Time to End Roundtripping by Big Pharma

26 luu 4 8/15/2025, 1:08:42 AM cfr.org ↗

Comments (4)

Fordec · 11m ago
> The tax strategies these companies use are known

Links to an article from 2017 about a tax loophole that was closed in 2020 [0]. As an Economist that by his Wikipedia article [1] dedicates so much of his time talking about the Irish tax regime, he should be well aware of this fact.

[0] https://budgetmodel.wharton.upenn.edu/issues/2024/10/14/the-... [1] https://en.wikipedia.org/wiki/Brad_W._Setser

Guid_NewGuid · 1h ago
It was interesting to read how much of the US drugs market relies on imports. The article deals with the high value stuff. However, by volume, 90% of drugs used in the US are cheaper generics often with no US manufacturers. The US is heavily reliant on India and ultimately China for both active pharmaceutical ingredients and key starting materials. With 80% of Indian production using starting materials from China.[0]

The US had no domestic production of penicillin between 2004[3] when its last plant shuttered until 2021 when a factory reopened.[1] (source 1 and 3 appear to contradict, the 2019 testimony states there was no manufacturer after 2004 whereas it sounds like the plant closed in 2020, regardless the domestic capability is extremely weak)

As usual for American sources this is painted as some nefarious scheme by the evil red Chinese to destroy America by making cheaper drugs available. To add my own editorialising I think US companies are easily capable of ruining US manufacturing and focusing on screwing US patients over.[2] The average citizen should probably be glad of low cost Chinese supply, but nurturing domestic capability as per Biden is sensible.

[0]: https://prosperousamerica.org/skyrocketing-pharmaceutical-im...

[1]: https://www.fiercepharma.com/manufacturing/reopening-penicil...

[2]: https://www.rand.org/news/press/2024/02/01/index1.html

[3]: https://www.uscc.gov/sites/default/files/RosemaryGibsonTesti...

[4]: sources per https://youtu.be/hS0-ugYA-ko?si=xCNzctCGr9f2M7ct

reactordev · 4m ago
It’s so ironic. Just a couple weeks ago he was touting how he’s getting drug prices down. Except the tariffs kicked in, and now we’re going to be paying 50% more for those generics. If this were a chess move, we just lost our rooks.
pstuart · 1h ago
This would be wonderful to have happen but the current regime does not engender hope in tax reform that serves the country rather than the rich who own it.