This op-ed originally appeared in The Palm Beach Post.
With the U.S.-Iran peace deal in tatters, Americans are bracing for potential disruptions to global energy supply chains. This is just the latest crisis to expose how vulnerable the U.S. is to foreign supply shocks. Florida Sen. Rick Scott has repeatedly warned that foreign adversaries — particularly China — are prepared to exploit similar weak points.
He noted last month that “there’s nothing good about the government of China… We can’t be dependent on them for anything.” Few national security liabilities are more troubling than prescription drugs.
Today, roughly 90% of all prescriptions filled in the United States are generic drugs. Millions of Americans depend on them every day to manage chronic conditions such as diabetes, heart disease, and high blood pressure. Yet a majority of these drugs are made using Active Pharmaceutical Ingredients (APIs) — the building blocks of virtually all medicines— from China.
By keeping all of our pharmaceutical eggs in China’s basket, the U.S. is opening the door to a medical supply crisis that only Beijing can solve. This movie has already played out recently with critical goods like rare earth metals and soybeans.
Pharmaceuticals could be next on that list. That’s because Beijing’s five-year industrial strategy explicitly prioritizes biotechnology and advanced life sciences as areas of future dominance. In fact, China’s portion of global pharmaceutical licensing deals has increased sixfold over the past ten years.
To Washington’s credit, policymakers have taken some steps to rectify this issue. The Trump administration has moved to establish a strategic API reserve and streamline regulations for companies looking to onshore drug production.
Congress has played its part too. Tax cuts passed last July restore some R&D expensing, giving manufacturers the confidence to make long-term investments in domestic production.
But more can be done on Capitol Hill. As the White House continues to advance policies aimed at reshoring critical industries, Congress should cement these reforms into law. Doing so would ensure that future administrations cannot simply reverse course with the stroke of a pen.
Several regions are well-positioned to help. States like Indiana and North Carolina are proven pharmaceutical manufacturing hubs. Meanwhile, the U.S. territory of Puerto Rico — often referred to as “America’s Medicine Cabinet” — is already a major producer of popular medicines and is poised to grow further.
The Island has infrastructure tailored specifically to pharmaceutical production — from FDA-regulated facilities to export-ready logistics networks and a workforce with the technical expertise necessary to expand high-value biologics. Earlier this year, for example, the American drugmaker Amgen unveiled a $300 million commitment to grow its footprint in Puerto Rico.
For Florida, Puerto Rico’s success is more than a national economic issue — it’s a regional opportunity. As the closest state to the Island and home to one of the nation’s largest Puerto Rican populations, the Sunshine State is uniquely positioned to benefit from deeper economic integration with Puerto Rico’s manufacturing sector.
Florida’s senior leader is right to raise concerns about America’s dependence on China for critical goods like medicine. Smart policymaking from Congress combined with Puerto Rico’s biotech competency can help to wean the U.S. off Beijing. Energy supply disruptions are bad, but being cut off from lifesaving medicines would be even worse.
James Bowers is the executive director of Opportunity Puerto Rico, which promotes investment in the American territory.