Washington\u2019s infamous revolving door took an unusual turn for former Health and Human Services secretary Alex Azar<\/strong>.<\/p>\n

Azar spent about a decade with pharmaceutical giant Eli Lilly and Co.<\/strong> before coming to the nation\u2019s capital to lead HHS in the Trump administration. But in September 2020, just a couple of months before former president Donald Trump lost reelection, Azar certified the safety of drugs imported from Canada \u2014 a policy opposed by the U.S. drug industry.\u00a0<\/p>\n

Now Azar chairs the board of a company trying to make prescription drug imports happen<\/strong>. In January 2022, a year after leaving his Cabinet post, Azar became chairman of the board of LifeScience Logistics<\/strong>, the firm managing Florida\u2019s Canadian importation program, which just won approval from the Food and Drug Administration<\/strong>.<\/p>\n

Florida Gov. Ron DeSantis<\/strong>\u2019s (R) government is paying the Dallas-based company as much as $39 million<\/strong><\/a> to buy drugs from Canadian suppliers, contract with a lab to verify their authenticity, store the medicines and distribute them to state agencies.\u00a0<\/p>\n

Officials at LifeScience, which manages nearly 6 million<\/strong> square feet of warehouse storage across 11 states, confirmed Azar\u2019s position but didn\u2019t respond to questions about how much he\u2019s paid or whether he\u2019s involved in the Florida work. Azar didn\u2019t return messages left for him with employers, including the University of Miami<\/strong>, where he teaches part-time, or sent to a personal email address.<\/p>\n

Robert Weissman<\/strong>, president of Public Citizen<\/strong>, a government-watchdog group, called Azar\u2019s journey through the revolving door atypical. That\u2019s because HHS\u2019s certification of drug imports from Canada was opposed by the U.S. pharmaceutical industry, where Azar had once worked. Drugmakers argue that the policy puts patients at risk of consuming counterfeit medicines. \u00a0<\/p>\n

DeSantis had pushed Trump to authorize importation from Canada<\/a>, and the former president had said he supported importation before Azar certified it was safe.<\/p>\n

Azar\u2019s position with LifeScience \u201ccan appear as a conflict of interest,\u201d <\/strong>said Ivana Katic<\/strong>, assistant professor of organizational behavior at the Yale School of Management<\/strong>, because Azar\u2019s HHS policy decision later benefited him professionally.<\/p>\n

Last week, the FDA announced that it would approve Florida\u2019s first-in-the-nation import plan.\u00a0<\/p>\n

Top U.S. officials in both parties, of course, commonly leave government service for what are often better-paid jobs or board seats at companies in the industries they formerly regulated.<\/p>\n

About 57 percent<\/strong> of presidential Cabinet-level officials later served on corporate boards of directors, according to a 2019 study by researchers at Boston<\/strong> and Harvard universities <\/strong>in the Journal of Politics,<\/strong> which examined 84 Cabinet members who served from 1992 to 2014.\u00a0<\/p>\n

\u201cIn general, we favor Cabinet secretaries not going into industries which they once regulated, because the possibility of conflicts of interest are unavoidable,\u201d Weissman said.<\/p>\n

Canadian drug importation has been the subject of decades of debate, and before signing off on it, Azar was a skeptic.<\/strong> In 2018, he called importation a \u201cgimmick,\u201d<\/a> saying Canada\u2019s pharmaceutical market wasn\u2019t large enough to meet U.S. demand.\u00a0<\/p>\n

Indeed, the Canadian government has repeatedly warned the United States it would block any scheme that poses a risk of causing shortages in Canada.<\/p>\n

The country has implemented regulations \u201cto prohibit certain drugs intended for the Canadian market from being sold for consumption outside of Canada if that sale could cause, or worsen, a drug shortage in Canada,\u201d Health Canada<\/strong>, the national agency responsible for drug safety, said in a Jan. 8 statement after the FDA\u2019s approval of Florida\u2019s plan.<\/p>\n

President Biden supported drug importation during his 2020 campaign, but after the election his administration moved slowly to advance the process. DeSantis has accused the Biden administration of slow-walking a decision and his government filed a lawsuit over the FDA\u2019s delay.<\/p>\n

Florida\u2019s plan \u2014 aimed at helping the state health department and other agencies, including prisons and its Medicaid program, obtain lower-cost medicines \u2014 still faces many hurdles. On top of Canada\u2019s reluctance to participate in U.S. importation programs, some drug manufacturers have deals with Canadian wholesalers preventing them from exporting medicines.<\/p>\n

The drug industry\u2019s major lobbying group, the Pharmaceutical Research and Manufacturers of America<\/strong>, or PhRMA, previously sued to stop Azar\u2019s importation decision. It\u2019s expected to file suit to block Florida\u2019s program as well. A PhRMA spokesperson declined to comment on Azar\u2019s role.<\/p>\n

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This article is not available for syndication due to republishing restrictions. If you have questions about the availability of this or other content for republication, please contact NewsWeb@kff.org<\/a>.<\/em><\/p>\n
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