Safety is the biggest concern. Other countries don’t observe the same strict safety and testing standards that we do in the U.S. Four former heads of the Food and Drug Administration warned that importing drugs from other countries would “harm patients and consumers and compromise the carefully constructed system that guards the safety of our nation’s medical products.” Current FDA Commissioner Scott Gottlieb raised similar concerns in a 2016 piece in Forbes. Gottlieb further noted that imported medicine “wouldn’t be much cheaper than drugs sold inside our closed American system.”