Coauthored with Jeffrey Wright, research associate in the International Institutions and Global Governance program.
Two decades ago, the vast majority of legal drugs consumed in the United States were produced domestically. Today, 80 percent of the active ingredients in medicines used by Americans are fabricated abroad. Home-grown medicines industries have exploded in developing countries like Brazil, India and China. As a result, medicines are compounded many times and cross multiple borders before they reach U.S. pharmacy shelves. Domestic oversight agencies, including the U.S. Food and Drug Administration (FDA), are therefore unable to supervise medicines’ production from start to finish, and many foreign counterpart authorities struggle to monitor and enforce adequate standards. Read more »