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How do you make sure the drugs purchased overseas are safe? FDA has pretty tight control over the industry in the US to maintain that here.
For sure a valid question. My presumption is that the same drugs legally produced & sold under that country's regulations would have a reasonable factor of safety. Good enough for their own people anyway. I think also if I'm faced with the decision, no insulin because I can't afford it, or drugs only approved to Country X standards, I'm already in a risky situation. For sure some people are already doing this & having to do so illegally.
This is, quite frankly, a very poor assumption depending on where you are getting your drugs from. For example, Dr. Reddy in India is the equivalent of buying a "Channel" knock off purse from China. It looks like the real thing, it might even somewhat function like the real thing. But it some serious flaws.
European drugs, alternatively, are often literally the exact same drug for cheaper because the EMA is much stricter about pricing. But there are also laws that prevent exporting it from EU countries just as there are laws preventing importing into the US. Because international trade is not open.
Source: I work in Pharma.