1 00:00:05,208 --> 00:00:07,219 Take a look at these two pills. 2 00:00:09,298 --> 00:00:11,848 Do you notice a difference between them? 3 00:00:12,979 --> 00:00:15,008 How about these two? 4 00:00:16,340 --> 00:00:18,190 Do you see a difference here? 5 00:00:19,517 --> 00:00:21,444 How about these? 6 00:00:23,311 --> 00:00:26,659 To the naked eye, these pills are indistinguishable, 7 00:00:27,379 --> 00:00:30,621 but at a chemical level, they are very, very different. 8 00:00:31,431 --> 00:00:35,862 In each case, the pill on the left is real; it will help you get better. 9 00:00:36,508 --> 00:00:40,362 The pill on the right is counterfeit; it will not help you get better. 10 00:00:41,084 --> 00:00:43,488 In some cases, it may even kill you. 11 00:00:48,211 --> 00:00:49,736 Katherine Ivan, author of 12 00:00:49,736 --> 00:00:54,676 Dangerous Doses: How Counterfeiters Are Contaminating America's Drug Supply 13 00:00:54,676 --> 00:00:57,878 explains that phony pharmaceuticals are drugs that 14 00:00:57,878 --> 00:01:01,738 have been diluted, drugs in which the active ingredient has been 15 00:01:01,738 --> 00:01:06,238 replaced with something else, or drugs that have been relabeled to 16 00:01:06,238 --> 00:01:09,224 appear as something stronger than they truly are. 17 00:01:10,203 --> 00:01:13,642 Taking a phony pharmaceutical means that you do not receive the 18 00:01:13,642 --> 00:01:18,032 medicine you need to get better, and the results can be deadly. 19 00:01:19,310 --> 00:01:23,572 I first became aware of this issue after my younger sister received a 20 00:01:23,572 --> 00:01:25,896 phony drug for her asthma last summer. 21 00:01:26,748 --> 00:01:30,057 Fortunately, the error was discovered before it cost her any 22 00:01:30,057 --> 00:01:34,375 lasting harm, but I've been concerned about the issue ever since 23 00:01:34,375 --> 00:01:37,257 and did a great deal of research on it for this speech. 24 00:01:37,863 --> 00:01:42,812 As a result, I'm convinced that we need to take action now to combat 25 00:01:42,812 --> 00:01:44,937 the problem of phony pharmaceuticals. 26 00:01:45,484 --> 00:01:49,220 Later in my speech, I'll share with you my plan for curbing the spread 27 00:01:49,220 --> 00:01:51,125 of these dangerous drugs. 28 00:01:51,450 --> 00:01:53,932 Let's start by taking a look at the problem. 29 00:01:56,093 --> 00:01:59,193 Phony pharmaceuticals are dangerous because of the health risks 30 00:01:59,193 --> 00:02:00,557 they pose. 31 00:02:00,981 --> 00:02:04,679 According to Graham Jackson, editor of the International Journal of 32 00:02:04,679 --> 00:02:09,649 Clinical Practice, "counterfeit drugs include ingredients such as: 33 00:02:09,649 --> 00:02:15,611 boric acid, gutted road paint, floor polish, shoe polish, talcum powder, 34 00:02:15,611 --> 00:02:17,200 and cement powder." 35 00:02:17,614 --> 00:02:18,904 But that's not all. 36 00:02:19,374 --> 00:02:25,325 There's also brick dust, chalk, nickel, and arsenic. 37 00:02:26,629 --> 00:02:30,768 Ingesting too much boric acid or floor polish can make you sick. 38 00:02:32,181 --> 00:02:35,268 Gutted road paint and arsenic can kill you. 39 00:02:36,610 --> 00:02:41,470 In one highly publicized case, 81 people in the United States died 40 00:02:41,470 --> 00:02:44,821 in 2008 because they took a counterfeit version 41 00:02:44,821 --> 00:02:46,330 of the blood thinner Heparin. 42 00:02:47,526 --> 00:02:51,716 As reported by CNN, the phony Heparin was originally manufactured 43 00:02:51,716 --> 00:02:56,523 outside the United States using a cheap sulfate that proved deadly. 44 00:02:57,263 --> 00:03:01,304 After slipping past all of our regulatory checks, it ended up in the 45 00:03:01,304 --> 00:03:03,724 United States with tragic results. 46 00:03:05,293 --> 00:03:09,672 The US Government Bureau of International Information Programs 47 00:03:09,672 --> 00:03:16,145 estimates that 700,000 people around the world will die this year 48 00:03:16,145 --> 00:03:20,315 from phony pharmaceuticals, almost 3 times the number of people 49 00:03:20,315 --> 00:03:23,465 who live here, in Madison. 50 00:03:24,195 --> 00:03:29,686 In fact, Roger Bate of the American Enterprise Institute reports that 51 00:03:29,686 --> 00:03:33,244 trafficking in counterfeit drugs has become one of the world's fastest 52 00:03:33,244 --> 00:03:35,213 growing criminal enterprises. 53 00:03:37,664 --> 00:03:41,364 Phony pharmaceuticals are so widespread that they have become 54 00:03:41,364 --> 00:03:42,765 big business. 55 00:03:43,336 --> 00:03:49,165 The FDA estimates that they will bring in close to $75 billion in revenue 56 00:03:49,165 --> 00:03:53,797 this year alone, up from $40 billion only a few years ago. 57 00:03:54,845 --> 00:03:58,825 Tom Cubic, head of the Pharmaceutical Security Institute told 58 00:03:58,825 --> 00:04:04,969 USA Today in September 2010 that criminals can make more money in 59 00:04:04,969 --> 00:04:08,085 counterfeit drugs than they can in heroin. 60 00:04:09,247 --> 00:04:12,627 Given the rewards of the counterfeit drug trade, the problem 61 00:04:12,627 --> 00:04:16,481 will only get worse in the coming years unless we take steps to bring 62 00:04:16,481 --> 00:04:18,174 it under control. 63 00:04:18,960 --> 00:04:24,139 The solution I propose is similar to House Resolution 27-26, 64 00:04:24,139 --> 00:04:26,799 which is under consideration by the US Congress. 65 00:04:27,675 --> 00:04:34,678 There are 4 steps to this solution: first, criminal penalties for drug 66 00:04:34,678 --> 00:04:38,626 counterfeiters should be increased from 3 years in prison, which is 67 00:04:38,626 --> 00:04:40,957 the current limit, to no limit at all. 68 00:04:41,719 --> 00:04:45,069 If a drug peddler kills someone with phony pharmaceuticals, 69 00:04:45,069 --> 00:04:47,610 the punishment should fit the crime. 70 00:04:48,611 --> 00:04:53,353 Second, the Food and Drug Administration should have the 71 00:04:53,353 --> 00:04:55,614 authority to recall prescription drugs. 72 00:04:56,225 --> 00:05:00,995 Right now, the FDA can encourage drug manufacturers to issue a recall, 73 00:05:00,995 --> 00:05:04,066 but it has no power to issue a recall on its own. 74 00:05:04,836 --> 00:05:08,810 To get phony pharmaceuticals off the street, recall authority needs to 75 00:05:08,810 --> 00:05:13,391 rest with the central agency that will act quickly and uniformly. 76 00:05:14,638 --> 00:05:20,718 Third, the FDA should be given the resources for spot checking the 77 00:05:20,718 --> 00:05:23,112 chemical makeup of prescription medication. 78 00:05:23,982 --> 00:05:26,062 We have health inspectors for food. 79 00:05:26,704 --> 00:05:29,284 Why not have inspectors for prescription drugs? 80 00:05:30,429 --> 00:05:35,486 Fourth, legitimate drug manufacturers should be required to 81 00:05:35,486 --> 00:05:37,933 implement track and trace technology. 82 00:05:38,273 --> 00:05:41,472 As explained in the New York Times, this technology stamps each 83 00:05:41,472 --> 00:05:46,772 bottle and pill with a unique code tied to a secure centralized database. 84 00:05:47,488 --> 00:05:51,027 The code allows pharmacies and distributors to determine whether 85 00:05:51,027 --> 00:05:55,697 drugs are legitimate or phony plus the route drugs took to get to store 86 00:05:55,697 --> 00:05:56,777 shelves. 87 00:05:59,268 --> 00:06:02,100 Representative Steve Israel of New York, 88 00:06:02,100 --> 00:06:05,560 sponsor of House Resolution 27-26, 89 00:06:05,560 --> 00:06:10,261 says this bill will ensure that the domestic drug supply chain is secure 90 00:06:10,261 --> 00:06:11,571 for every American. 91 00:06:12,076 --> 00:06:16,052 It will crack down on counterfeiting and increase penalties for the outlaws 92 00:06:16,052 --> 00:06:18,326 who are compromising our health. 93 00:06:19,229 --> 00:06:23,950 The time has come for Congress to pass this vital legislation. 94 00:06:25,344 --> 00:06:29,154 In conclusion, phony pharmaceuticals are pervasive and 95 00:06:29,154 --> 00:06:30,298 dangerous. 96 00:06:30,668 --> 00:06:35,431 By implementing the solution I've outlined, we will be able to control this 97 00:06:35,431 --> 00:06:37,105 public health menace. 98 00:06:37,668 --> 00:06:43,500 You have the right to know that the medication you're taking is real. 99 00:06:44,460 --> 00:06:49,340 You have the right to know that your next trip to the drug store will be 100 00:06:49,340 --> 00:06:50,610 a safe one. 101 00:06:50,950 --> 00:06:56,741 And you have the right to know that what you see is what you get. 102 00:06:57,171 --> 00:06:59,250 [Applause]