CMAJ accuses drugstore chain of 'poaching' African pharmacists

Shoppers Drugmart is getting a little greedy... bad on them.

TORONTO - Canada's top medical journal is calling for a boycott of the country's largest chain of drugstores over the "unethical" practice of "poaching" pharmacists from South Africa.
In an editorial titled "Shoppers Drug Mart or Poachers Drug Mart?" the Canadian Medical Association Journal accuses the national chain of contributing to a health disaster by luring workers from the AIDS-ravaged country, a scheme it describes as "foreign aid in reverse."
"Those who poach deserve to lose business," the editorial says, citing figures from the KwaZulu-Natal province, in which three-quarters of government-funded pharmacist positions were unfilled.
The editorial suggests Shoppers should fund pharmacist training programs in South Africa, rather than exploiting the education system of a poverty stricken state.
"Shoppers has a legitimate need for workers, but it's not solving that need by bearing the cost in some way, by sharing the cost of training those workers," said Amir Attaran, Canada Research Chair in law, Population Health, and Global Development Policy at the University of Ottawa, who co-wrote the editorial.
"The South African taxpayer bears the cost in large part, and the worker is pulled away to Canada, where Canadians get the benefit. The lack of equity is obvious."
John Caplice, the company's senior vice-president, treasurer, investor relations and corporate affairs, refused to be interviewed yesterday, but said in an e-mail: "We are familiar with the editorial ... and strongly disagree with what is implied by its contents. Shoppers Drug Mart has in the past recruited a select few pharmacists from South Africa, as well as from other English-speaking nations. It is not our intention to 'poach' or damage the health care system of any other country."
The editorial, to be published in the forthcoming issue, contrasts the fair practice of "passive enticement," such as advertisements, with unfair, active "poaching." Mr. Attaran said Shoppers crossed the line by actually going to Africa and making company lawyers available to help with immigration hurdles. The company also pledges to reimburse the cost of Canadian licensing exams for successful recruits.
"In other words, they're facilitating the decision, not simply offering the option. It's the facilitation that is the problem," Mr. Attaran said. "I think we would feel very hard done by if American corporations were actively poaching away our graduates, and yet that's what a Canadian corporation is doing. And bear in mind, we don't have 19 per cent of adults with HIV; the South Africans do."
The editorial was prompted late last month when Wendy Lack, manager of associate recruitment for Shoppers, contacted Roderick Walker, dean elect of the faculty of pharmacy at Rhodes University in Grahamstown, South Africa, with a personal invitation to a recruiting drive that began yesterday.
Mr. Walker spread the word to colleagues, and co-wrote the editorial, which represents the views of the entire CMAJ board.
Ms. Lack was in Pretoria yesterday for the recruiting drive, which continues Thursday in Johannesburg, and next week in Durban and Cape Town. She did not respond to requests for comment.
For individual South African pharmacists, the question of emigration is often a dilemma that pits the welfare of their homeland against that of their families, with predictable outcomes.
"It's a good opportunity for Shoppers to be there because of the bad situation for pharmacists at the moment. ... The whole profession is under threat," said Wilhelm Venter, 40, a pharmacist who left South Africa five years ago and now owns and manages a Shoppers Drug Mart in Toronto's financial district.
He said his profession is poorly supported in South Africa because, unlike in Canada, doctors can dispense drugs as well as prescribe them. He said legislation has been changed for the worse in the last couple of years, with the effect of "bankrupting a lot of pharmacists," and so the interest in emigration is now at a peak. But he said a lack of doctors and facilities, and the high cost of medication, are far worse problems.
"Unless you have an actual private drug plan, which very few people can afford, most people can't even afford to buy medications from a pharmacy, so the pharmacist's role is pretty limited," he said. "They're going out of business. That's why they're leaving."