Several readers have asked me my personal thoughtsâhere you go.

Now that weâve examined both supply chains and Intellectual Property (IP) theftâwhat do we do? In the short term, follow the guidelines of our Governors, and the wonderful Drs. Fauci and Birx. Weâre all bored and stressed, and itâs doubly hard for parents with children. But we need to stay home and not add more pressure on nurses and doctorsâas well as the truckers, pharmacies and supermarkets. Above all, wash your hands and donât touch your face!! Take a deep breath. Take lots of deep breathes. And remember the gospel song based on Charles Tindleyâs 1900 hymn, âWe Shall Overcome.â
Now, for the long term. There are as many opinions as there are people. From small companies to massive conglomerates, from members of Congress to members of the clergy, from pundits to plumbers. Personally, I believe globalization is here to stay, and in many ways thatâs a good thing. Since WWII, almost a billion people have moved out of grinding poverty. Amazing medical advances have allowed us to live longer with a better quality of life. (Think of it this wayâI got the small box vaccine when I was a child. Today itâs eradicated. Penicillin was just becoming commercially available in the late 40s. Weâre now on the fifth generation of antibiotics. Almost everything has changed in medicine.) And technology has made incredible strides in communication and trade. Think Internet and everything thatâs come with it.
About 25 years ago I had a conversation with one of my former grad students who asked me what I thought our major global challenge would be in the future. There were so many to choose from.đ Ultimately, I told him that I thought the real problem would be China. That surprised him. We periodically catch up, and a while ago he, sadly, agreed with me. Today, no more kicking the can down the road. Weâve already discussed moving strategic supply chains home, and refusing to hand over certain Intellectual Property, even if it costs more to build parts or drugs elsewhere. We must not be at the mercy of China!

For 20 or so years, itâs been easier and cheaper to manufacture things overseas. Whoâs at fault? Thereâs plenty of blame to go around. Why hasnât the federal government maintained stockpiles of the APIs (active pharmaceutical ingredients) and their chemical building blocks? Equally, possibly more important, why havenât states kept their own stockpiles of equipment? Hospital groups and large pharmacy chains (we know the names) didnât demand this from government or state agencies. Of course these private groups could, and should, have maintained at least some of the most vital drugs and medical equipment themselves. I can only be partially aggravated with US pharma. It literally costs billions of dollars and many year to develop new drugs, and only a few of them actually work. They take massive risks…theyâre entitles to some rewards. But not by making the drugs overseasâď¸And finally, until quite recently the FDA had two speedsâslow and stop. Itâs only when facing a disaster that they are finally doing what they should have done all along.
Those are good questions. I wish I had good answers đ What I do know is that if we just sit around twittering and waiting for someone to do something, nothing will change. So do a little investigatingâheaven knows we have the timeâand start asking, no, DEMANDING, that our Representatives and Senator, major pharmacy chains, hospital groups and manufacturers, start changing the way we all do business. There will be all kinds of excuses, âWe canât do that because…â As an historian I know what this country can do when it sets its mind to it. As I mentioned earlier, there have been some initial improvementsâsome shifts in supply chains and crackdowns of Intellectual Property theft. However, we must hold the appropriate feet to the fire and get this done ASAP. God willing this will never happen again, at least in in our lifetimesâbut something else will, and we must be in a significantly better position to deal with it when that day comes.



