Prescription drug prices were rising and the population most vulnerable to those rising prices were senior citizens. Then President George W. Bush pushed the Medicare Part D through the House in 2002 but, then it stalled in the Senate. It became apparent that American Seniors (who had already turned to Canada for lower drug prices), needed an advocate who would work to create a commission to accredit Canadian Pharmacies to conduct cross border business between Canadian pharmacies and American consumers. The North American Pharmacy Accreditation Commission was created (by the founders of PBRX), and the CEO's of the largest Canadian Pharmacies traveled to Washington for NAPAC summits and to ultimately meet with President George W. Bush (and many members of the Senate and Congress along partisan lines). In the end, the Canadian pharmacies refused to support NAPAC and opted to certify themselves. The result of self-certification ultimately gave rise to a large number of counterfeit drugs being exported from Canada into the United States.