1 prescription drug importation investment and employment in michigan dean g smith ph d professor chair department of health management & policy school public university 109 observatory ann arbor mi 48109 2029 phone 734 936 1196 e mail deans umich edu august 18 2004 2 executive summary authorization the drugs from countries with lower prices than united states is an increasingly attractive proposition for state federal makers short run benefit reductions selected patients may be viewed as a sufficient reason to favor however there longer effects that are less desirable including reduced investments altered regional pharmaceutical research development separate approval processes used different markets companies practice price discrimination higher most have negotiated discounts or set differences between