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

Red sky in morning: an early-morning sunrise on May 16, 2020, captured just north of Kitimat. (Eric Roy photo)
Clare’s Corner: Hello, darkness, my old friend

Why does the after-work darkness affect you so much more as an adult than as a child?

(Corrado Colombo photo)
Corrado Colombo, with his wife, Lucy. Colombo is from Italy, but met Kitimat born-and-raised Lucy on one of his annual fishing trips to Kitimat in the early 2000s.
In Our Valley: Corrado Colombo

Corrado Colombo never expected that an annual fishing trip to Kitimat would change his life

Skeena MLA Ellis Ross at his swearing in on Thursday (Nov. 26), with his wife, Tracey, left, mother, Frieda, and grandson, Parker. (Ellis Ross photo)
Ellis Ross sworn in as Skeena MLA

Ceremonies happening virtually rather than all in-person in Victoria

CityWest internet and other services are down in Kitimat as of Wednesday (Nov. 25) evening. (Black Press file photo)
UPDATE: Services down for CityWest users in Kitimat

Services were put out due to a landslide cutting a fibre line

(Dave Landine/Facebook)
VIDEO: Dashcam captures head-on crash between snowplow and truck on northern B.C. highway

Driver posted to social media that he walked away largely unscathed

Black Press Media and BraveFace have come together to support children facing life-threatening conditions. Net proceeds from these washable, reusable, three-layer masks go to Make-A-Wish Foundation BC & Yukon.
Put on a BraveFace: Help make children’s wishes come true

Black Press Media, BraveFace host mask fundraiser for Make-A-Wish Foundation

A pedestrian makes their way through the snow in downtown Ottawa on Wednesday, Nov. 25, 2020. THE CANADIAN PRESS/Sean Kilpatrick
Wild winter, drastic swings in store for Canada this year: Weather Network

In British Columbia and the Prairies, forecasters are calling for above-average snowfall levels

NDP Leader John Horgan, left, speaks as local candidate Ravi Kahlon listens during a campaign stop at Kahlon’s home in North Delta, B.C., on April 18, 2017. THE CANADIAN PRESS/Darryl Dyck
A B.C. Ambulance Service paramedic wearing a face mask to curb the spread of COVID-19 moves a stretcher outside an ambulance at Royal Columbia Hospital, in New Westminster, B.C., on Sunday, November 29, 2020. THE CANADIAN PRESS/Darryl Dyck
Top doctor urges Canadians to limit gatherings as ‘deeply concerning’ outbreaks continue

Canada’s active cases currently stand at 63,835, compared to 53,907 a week prior

A Canadian Pacific freight train travels around Morant’s Curve near Lake Louise, Alta., on Monday, Dec. 1, 2014. A study looking at 646 wildlife deaths along the railway tracks in Banff and Yoho national parks in Alberta and British Columbia has found that train speed is one of the biggest factors. THE CANADIAN PRESS/Frank Gunn
Study finds train speed a top factor in wildlife deaths in Banff, Yoho national parks

Research concludes effective mitigation could address train speed and ability of wildlife to see trains

A airport worker is pictured at Vancouver International Airport in Richmond, B.C. Wednesday, March 18, 2020. THE CANADIAN PRESS/Jonathan Hayward
Canada extends COVID restrictions for non-U.S. travellers until Jan. 21 amid second wave

This ban is separate from the one restricting non-essential U.S. travel

Menno Place. (Google Street View image.)
B.C. care home looks to hire residents’ family members amid COVID-19-related staff shortage

Family would get paid as temporary workers, while having chance to see loved ones while wearing PPE

A man walks by a COVID-19 test pod at the Vancouver airport in this undated handout photo. A study has launched to investigate the safest and most efficient way to rapidly test for COVID-19 in people taking off from the Vancouver airport. The airport authority says the study that got underway Friday at WestJet’s domestic check-in area is the first of its kind in Canada. THE CANADIAN PRESS/HO, Vancouver Airport Authority *MANDATORY CREDIT*
COVID-19 rapid test study launches at Vancouver airport for departing passengers

Airport authority says that a positive rapid test result does not constitute a medical diagnosis for COVID-19

Most Read