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

Volunteers gather at Third Avenue and Mar Street on Friday, Nov. 20, 2020 to walk the streets of Uptown Port Alberni searching for people sleeping in alleys to hand out food and Naloxone kits. (SUBMITTED PHOTO)
Port Alberni tent city evicted again

Campers took over gazebo at Roger Creek Park

Richard Hawksworth, 88, has been living in the Alberni Valley since 1946. (SUBMITTED PHOTO)
VALLEY SENIORS: Port Alberni senior raises funds for the less fortunate

Richard Hawksworth contributes to the well-being of others

The Eta Chi Sorority chapter in Port Alberni recently donated $1,840 in funds to Ty Watson House, the Salvation Army and Bread of Life, Alberni Community and Women’s Services Society and the SPCA. Lynne Galesloot, left, gives a cheque to Chris Mellin, House Manager of Ty Watson House. (SUBMITTED PHOTO)
Alberni sorority raises funds for community organizations

Eta Chi chapter applauded for donations

When Peter Mieras isn’t taking scuba divers out on excursions in Alberni Inlet with his Rendezvous Dive Adventures, he often finds himself in the water anyway—filming with his other enterprise, Subvision Productions. Mieras captured salmon on their final journey back to their river of origin during a calm moment at the end of October. (PHOTO COURTESY PETER MIERAS/ SUBVISION PRODUCTIONS)
Vancouver Island film maker has a sockeye’s view of salmon spawning ground

Peter Mieras gets up close and personal with iconic west coast fish

North Island College student research assistant Avalon Kline-Smith holds up a piece of dried Alaria marginata, also known as Pacific wakame or winged kelp. (SUBMITTED PHOTO)
North Island College researching seaweed processing possibilities

New research partnership is between NIC and Cascadia Seaweed Corp.

People wearing face masks to help curb the spread of COVID-19 cross a street in downtown Vancouver, on Sunday, November 22, 2020. The use of masks is mandatory in indoor public and retail spaces in the province. THE CANADIAN PRESS/Darryl Dyck
B.C. reports 17 COVID deaths, 1,933 new cases as hospitalizations surge over the weekend

There are 277 people in hospital, of whom 59 are in ICU or critical care

An aerial shot of Cedar Valley Lodge this past August, LNG Canada’s newest accommodation for workers at the project site in Kitimat. This is where several employees are isolating after a COVID-19 outbreak was declared last Thursday (Nov. 19). (Photo courtesy of LNG Canada)
Forty-one positive COVID-19 cases associated with the LNG Canada site outbreak in Kitimat

Thirty-four of the 41 cases remain active, according to Northern Health

Firefighters try to put out a structure fire on the Island Highway in Nanoose Bay early Saturday morning. (Nanoose Bay Volunteer Fire Department photo)
Horses in nearby stable saved as building burns down in Nanoose Bay

Firefighters called out in the early-morning hours Saturday

Brenda Schroeder thought she was reading it wrong when she won $100,000 from a Season’s Greetings Scratch & Win. (Courtesy BCLC)
New home on the agenda after scratch ticket win in Saanich

Victoria woman set to share her $100,000 Season’s Greetings lottery win

Join Black Press Media and Do Some Good
Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

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

Workers arrive at the Lynn Valley Care Centre seniors home, in North Vancouver, B.C., on Saturday, March 14, 2020. It was the site of Canada’s first COVID-19 outbreak in a long-term care facility. THE CANADIAN PRESS/Darryl Dyck
Rapid tests ‘not a panacea’ for care homes, Dr. Bonnie Henry says

B.C. lacks capacity for daily tests of thousands of workers

(Delta Police Department photo)
Cannabis edibles found in Halloween bag lead B.C. police to illegal lab

Delta police arrested a man and a woman while executing a warrant at a residential property Nov. 20

A woman being arrested at a Kelowna Value Village after refusing to wear a mask on Nov. 22.(@Jules50278750/Twitter)
VIDEO: Woman arrested for refusing to wear mask at Kelowna Value Village

RCMP claims the woman was uncooperative with officers, striking them a number of times and screaming

Most Read