The ratification of the U.S.-Mexico-Canada Agreement (USMCA) continues to struggle in Canada and the U.S. The start of the Canadian election season through October likely puts passage their on hold. Negotiations between the U.S. Trade Representative and Congressional Democrats in the U.S. continue – including Democrats’ concerns regarding the impact of USMCA on health care costs – with the ball currently in Congress’s court. U.S. healthcare costs continue to surge. Imports of pharmaceuticals surged 19.6% year over year in July to reach a one month record of $7.97 billion. That’s been dri...