Canada post-election drug price changes likely

Subject Pharmacare and drug pricing in Canada. Significance Canada’s federal government announced changes to pharmaceutical drug pricing regulations on August 9, aiming to lower prices and enhance transparency around confidential discounts and rebates offered to public and private buyers by drug firms. The changes show Prime Minister Justin Trudeau’s Liberal government preparing to push to implement recent recommendations for a national, single-payer system of public pharmacare after October’s election. Impacts International pharma firms will reduce their engagement with Canada’s market, launching fewer new drugs and reducing R&D. Canadian pharma firms may expand their offerings of generic drugs. Insurance companies will have to realign their business models to adjust to the emerging system of universal public coverage. If the Conservatives win the election, they are unlikely to continue with these healthcare reforms.

Significance The Liberal government of Prime Minister Justin Trudeau is beginning its third term with an emphasis on post-pandemic issues. While there was little new in the speech, which mostly signalled a continuation of existing policies, more action is likely on environmental and Indigenous reconciliation issues. Impacts New legislation will underpin the equality of the French language with English in federally regulated workplaces. Reform of the Broadcasting Act to cover online streaming services will require them to generate more Canadian content. Substantial increases in the foreign aid budget are likely, as are new diplomatic efforts in the Indo-Pacific region. Promises of renewed investment in defence are likely to be downgraded given the emphasis on social spending.


Significance Prime Minister Stephen Harper has resigned as leader of the Conservatives after his party took second place with 99 seats. The election results restore a degree of political stability by producing the second successive majority government in Canada, following the shaky minority Harper governments between 2004 and 2011. Impacts A Liberal government will likely boost infrastructure spending and tax high-wage earners. Trudeau may bring a more activist approach to the Paris climate talks, improving the chances of an international agreement. Harper's departure will likely see a moderation of Canada's support for Israel and a greater focus on multilateralism abroad.


Significance Meanwhile, China continues to pressure Canada to release detained Huawei executive Meng Wangzhou. Prime Minister Justin Trudeau’s Liberal government has yet to decide whether to allow Huawei to build Canada’s 5G network. Impacts Canadian exports to China will suffer further as Beijing takes additional retaliatory measures. Trade overtures to China are dead for now; the economy will remain oriented towards US, European and Trans-Pacific Partnership countries. Ericsson and Nokia are well-placed to solidify their position in the Canadian as well as other Western markets.


Significance The timing of the release just days after an inconclusive election in Canada appears coincidental but, with campaigning now over, the newly returned Liberal government under Prime Minister Justin Trudeau is preparing to re-evaluate its relationship with China. Impacts China will draw the conclusion that strongarm tactics, including arbitrary detention of Canadian citizens, will work against Ottawa. There is a risk that distrust of the Beijing government may spill over into abuse of Canada’s Chinese diaspora. The Biden administration will remind Trudeau of the favour done by not requiring Canada to hand Meng over to US authorities.


Significance By the end of this month, Washington wants Ottawa to sign on to the new NAFTA deal that Mexico City and Washington agreed last month. If Ottawa refuses, US and Canadian economic dislocation will follow (particularly in the auto sector), which would be made worse if a replacement Canada-US free trade agreement (FTA) is not agreed quickly or at all. Canadian Prime Minister Justin Trudeau said yesterday he would not bow to US pressure and would negotiate in Canada’s interests. Impacts Canadian pharma firms would decline but survive if a deal safeguarding US patents from generic drugs competition were agreed. Canada may modify, but not totally dismantle, its agricultural supply management system to allow more US competition. Canadian cultural industries (film, arts, television) will likely lose their protection from US competition. A no-deal would likely see Canadian firms seek new non-US markets, but new FTAs are not guaranteed. No deal would increase Canadian joblessness and lose the governing Liberals votes, but they would likely still win in 2019.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hadi Sarvari ◽  
Daniel W.M. Chan ◽  
Nerija Banaitiene ◽  
Norhazilan Md Noor ◽  
Michael Beer

PurposePrivatization is a complex issue in many developing countries; therefore, it is vital to examine the obstacles that prevent its proper implementation. The goal of this study is to identify and analyze the barriers to private sector investment in the Water and Sewage Industry (WSI) and to suggest effective ways to attract the private investors to this sector.Design/methodology/approachThe obstacles to private sector investment in the WSI were identified by conducting a desktop literature review and interviewing an expert panel, using the fuzzy Delphi technique. The most important barriers were identified and categorized. A structured survey was then developed and distributed to private sector investment experts. The Fuzzy Analytic Hierarchy Process (FAHP) was applied to further examine the responses and to rank the identified barriers.FindingsThe results showed that the greatest barrier to privatization is the weakness of insurance companies in controlling investment risks, and the second greatest barrier is the weakness of the country's capitalist culture. A review of recent success stories revealed that these barriers can be overcome with transparent price policies and increased interaction between the public and private sectors, which motivate private investors to invest in the WSI.Originality/valueThe elicitation of this study can be useful to both private and public sectors for the development of infrastructure projects, particularly for the WSI.


2021 ◽  
Vol 123 (13) ◽  
pp. 73-87
Author(s):  
Ari Paloviita

PurposeThe purpose of this study is to propose a matrix framework to understand the interdependencies of domains and scales of protein transition towards diets based on plants and alternative sources of proteins.Design/methodology/approachThe abductive research approach is used in building the framework, and the proposed framework is illustrated using the regional food system in Central Finland as an example. Focus groups and interviews were used to collect qualitative data from 28 respondents.FindingsThis study provides a framework for protein transition, with five domains and five scale levels. Interactions between public and private governance activities at different scales, domains and governed niche and regime levels are discussed. The study shows how micro-level activities at individual or community levels are linked with broader governance activities.Research limitations/implicationsDue to the relatively narrowed set of empirical data, further research is required to test the framework in different regional and cultural settings.Practical implicationsThis paper presents a practical illustration of the matrix framework, and considering this, the paper discusses the possible implications of matrix interdependencies for protein transition management.Social implicationsThis study proposes that understanding the coevolution of domains and scales, with the help of accurate policies and business models, can lead to effective protein transition.Originality/valueThis study fulfils an identified need to study protein transition in a broader frame, which highlights the structural activity interdependencies between different scale levels and domains.


Author(s):  
Rossella Moioli ◽  
Cristina Boniotti ◽  
Anthoula Konsta ◽  
Alessandra Pili

Purpose The paper will present the case study of preventive and planned conservation applied to the Royal Villa and Park of Monza, which is one of the pilot projects within the general framework of Monza and Brianza Cultural District. Starting from an in-depth analysis of the Royal Villa, which represents a recent conservation and valorisation intervention developed by both public and private subjects, the purpose of this paper is to define an operative model for the management of complex properties, at communicating good practices for the maintenance of the built heritage and at identifying the priorities for the interventions. Design/methodology/approach The research project foresaw a first collection of data and information related to the previous conservation activities executed upon the case study, the design of a conservation plan in all its parts (technical handbook, conservation programme, economic budget, user handbook) through an information system dedicated to the conservation of built cultural heritage, and its fulfilment. In the meantime, a context analysis of the Royal Villa and Park of Monza was developed, with a specific attention to the diversified historical buildings located in the park. Findings The action research carried out has been evaluated in the framework of upstream perspective theories. This enabled to highlight the importance of an integrated approach; of the need of sharing the collection of data in order to set up evidence-based policies; and of the need to enhance the skills of involved professionals and decision makers. Originality/value A progress in protection measures, the understanding of conservation and valorisation as preventive activities, effectiveness of private business models for maintenance, dissemination of good practices, and creation of a network of local stakeholders.


Subject India's public and private debt. Significance Prime Minister Narendra Modi’s government last week began giving details of a 20-trillion-rupee (263-billion-dollar) package of economic support designed to ease the impact of a nationwide COVID-19 lockdown. With a cost equivalent to 10% of GDP, the package consists largely of off-budget measures such as loan guarantees, betraying concerns about rising public debt. Impacts Rising levels of private debt may lead to an increase in loan defaults and a spike in non-performing assets on the books of India’s banks. Modi may agree to give India’s states greater autonomy over their fiscal affairs, despite their growing debts. A significant widening of the fiscal deficit would put India at risk of downgrading by credit rating agencies.


2014 ◽  
Vol 42 (4) ◽  
pp. 22-32
Author(s):  
Saul Berman ◽  
Anthony Marshall

Purpose – From interviews in 2013 with more than 875 CEOs of companies in a variety of industries from around the world, IBM researchers found that the majority of them rank technology as the top issue they expect will exert the strongest influence on their organizations and strategy. this paper aims to discuss this issue. Design/methodology/approach – This report is the third installment in an ongoing Global C-suite Study, the seventeenth such IBM study to focus on the C-suite. To compile the data for the meta study, between February and June 2013, researchers met with 4,183 top executives, representing a wide range of public and private sector enterprises in more than 20 industries and 70 countries. This report focuses on the responses of more than 875 CEOs from 67 countries who participated in the meta study. Findings – Analysis of the interviews identified three responses proactive firms have adopted to prepare for the future: embrace disruption; build shared value; and dare to be open. Research limitations/implications – Create experimentation spaces. Runaway innovation requires places and spaces where people can think, interact and experiment. The creation of these innovation spaces should be a priority. These should include: physical spaces where co-located people with different backgrounds can cross-pollinate each other’s ideas; virtual spaces where large numbers of people across different locations can focus on specific topics; and the building of business ecosystems. Business environments are beginning to evolve from markets to ecosystems. Organizations that identify new ways to serve customers holistically will define new business ecosystems and benefit the most. Practical implications – Taking action to embrace disruption: move out of bounds. Bringing together people from different industries, backgrounds, regions – and even generations – will be essential to predict and respond to new competitive threats. Expanding partnerships to deepen innovation capabilities will speed the discovery of new technologies and new business models. Originality/value – CEOs in just about every industry have learned that customers, partners and employees that collaborate can go further, faster in an era of runaway innovation. Many are pushing the boundaries on their organizations as a result – opening up to empower collaboration among individuals and moving away from command-and-control hierarchies. In just one year the number of CEOs determined to open up their organizations has increased an astounding 27 percent.


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