive agreement with the European Union.
In our latest strategic plan, we identified the European Union as one of our highest priorities, and our interest in penetrating the European Union has greatly increased in recent years because of the sheer size of that market. It's also because of the interest that has been shown towards our products by many meat importers in Italy and the U.K. and by those who basically have a pork deficit within their own national markets. It's difficult for us to quantify the exact potential of the market at this time, but we estimate that if the conditions are right, the EU could easily become one of our top ten markets, if not one of the top five.
There are three areas of specific interest to our industry that need to be dealt with during the current negotiations. One is the EU pork import regime. Following the conclusion of the Uruguay Round, the EU was very creative in its efforts to minimize foreign pork access by amalgamating all meats instead of providing a minimum access for each. As a result, the EU pork TRQs represent roughly one-third of 1% of the total EU pork consumption.
In comparison, pork imports represent more than 25% of the total Canadian pork consumption and are three times larger than the total EU imports for a population of 500 million. Here in Canada we are just about 34 million. That gives you an idea of the difference here. Still, in spite of that, the EU current tariff rate quotas and their administration are very complex and not conducive to sustained trade.
In-quota tariffs are also very high, and they require performance bonds as well. In practice, it has never failed. We believe that Canada should be in a good position to negotiate a significant Canada-only tariff-free TRQ with simplified administrative procedures in its allocation.
Several western European countries were significant markets for Canadian pork at one time or another over the years, until the EEC adopted a series of technical measures—one called the third-country meat directive—that eventually excluded Canadian pork. Our major markets at the time were...I mentioned the U.K., which was a market for more than 75 years; France; and the Netherlands. The same measures were applied against our products when significant markets in central Europe--such as Poland, Hungary, and Romania--joined the European Union, and as a result we lost all of those markets.
Although the Canada-EU Veterinary Equivalency Agreement has substantially made it easier for some Canadian pork plants to become EU-approved, there are still negotiations required to make it a true equivalency agreement, and the Canadian Food Inspection Agency is fully aware of those and is always working with us in trying to ease those challenges.
Plants that wish to meet the EU standards under that agreement still have, in order to comply, to incur significant expenses and implement strict protocols, especially on some feeding material. At this time, only three Canadian pork plants are EU approved, with more considering it. Better access and less constraining plant registration requirements would definitely convince most Canadian plants to seek an EU registration.
Although they have been rarely used when it comes to exports to Canada, EU pork export subsidies can in theory apply to all markets. Canada should insist that it should at least not be used for shipments to Canada within the framework of this agreement.
It is worth noting that all of the issues we have with the European Union have been well documented over the years by the Government of Canada. We really appreciate having been consulted since the very beginning of the negotiations and being kept appraised of all the latest developments pertaining to our products.
A final Canadian pork position has yet to be submitted to the EU and it is still being worked on, but we are quite confident that the Canadian negotiators will do whatever is possible to get the best possible deal for our industry.
Finally, just to take one more minute of the committee's time, we wish to bring to your attention that the free trade agreement between the European Union and the Republic of Korea was implemented earlier this year. And everybody is aware that the United States has concluded a similar deal, although it remains to be ratified by the South Korean parliament, which is, in our view, just a matter of time.
South Korea is Canada's fourth-largest market in value for pork exports, and sales are on track to get very close to $300 million this year. Our Korean customers are all telling us that Canadian pork is the top-quality imported pork in that country. The Canadian industry has worked hard to develop opportunities for a wide range of products, including value-added products such as chilled pork, which is now available in several large South Korean supermarkets.
It now happens that all of Canada's competitors in South Korea have a free trade agreement, and you will appreciate that the Canadian pork industry, as well as several others in the Canadian agrifood sector, have a very significant interest in not being left behind. Our South Korean contacts have repeatedly made it very clear that without an agreement with South Korea, the Canadian pork industry will be almost out of that market within two years, as the tariff elimination schedules provided in other FTAs will make us completely uncompetitive.
Therefore, we urge the committee to support efforts to resume the negotiations shortly and finalize a Canada-South Korea free trade agreement as early as possible. There is no doubt in our mind that not concluding an FTA with South Korea would more than negate any gain we could make in successfully concluding one with the EU. Both are important to us.
Thank you for your time today, and I look forward to answering any questions you may have.
:
Yes, absolutely. Thank you for that question.
You're exactly right. What's happening in Europe is that governments develop procurement policies for their own purchasing habits and they tend to be done behind closed doors and without any open process. You end up having--whether it's intentional or not is a question--non-tariff barriers being put in place.
In some cases, we find those to be quite restrictive for our industry. They will put in place criteria that really don't apply to any country other than a country like Canada. As I say, it's hard to cast aspersions as to whether it's intentional or not, but you have to assume that there is some intent there.
Opening up that process and having it as a free and open process whereby we understand what's happening and then having a method through which you can appeal if things don't go the way you think they should go...that's also part of this annex. You would set up a body that would have an objective perspective.
I think the other important point of this thing, which I did not mention in my opening remarks, is that quite often the EU acts as a first step, in many respects, on the environmental side of things. Other countries around the world will look to the EU as an example of how policies are developed and what sort of criteria are in those policies. When we look to our other marketplaces such as China, which represents an enormous opportunity for our industry, if they quickly adopt some of the policies that are being developed by the EU governments from a procurement standpoint, we could find ourselves shut out in other marketplaces as well.
So it's an important sort of beachhead to get in there. They can often set policies elsewhere just by example. For that reason, it's also important beyond just the current ramifications of the direct EU-Canada deal.
:
Absolutely. The traditional lines of business that the industry's been in for many years have been the lumber, the pulp, and the paper.
A tree, of course, can now be broken down into far more chemical-like components. One of the key aspects that the industry has been pursuing started with getting into the green energy business, which is using our waste material that comes out of making the pulp and paper—the sawdust and bark and chips of that nature. What doesn't get put into pulp or into oriented strand board then gets burned and you can make cogeneration power, which is basically using the heat to heat water to generate steam to power the plants. Most of our energy now, about 67%, comes from renewable biomass material.
The other part of this, which we're pursuing aggressively, is that you can essentially break a tree down—and we're getting way beyond my expertise in some respects—and turn it into anything that you could use plastics, steel, or metal for. You could make it as strong. To give you an example, one of our member companies, Tembec, has the worldwide patent for a thing called three-dimensional pulp. When you think of paper, paper is very strong in two dimensions. You can pull it one way, and you can pull it from the top, but if you pull it this way, it will rip in half. They've developed three-dimensional pulp so that you can't tear it that way. The process is one that can now be taken and moulded into any shape or form you want. You could make car parts or airplane parts; anything that you would use aluminum for, you could make with this thing. Of course, it's renewable and uses less energy.
Essentially, going into that—bioeconomy, bioproducts, biochemicals—all of that can be rendered from a tree. In a sense, you're going to end up using 100% of the tree that you pull out of the forest.
Mr. Chairman and members of the committee, I'd like to start by thanking you for inviting Consumer Health Products Canada to provide our industry's perspective during the committee's review of a prospective comprehensive economic and trade agreement between Canada and the European Union.
Consumer Health Products Canada is a national industry association representing manufacturers, marketers, and distributors of consumer health products. The association members, which range from small businesses to large corporations, account for the vast majority of over-the-counter natural health products sold in the Canadian market.
The consumer health products industry is a mature but growing segment of Canada's health care system, currently generating approximately $5 billion in sales per year and contributing to the growth of the Canadian economy by providing high-quality employment for over 6,000 well-paid, highly skilled people involved in production, importation, and marketing of consumer health products in Canada. We further estimate that an additional 25,000 retail and distribution positions are supported directly by the sale of consumer health products.
We're aware that the negotiations between Canada and the EU thus far, as well as the discussions of the committee during these deliberations, have touched on various elements of intellectual property for prescription pharmaceuticals, including data protection, patent term restoration, and rights of appeal. We would note that these aspects of intellectual property do not currently exist, nor do they apply in the same manner for consumer health products. Our sector is in dire need of some data protection to ensure that we are attracting research investment to Canada and creating jobs for Canadians in domestic manufacturing and distribution of innovative products.
We believe that government and industry must work together so that Canadians can benefit from new scientific and technological breakthroughs in the area of consumer health products. But with that said, there are currently impediments to innovation in the regulation of consumer health products, which cause multinational corporations to negatively view the Canadian environment and its adverse effect on their ability to gain a return on investment when introducing innovative products.
One of the ways in which our industry innovates is by conducting research on established prescription drugs to find novel uses for them in the consumer market. When safety and patient benefits are demonstrated, this research is then used by Health Canada to process regulations for making a prescription drug available for self-care use.
Canadians benefit in several ways when medicines are switched to non-prescription availability, either for consumer self-selection or through the supervision of a pharmacist. They can treat common ailments and troublesome conditions more effectively without having to make a doctor's appointment. The prescription-OTC switch of antifungals for yeast infections, benzoyl peroxide for acne, and H2 blockers for heartburn are all great examples of this. For industry, switching from a prescription to a consumer market provides the opportunity for innovation.
However, there are also enormous benefits to the Canadian health care system and to the broader economy in switching products appropriate for self-care from prescription to consumer status. Research conducted for our association this year showed that visits to the doctor for colds, headaches, and heartburn cost the health care system $1 billion annually for adults alone. Once children and the associated costs of prescription drugs and lab tests are included, the figure exceeds $2 billion for just three of the hundreds of minor ailments that can be self-treated with consumer health products.
Prescription-to-OTC switching can reduce these costs in multiple ways. In some instances, just making incremental improvements to the self-care options available in the existing categories can generate substantial savings. For example, a Queen's University study showed that switching non-drowsy allergy medications to self-care status produced $65 million in net annual savings on doctor visits, dispensing fees, and drug costs in Ontario alone.
In other instances, by providing an entirely new self-care option, the impact on health care can be more dramatic. For example, in the switch of nicotine replacement therapy for smoking cessation to self-care status, not only were unnecessary doctor visits reduced, but overall quitting attempts rose significantly, contributing to the sharp drop in smoking rates in Canada since the 1997 switch of these products.
For the majority of Consumer Health Products Canada's multinational member companies, innovation happens on a global scale. After investing in the rigorous research to support the safe use of a new product for the consumer population, companies decide within which global markets to file registrations. Jurisdictions that offer data protection or market exclusivity for switched products are the most attractive to industry because they offer the opportunity to recuperate the exorbitant costs of research.
The lack of a data protection period currently being offered to our industry in Canada is causing us to lag many years behind companies in the European Union. As an example of this, in a recent comparative review of the switch landscape in Canada versus the United Kingdom, it was found that between 1984 and 2009, 96% of the switches occurred first in the United Kingdom before Canadians had access to them. Of those products switched first in the United Kingdom, the average period of time before Canadians had access to them was 7.3 years.
A great example of the detrimental effect on the health of Canadians and our economy by the lack of data protection for the consumer health products industry can be seen in the prescription to over-the-counter switch of cholesterol-lowering medications in the European Union. In Canada, competitors are able to get to market within a few short months of the innovator by using the efforts of the innovator to gain regulatory approval.
It is unlikely that any Canadian manufacturer will view this environment as worthwhile to invest in this kind of innovation. Therefore, Canadians will wait many years before accessing a product that citizens of the European Union currently have access to. This switch alone is projected to bring billions of dollars' worth of cost-effective health care savings through reduced coronary heart disease, morbidity, and mortality. With that said, we must also consider the trade opportunity lost for improving the Canadian economy during those lag years by creating thousands of jobs in domestic research and manufacturing and sales.
It's for this reason and many others--outlined for the committee in our written brief--that we propose that Canada align with the European Union's Article 74a data protection period for one year for prescriptions to OTC or prescriptions to natural health product switches when the government relies on proprietary clinical trials of an innovator to approve this change in classification.
Thank you for your time today. Given the complexity of these issues, I would be more than happy to answer any questions you may have.
:
Good afternoon, and thank you for the invitation to appear in front of the Standing Committee on International Trade today.
We at the Alzheimer Society of Canada have recently had the opportunity to meet with Minister Ed Fast in Toronto, and we are very pleased that this important committee is also interested in hearing from the Alzheimer Society today. I’d like to tell you a little about who we are, what we do, and why innovation matters to the over 500,000 Canadians who have Alzheimer's disease or another dementia, and who I’m here to represent.
The Alzheimer Society and our over 150 offices across Canada provide help for today and hope for tomorrow to Canadians who are affected by this terrible disease. We offer help by providing information, support, education, and awareness about the disease, how to cope, and how to enhance quality of life throughout the continuum of the disease. We offer hope by supporting research so that we can better understand, diagnose, treat, and prevent Alzheimer's disease.
Just a few words about the size, the scope, and the implications of Alzheimer's disease. Our “Rising Tide” report—which we released in 2009, and I brought copies along for you today—projects that within a generation the 500,000 Canadians with dementia today will more than double to 1.1 million Canadians. This year, 2011, is the year that the baby boom generation turns 65, and that means our problem will just get bigger, because aging is the greatest risk factor for Alzheimer's disease.
Alzheimer's disease is a terminal disease, and people with it can live for seven to 12 years after diagnosis. The cost of providing care throughout the continuum of this disease period is enormous. It is estimated at $15 billion today, and it will grow within a generation to $153 billion. So this is not a disease we can afford to ignore. It has an overwhelming impact on the people who have it and the people who care for them.
What is the Alzheimer Society of Canada doing to help? We at the Alzheimer Society are working on a number of fronts to provide help and hope to Canadians. In addition to our appearance here today, we are also working to affect change through preparing a well-researched and factual case about incidence, prevalence, and the economic impact of this disease, provided through our “Rising Tide” data. We are working at promoting continued and increasing public interest, evidenced by media coverage of the need for a national dementia strategy. We are working at maintaining an ongoing dialogue with senior bureaucrats and federal representatives through committee appearances like this one, including the neurological subcommittee on health.
We also work very closely with our 10 provincial Alzheimer Society partners to support their efforts to inform their provincial health representatives, so that we are presenting a common voice in the health accord negotiations to improve support systems for caregivers, improve brain health through increased research, and improve the integration of health care services post-diagnosis and as the disease progresses.
Today, I want to talk to you a little bit about why innovation matters to those I am here representing. Those people with Alzheimer's and other dementias want and need access to every single piece of brilliant science that might translate into medications that help their symptoms—treatments that can make them more able to lead normal lives for the time they can, and relief from the pressure and hour-by-hour responsibility of caregiving for families. Let me explain.
Therapeutic agents that target disease modification generally require studies that are often 18 months or longer. In fact, it can take as long as 10 to 12 years and $1 billion or more in development costs to bring a therapeutic agent to patients. This often leaves only seven to nine years of patent exclusivity for the industrial sponsor to recoup its investment in the development of a new drug. If a phase three trial has equivocal results that require a second phase three trial, companies frequently abandon a promising new drug because of the loss of patent exclusivity. It's a one-shot endeavour. Already a useful drug that could help people with Alzheimer's disease may have been abandoned for lack of corporate sponsorship.
Once the patent exclusivity on a new therapeutic agent expires, it can be copied and sold by companies that produce generic drugs in the competitive marketplace forever, without the costs of research and development.
As a result, developing new drugs has become an increasingly problematic business model that discourages the development of treatments for the fatal, chronic diseases—like Alzheimer’s disease—that create the greatest demands on our medical care systems.
I have already shared the statistics for Alzheimer’s disease with you. We know that this disease has the potential to overwhelm the medical and social support system in Canada and globally within a generation if nothing is done to prevent or slow the progression of the disease.
Patent rights policies for new pharmaceutical entities require reworking if the pharmaceutical industry is to continue to develop new drugs. For instance, prolonging patent exclusivity or allowing companies to recover some of the patent time lost during trials and regulatory approval processes would incent greater investment here in Canada.
Canada should benchmark against the exclusivity policies in the U.S., the EU, and other countries to provide a modestly advantageous policy. It is crucial that Canada take a leading position in this area so that business opportunities for the pharmaceutical industry in Canada are created, with a positive economic impact on Canadian health care, job creation, and investment in research—and for our stakeholders, the hope for a cure for Alzheimer’s disease.
The brain is the body’s most crucial and complex organ, made up of 100 billion neurons or brain cells. It controls all our life functions and allows us to act, move, think, feel, and express both our humanity and our individuality. If the brain doesn't work, every aspect of your life is compromised as a result. The brain is also the least understood, and perhaps the last frontier, in research. Ninety per cent of what we have learned about the brain has been learned in the last 15 years, but researchers still have a long way to go towards fully understanding brain function.
Diseases, disorders, and conditions like Alzheimer’s are so complex that we need to, at a minimum, maintain, but also significantly increase our investment in research and development. This will give hope to Canadians affected not only by Alzheimer’s disease, but also by the array of neurological conditions for which there are only limited treatments available, for many of which we still don’t know the cause and there still is no cure.
We fear that without clear demonstration of Canada’s support, promotion, and nurturing of innovation, key partners in industry may abandon research into Alzheimer’s disease. It’s already happening in the areas of stroke and psychiatric illness. We don’t want this to happen to Alzheimer’s disease. A reconsideration of patent policies will reset the system so that these critical, unmet medical needs can once again fit within the business model of pharmaceutical research and development and make a positive impact on new job creation in the vital knowledge economy.
Now we come back to the why. We don’t know the cause or the cure, nor do we have effective treatments for the progression of Alzheimer’s disease and other dementias. For this reason, we need to level the playing field and ensure that Canadians have the same access to innovation as the rest of the world, particularly the U.S. and Europe. For those Canadians who we represent, innovation means support for more research, drug discovery, and access to clinical trials. The research and development driven by this innovation translates into the work that will identify the causes and cures for this disease.
The Alzheimer's Society would welcome strong support and partnership with government and industry to really make an impact on this disease. We are doing our part at the Alzheimer's Society, as we are the largest non-government funder of Alzheimer’s disease research in Canada. But we fear that our over 30 years and $35 million investment in supporting this research may be at risk if the scientists and researchers we have been funding leave Canada for other countries that will support their work.
We know that similar OECD countries have better access to medications than we do in Canada, including equity in access to clinical trials. Over the past 30 years, many drugs have been studied as possible treatments for Alzheimer’s disease, but few have reached the market and have only been marginally successful in treating mild symptoms. Canadian scientists are working with their U.S. counterparts in academia, industry, and regulatory agencies to discuss ways to improve predictability and probability success. We need to be ready to take up the challenge and maintain our role as international research leaders.
Let me quote from the February 2011 report of the Canadian Institutes of Health Research:
Despite having only .5% of the world population, Canada produces 5% of the world’s new knowledge in Alzheimer’s disease and other dementias, and over the past four years, 15% of the most influential publications.
We cannot afford to let that kind of momentum be stopped by the withdrawal of ongoing long-term investment in the drug development that could see a cure.
To sum up, my expertise is not in specifics of legislation or negotiations, but we at the Alzheimer Society of Canada believe that reforming intellectual property standards for medicines in Canada that are currently being negotiated in the CETA discussions will maintain our knowledge-based investments with the potential of a $12 billion boost to the Canadian economy; will position Canada as a world leader in advanced medical research and a magnet for global investments; and will result in increased chances of Canadians getting access to newer medicines available elsewhere that can treat and eventually cure Alzheimer's disease and other dementias.
Currently Canada ranks 23rd out of 29 OECD countries in terms of public coverage of new medicines. This inequity means that people with Alzheimer's disease and other dementias have far fewer chances of getting medicines that could help alleviate their symptoms and possibly slow the progress of this disease. Canadians affected by Alzheimer's disease and other dementias need to be able to have hope: hope that their complex conditions will receive the attention they deserve by legislators such as you and hope that Canada will maintain its support for research, development, and innovation.
I came here today because I want to connect the dots between the need to support innovation in Canada, which will lead to more research and development, which will translate into more equitable access to drugs and the development of effective treatments of Alzheimer's disease and other dementias in Canada.
Thank you for your attention.
My question is mainly for Mr. Skinner.
I won't hide the fact that it irritates me a little to hear the same thing again and again about protecting patents to encourage research and development in the pharmaceutical industry. For 25 years, I have been studying the economic impact and the importance of social programs, particularly in health, in relation to the gross domestic product of a country, of a government budget.
What I've been seeing for 25 years is also shown in the figures published by the OECD in 2007 for the G7 countries. I compiled these numbers, and a very clear curve is established between the control of government spending in health and the actual costs. We can see that the United States is the country that spends the most public funds, considerably more than any other G7 country, whereas in the United Kingdom, which exercises very tight control, has the lowest levels of public spending.
I will now come back to the pharmaceutical companies. The chair of socio-economic studies of the Université du Québec à Montréal published a study on the 15 largest pharmaceutical companies in the world—we are obviously not dealing with the Canadian context. This study indicates that, in general, research and development spending over a 10 or 15-year period, if I remember correctly, represents the equivalent of only about a third of marketing and administration costs.
In terms of research and development spending, I'm not saying it's a general rule, but I think that too often we unfortunately see the development of new products that are simply derivatives of existing products, products that have supposedly been improved. I'll be honest: I sometimes feel like I'm being had.
You're asking for alignment with the European rules, in the same way that we are having a speculative bubble on the stock markets. But doing this, are we not just creating a monster, a bottomless pit of money that, in the end, won't bring anything extra to my mother, for example, who has to take a collection of pills every day? In the end, what concrete outcome will this alignment bring to Canadians? Can you give us a clear answer?
Actually you mentioned the situation between the United States and the United Kingdom. In my example, I was using the United Kingdom as a very strong and positive model.
It goes beyond just the data protection that's afforded in the European Union for inventing new uses for established products. I'll talk a little bit about that, because it actually has something to do with my colleague's comments. In the United Kingdom, the biggest driver of cost containment is understanding an integrated health care approach that makes self-care--what people can do for themselves--a very big part of the National Health Service and so on.
The United Kingdom was a very early adopter of the idea of not just dealing with invention, which is the patent protection system, because there are two ways you can improve health care. One is through inventing new chemicals that will have a certain safety and efficacy profile. Another is by using innovation whereby you would take something basic and find a new use for it.
The beauty of having an innovation incentive through a data protection period for something that is well established is that you already know the safety profile. The product has been in use for maybe 10 or 15 years. It's gone well past its patent life. The product is no longer at a very expensive level. It's been genericized and so on. You say that you've done some research and that product that always used to be used for arthritis actually has a very good anti-hypertensive effect, and it's much safer than the current anti-hypertensives and probably will give better compliance, and so on.
If you do all that research in Canada, you will get nothing for it. You will be penalized, in fact, because the minute you invest all the money into research and into making an application, the Canadian government will say, “Thank you for that. Now your competitors may do it as well today.” In fact, they go so far as to publish the label copy and everything you as the innovator have provided.
In the European Union, however, you have one year during which the government will not allow competitors to use your data to gain market access. It doesn't mean they couldn't do so if they had their own data. But that is a very tangible health care spending effect: being able to spend less money in terms of research to find new uses for established drugs, (a) because the safety profile is already established, so you're only looking at half the equation now; and (b) if you can find a new use for an established product and you can make it available for self-care, the costs drop right through the floor because you're into an open, competitive market.
And by the way, the governments don't pay for those kinds of things. People take them, and quite frankly we're in a period now where more and more Canadians are saying, “Please help me help myself. I want to be responsible for my own health care.” We're at a very interesting point in time where Canadians--and indeed, Europeans as well--want to do more for their own health.
But unfortunately, as I pointed out in my presentation, Canadians will be at least seven years behind Europeans in terms of products they can use to lower the health care system costs and also help individuals.