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S. consumers purchase drugs from online pharmacies in Canada, India, the UK and other countries and receive their purchases by mail. Especially for uninsured Americans taking prescription drugs for chronic health conditions, a major attraction of online pharmacies abroad is that nearly every country, except the U.S., controls its drug prices. Shoppers can easily obtain 50 to 80 percent or more savings at foreign pharmacies, in comparison to US prices. Very rarely are these orders investigated because U.S. authorities are much more worried about controlling illegal pharmacies in the U.S.

, not consumers themselves. In fact, the Washington Post reported that ". millions of Americans have turned to Mexico and other countries in search of bargain drugs.U.S. Customs estimates 10 million U.S. citizens bring in medications at land borders each year. An additional 2 million packages of pharmaceuticals arrive annually by international mail from Thailand, India, South Africa and other points. Still more packages come from online pharmacies in Canada.

Until about 2005, American consumers looking abroad most commonly turned to Canadian pharmacies for affordable medications.[citation needed] Today, many consumers head to online pharmacies in India, South Africa and other countries where drug prices are often lower than in Canada. Most US consumers and some legislators favor accessing foreign-made prescription drugs to lower Americans’ health costs. According to a Wall Street Journal/Harris Online poll in 2006, 80 percent of Americans favor importing drugs from Canada and other countries. [5]President Obama’s budget supports a plan to allow people to buy cheaper drugs from other countries. [6]A report in the journal Clinical Therapeutics found that U.S. consumers face a risk of getting counterfeit drugs because of the rising Internet sales of drugs, projected to reach $75 billion by 2010. Legality and risks of purchasing drugs online depend on the specific kind and amount of drug being purchased. While rarely enforced, it is usually illegal to purchase controlled substances from an overseas pharmacy.