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Joel Lexchin

Professor Emeritus of Health Policy and Management, York University, Emergency Physician at University Health Network, Associate Professor of Family and Community Medicine, University of Toronto

Dr. Lexchin has been writing and publishing about pharmaceutical policy issues for the past 30 years. He is the author or co-author of over 140 peer-reviewed papers on a wide range of topics in this area, including: drug regulation, pharmacosurveillance, drug promotion, research and development, access to medications in developing countries and physician prescribing behaviour. He has been a consultant on these and other issues to the Ontario provincial government, various parts of the Canadian federal government, the government of New Zealand, the Australian National Prescribing Service and the World Health Organization.

High drug prices in Canada are just one side of a bad equation

Jul 18, 2023 07:59 am UTC| Insights & Views

The Canadian health-care system is under pressure as service levels decline while costs escalate. Drugs are one of our largest health-care expenditures. A federal agency, the Patented Medicine Prices Review Board (PMPRB),...

Opioid marketing to Canadian doctors hyped benefits, downplayed harms

Mar 10, 2020 11:54 am UTC| Health

Between January 2016 and June 2019 there were over 13,900 deaths from opioid overdoses in Canada, 4,500 of which occurred in 2018. Based on information to date, 2019 is likely to have a similar mortality rate. Most deaths...

Leave the patchwork to the quilts: The case for pharmacare

Aug 26, 2019 04:23 am UTC| Insights & Views Health

On August 15, 2019, more than 1,200 academics, including me, with expertise in health care signed a letter to the leaders of Canadas federal political parties. The letter called on them to commit to a national pharmacare...

Health Canada and Big Pharma: Too close for comfort

Aug 15, 2019 17:54 pm UTC| Insights & Views Business

Over the past few decades its become common practice for drug companies and drug regulators, such as Health Canada, to sit down together at what are called pre-submission meetings. These are get-togethers where both...

Why Big Pharma must disclose payments to patient groups

Jan 14, 2019 10:58 am UTC| Insights & Views Health Business Law

A United States congressional report revealed last year that five opioid manufacturers made more than $10 million in payments to patient advocacy groups and professional societies between 2012 and 2017. Initiatives from...

We need answers to the thalidomide tragedy – to ensure drug safety today

Oct 28, 2018 13:25 pm UTC| Insights & Views Health

In 2015, after decades of fruitless lobbying, Canadian survivors of thalidomide finally received compensation from the federal government. The drug was a supposedly mild sleeping pill, a wonder drug that helped pregnant...

NAFTA negotiations may threaten pharmacare

Sep 10, 2018 13:50 pm UTC| Insights & Views Health

Around 91 per cent of Canadians want a national pharmacare plan, according to a recent national poll, so they dont have to choose between buying groceries or paying for drugs to keep them healthy. The same public...

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Economy

Time to buy local: war fuel price shocks reveal the folly of a long food supply chain

Most of our food travels many thousands of kilometres across Australia to reach our kitchens. We are highly dependent on a vast web of long-haul trucks to move food between growers, massive food distribution hubs and large...

Gold is meant to be a ‘safe haven’ in uncertain times. Why is it crashing amid a war?

Gold has long enjoyed a reputation as a financial safe haven during stormy times. But over the past few months of geopolitical chaos and market panic, the precious metal has moved more like a roller coaster than a steady...

WTO Reform Talks Begin in Cameroon Amid Global Trade Tensions

Trade ministers from around the world convened Thursday in Yaoundé, Cameroon, for a critical four-day summit focused on reforming the World Trade Organization. The high-stakes gathering comes at a turbulent moment...

Japan Eyes Oil Futures Intervention to Stabilize Yen Amid Middle East Crisis

Japan is exploring an unconventional strategy to halt the yens ongoing decline directly intervening in global crude oil futures markets. The proposal, first reported by Reuters, signals Tokyos growing frustration as...

U.S. Stock Futures Steady as Iran Reviews U.S. Ceasefire Proposal

U.S. stock index futures held relatively steady on Wednesday evening after Iran signaled it was reviewing a ceasefire proposal put forward by Washington aimed at ending the ongoing Middle East conflict. The cautious market...

Politics

Russia-Iran Military Alliance Deepens With Drone Shipments Amid Middle East Tensions

Moscow is moving closer to completing a multi-phase transfer of lethal drones, medicine, and food supplies to Tehran, according to Western intelligence sources cited by the Financial Times. The deliveries are designed to...

Iran-U.S. Negotiations: Tehran Reviews American Peace Proposal Amid Ongoing Gulf Conflict

Irans foreign minister confirmed Wednesday that Tehran is examining a United States peace proposal aimed at ending the escalating Gulf war, though officials stressed this falls short of direct negotiations between the two...

FEMA Reinstates $1 Billion Disaster Prevention Grant Program After Court Order

The Federal Emergency Management Agency has announced the resumption of a key disaster prevention initiative after facing legal challenges that forced the reversal of its earlier cancellation. The agency is once again...

Taiwan Arms Deal on Track Despite U.S.-China Summit Uncertainty

Taiwans Defense Minister Wellington Koo confirmed Thursday that the next major U.S. arms sale to the island remains on schedule, revealing that Taipei has already received a formal letter of guarantee from Washington...

G7 Foreign Ministers Gather in France Amid Global Tensions and U.S. Policy Uncertainty

Foreign ministers from the worlds top Western democracies have convened in France this week for a high-stakes two-day summit at the historic 12th-century Abbaye des Vaux-de-Cernay, located roughly 40 kilometers southwest...

Science

SpaceX Pivots Toward Moon City as Musk Reframes Long-Term Space Vision

SpaceX CEO Elon Musk has revealed a significant shift in the companys near-term space exploration strategy, announcing that SpaceX is now prioritizing the development of a self-growing city on the Moon rather than focusing...

SpaceX Prioritizes Moon Mission Before Mars as Starship Development Accelerates

Elon Musks SpaceX is shifting its near-term space exploration strategy, choosing to prioritize a return to the Moon before pursuing missions to Mars, according to a recent Wall Street Journal report citing sources familiar...

NASA and SpaceX Target Crew-11 Undocking From ISS Amid Medical Concern

NASA has confirmed that the agency, in coordination with SpaceX, is targeting no earlier than 5 p.m. Eastern Time (2200 GMT) on Wednesday, January 14, for the undocking of the SpaceX Crew-11 mission from the International...

Neuralink Plans High-Volume Brain Implant Production and Fully Automated Surgery by 2026

Elon Musks brain-computer interface company Neuralink is preparing for a major expansion, announcing plans to begin high-volume production of its brain implant devices and transition to a fully automated surgical procedure...

Jared Isaacman Confirmed as NASA Administrator, Becomes 15th Leader of U.S. Space Agency

The U.S. Senate has officially confirmed billionaire private astronaut Jared Isaacman as the new NASA administrator, making him the 15th leader in the agencys history. The confirmation, which took place on Wednesday, marks...

Technology

Reflection AI Eyes $25 Billion Valuation in Massive $2.5 Billion Funding Round

Nvidia-backed artificial intelligence startup Reflection AI is in advanced discussions to secure $2.5 billion in fresh funding, with negotiations pointing to a staggering pre-money valuation of $25 billion, according to a...

Nanya Technology Shares Surge 10% After $2.5 Billion Private Placement from Sandisk and Cisco

Shares of Taiwan-based memory chip manufacturer Nanya Technology soared to their daily limit of 10% on Thursday morning following the companys announcement of a major $2.5 billion private placement deal backed by prominent...

SK Hynix Eyes Up to $14 Billion U.S. IPO to Fund AI Chip Expansion

South Korean memory chip giant SK Hynix has submitted a confidential filing for a U.S. stock market listing in 2026, with sources indicating the move could raise as much as $14 billion. The company intends to offer...

Meta Ties Executive Pay to Aggressive Stock Price Targets in Major Retention Push

Meta Platforms made a significant move this week by granting restricted stock units and stock options to several of its most senior leaders, including Chief Financial Officer Susan Li and Chief Technology Officer Andrew...

SpaceX IPO Filing Expected This Week as Valuation Could Surpass $75 Billion

Elon Musks SpaceX is reportedly moving closer to going public, with plans to submit its initial public offering prospectus to regulators as early as this week or next, according to a report by The Information citing a...