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San Diego, a city of roughly 1.25 million inhabitants, has about 125 pharmacies. As of a year ago, according to the San Diego Weekly Reader, Tijuana, Mexico, with a population about the same size of San Diego's, had 1,000 pharmacies. Tijuanans probably weren't eight times more likely to need pharmacies than San Diegans; these retail operations opened up in response to a growing demand among U.S. citizens for more affordable prescription drugs.

Unfortunately, as experts recently testified before the House Committee on Energy and Commerce's Subcommittee on Oversight and Investigations, many of the pills sold are counterfeit and dangerous. In fact, an estimated 5 to 8 percent of worldwide …