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China Rx: Exposing the Risks of America's Dependence on China for Medicine Paperback – March 15, 2022

by Rosemary Gibson (Author)

4.7 606 ratings

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With a New Epilogue by co-author Rosemary Gibson.

Millions of Americans are taking prescription drugs made in China and don't know it--and pharmaceutical companies are not eager to tell them. This is a disturbing, well-researched wake-up call for improving the current system of drug supply and manufacturing.Several decades ago, penicillin, vitamin C, and many other prescription and over-the-counter products were manufactured in the United States. But with the rise of globalization, antibiotics, antidepressants, birth control pills, blood pressure medicines, cancer drugs, among many others are made in China and sold in the United States. China's biggest impact on the US drug supply is making essential ingredients for thousands of medicines found in American homes and used in hospital intensive care units and operating rooms. The authors convincingly argue that there are at least two major problems with this scenario. First, it is inherently risky for the United States to become dependent on any one country as a source for vital medicines, especially given the uncertainties of geopolitics. For example, if an altercation in the South China Sea causes military personnel to be wounded, doctors may rely upon medicines with essential ingredients made by the adversary. Second, lapses in safety standards and quality control in Chinese manufacturing are a risk. Citing the concerns of FDA officials and insiders within the pharmaceutical industry, the authors document incidents of illness and death caused by contaminated medications that prompted reform. This probing book examines the implications of our reliance on China on the quality and availability of vital medicines.

Editorial Reviews

Review

Praise for the Hardcover Edition:

“Alarming…. Readers will want to do more due diligence on the provenance of the drugs in their home medicine cabinets.”

—Booklist

“Readers with concerns about the political and health ramifications of imported medicine will be well served…. Recommended for anyone who takes medication.”

—Library Journal

""A must-read for everyone who takes, makes, regulates, or sells a prescription drug or an over-the-counter medicine. China Rx is a heroic and critical exploration into one of the greatest threats to both our national and health securities. China literally holds the health of much of the world in its business-driven hands. This is scarier than a Stephen King novel.”―Michael T. Osterholm, Regents Professor, University of Minnesota, and author of Deadliest Enemy: Our War against Killer Germs “In this alarming exposé, Gibson and Singh explain why the fact that the U.S. no longer makes penicillin and China supplies most of the ingredients in today's prescription drugs is such a big problem and a threat to national security.... Readers will want to do more due diligence on the provenance of the drugs in their home medicine cabinets.”―Booklist“China Rx describes a major threat to the strategic position of the United States in the world, a matter affecting this country's health and its economic and social well-being. This book reveals how the loss of the manufacturing capability and control of the supply of critical medicines, and their component ingredients, endangers the medical future of the American public while also posing a serious threat to our economy as well. The authors prescribe what must be done to remedy this major deficiency in our nation's public health infrastructure.”―Edwin Meese III, 75th United States attorney general “China Rx exposes the scary truth that a great number of prescription drugs and over-the-counter medicines in the United States have ingredients from China. There should be tougher import standards, a requirement for pharmaceutical companies to label a drug's origins, and a reversal of US dependence on China.” ―Jim Guest, former president, Consumer Reports“Everyone who has ever taken a pill needs to read this book. The American people won't be happy when they find out that many of the medicines they rely on are being made in China where regulations aren't enforced and/or documents are falsified.”―Leo W. Gerard, international president, United Steelworkers“Rosemary Gibson and Janardan Prasad Singh do an outstanding job of guiding the reader through the inherent risk to the United States to become dependent on any one country, such as China, as a source for vital medicines, and the risks from weak enforcement of safety standards and quality control by foreign manufacturers.”―Maj. Gen. Larry J. Lust, US Army (ret.)“A compelling book that reveals America's troubling dependence on China for essential medicines and the pattern in US-China trade where intellectual property and value-added production are shifted to China to the detriment of US workers, businesses, national security, and the health of our citizens.”―Daniel Slane, commissioner, US-China Economic and Security Review Commission "A wake-up call for the public and policy makers to bring drug manufacturing home, safeguard American jobs, and strengthen national security.”―Scott N. Paul, president, Alliance for American Manufacturing“The authors tell how the institutions we trust have sold out to China and thrown American patients under the bus! As a quality professional, I am appalled that so many people care more about cost than the quality of our medicines. China Rx would make a great suspense thriller movie.” ―Martin VanTrieste, former chief quality officer, Amgen

About the Author

Rosemary Gibson has been credited with creating national movements for safer, more humane health care. Her first book, Wall of Silence, with co-author Janardan Prasad Singh, put a human face on medical mistakes, launching a national campaign to improve the safety of America's health care. Gibson worked with Bill Moyers on the PBS documentary On Our Own Terms. She is a recipient of the Lifetime Achievement Award from the American Academy of Hospice and Palliative Medicine and is also the founding editor of a narrative series in the Journal of the American Medical Association (JAMA) Internal Medicine. She is senior advisor at the Hastings Center and the 2014 winner of the highest honor from the American Medical Writers Association. She is also the author, with Janardan P. Singh, of three other books on health care.

Janardan Prasad Singh is economic advisor at the World Bank. He designs strategies to strengthen economic development, health care, global trade, and national security for countries around the world. He has served as an advisor to prime ministers of India on national security affairs. Formerly, he was a member of the Board of Contributors of the Wall Street Journal.

Product details

Publisher ‏ : ‎ Prometheus (March 15, 2022)
Language ‏ : ‎ English
Paperback ‏ : ‎ 314 pages
ISBN-10 ‏ : ‎ 1633886417
ISBN-13 ‏ : ‎ 978-1633886414
Item Weight ‏ : ‎ 2.31 pounds
Dimensions ‏ : ‎ 6 x 0.79 x 9 inches

Best Sellers Rank: #275,812 in Books (See Top 100 in Books)
- #1,281 in Industries (Books)
- #1,371 in International & World Politics (Books)
- #23,291 in Health, Fitness & Dieting (Books)

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4.7 606 ratings

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Customers find the book easy to read and well-documented. They find the information informative, interesting, and factual. However, some readers find the content disturbing and shocking, which serves as a wake-up call for patriotic Americans.

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23 customers mention "Readability"23 positive0 negative

Customers find the book easy to read and well-documented. They appreciate the author's clear writing style and great information.

"...It is a fast read, a good read, and vital information for us all. Her research is excellent." Read more

"...This book is true and STUNNING! You should definitely read it. It's a quick read and includes lots of very good information...." Read more

"...This was a really good read. All of the generic drugs or active pharmaceutical ingredients are made in China now...." Read more

"...A very good read!" Read more

21 customers mention "Information content"21 positive0 negative

Customers find the book informative and well-researched. They appreciate the entertaining presentation of relevant details. The content is timely and revealing, with excellent analysis that demonstrates the need for a new pharmaceutical system. The book keeps readers interested with good storytelling.

"...It was written before the pandemic, but it contains vital information that every American would want to know...." Read more

"...This book is true and STUNNING! You should definitely read it. It's a quick read and includes lots of very good information...." Read more

"...Risks of America's Dependence on China for Medicine is a timely and informative book...." Read more

"...In this superbly researched book, we soon realize that in our current world with its long supply chains, we should be suspicious of every..." Read more

8 customers mention "Scariness level"8 positive0 negative

Customers find the book disturbing and shocking. They say it's a wake-up call for patriotic Americans.

"...Very scary information. Note I read this before the Covid epidemic and I was concerned then...." Read more

"...They can destroy us without firing a shot. This is truly alarming information." Read more

"Shocking. A real wake-up call for every patriotic American..." Read more

"...It gives a frightening senerio. One that could easily happen during our current germ experience." Read more

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Top reviews from the United States

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DesertDweller
A must read!
Reviewed in the United States on May 5, 2020
Verified Purchase
If you really want to know what to learn from the coronavirus pandemic, then read this book. It was written before the pandemic, but it contains vital information that every American would want to know. Did you know that we make NO aspirin in the USA, or that our drugs made in China are made in unsanitary conditions? And that so many of our vital active ingredients in drugs are Chinese products, which can either be cut off from us at a whim? That some timed-release pills engage immediately and some too late? It is a fast read, a good read, and vital information for us all. Her research is excellent.

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3 people found this helpful

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Sooz
A GREAT BOOK
Reviewed in the United States on March 15, 2021
Verified Purchase
This book is stunning. We had no idea how things were/are with China and this book makes it very clear. I used to work in the medical technology field and was well aware of what was happening in our pharmaceutical industry. This book is true and STUNNING! You should definitely read it. It's a quick read and includes lots of very good information. I only wish there were good suggestions for what a regular person could do about this disaster.

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2 people found this helpful

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Debra Omiatek,MD
Medicine Made in China
Reviewed in the United States on February 7, 2020
Verified Purchase
Corporate America was unsuccessful initially in its attempts to make the kitchen medical field into a business that they could buy and sell. Health insurance was nonprofit, the patients came first, all the doctors took care of their share of charity cases. Hospitals were reimbursed for providing care to the indigent. Then Corporate America took over insurance companies and made them for profit. Everyone bought into it. Then rationing started to reduce the loss of profits. Tests needed preauthorization. Then drug costs were too high, how dare Americans want Brand name drugs. The Government bought into the idea to save money. Initially, generic drugs were voluntary. Then incentives were given. Then doctors and patients were penalized for not using generics. Now Corporate America finds it to expensive to even make generic drugs. They would rather leave it to a Communist Country where no one is accountable. Standards are nonexistent in China. A Country that wants to rule the world, now makes drugs for the United States and the rest of the world. When the fox is watching the hen house who is safe. The US Government promises the American People Health and Education but is unwittingly taking it away. Good manufacturing jobs and technology go to China. Basic medications to keep the Citizens healthy are made in China. Heparin that kills people in the hospital instead of protecting them is the same as gunning a US citizen down in the street, it's a Black OP and a small battle in a war. Corporate America gets invited into China and then thrown out. Take a hint and protect your home. American Made is the standard. Made in China is a knockoff. This book is right on the money. Every one should read this book.

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23 people found this helpful

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Greg
Timely and Important
Reviewed in the United States on April 25, 2020
Verified Purchase
"Without question, if China stopped exporting ingredients, within months the world's pharmacies would be pretty empty."

--Guy Villax, Portuguese pharmaceutical executive

China Rx: Exposing the Risks of America's Dependence on China for Medicine is a timely and informative book. American dependence on China extends to a wide range of medicines. The recipients of these drugs include the general public and the U.S. military. As China is the sole producer of the active ingredient in many medications, the medicine supply of America (and the world) is potentially at risk.

In 1984, President Reagan signed into law the Drug Price Competition and Patent Term Restoration Act. The law made generic drugs possible after the expiration of the patent on a brand name drug. The law made cheaper drugs possible, but it also introduced the need for "a cheaper way to make them. China was a perfect place to buy active ingredients to make America's medicines because of its surfeit of chemists, cheap labor, and virtually nonexistent safety and environmental regulations."

In 2000, the U.S. granted China permanent normal trading status, making possible China's dominance in the world drug market for generics. Previously, Congress had to "vote every year to extend trade status to China." Despite widespread opposition, the bill prevailed with the help of corporate pressure, the support of former secretaries of state, and the support of President Clinton, who assured the public that the legislation would give America "valuable new safeguards against any surges of imports from China."

To gain control of the market for medicine, China followed a strategy of dumping low-priced ingredients on the world market, thereby driving other companies out of business. With the promise of access to the Chinese market, China also lured American drug manufacturers to produce in China. In exchange, China gained American intellectual property and created Chinese competitors using this property, quickly gaining market share over American companies in China.

The result was that China became the primary provider of a wide variety of generic drugs or their active ingredients. These include medicines for high blood pressure, heparin (blood thinner), doxycycline (an antibiotic), and medications used to treat cancer, HIV/AIDS, Alzheimer's disease, and epilepsy.

Perhaps most troubling is that China produces vancomycin, "a treatment of last resort against multi-drug-resistant bacteria," otherwise known as "superbugs." Also, "China is the largest global exporter" of ciprofloxacin, a drug used to treat exposure to anthrax.

The book closes with several helpful recommendations. Among these is the idea that medicine should be treated in the same way as food supply and energy. It should be a national priority and a national security issue. Reliance on any one country for medicine, especially China, is to court disaster.

Highly recommended current issue book.

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13 people found this helpful

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Top reviews from other countries

JGB
Information you might not want to know
Reviewed in the United Kingdom on August 14, 2023
Verified Purchase
Opens up the outsourcing of things you might think should be manufactured to our quality control’s when in reality it’s been passed over to whoever can make them cheaply.
Very interesting read and if you’re a suspicious person will probably confirm your suspicions.

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C. French
Do you know how and where your drugs are made? Essential read!
Reviewed in Canada on September 26, 2018
Verified Purchase
Found this to be quite in depth and illuminating. If you or family members have taken or are taking Pharma drugs you will want to know what’s really going on. The story is well presented and easy to digest.

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One person found this helpful
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Johan
Eye Opening
Reviewed in Spain on April 4, 2020
Verified Purchase
Eye opening this book on the US dependence on Chinese made medicines and medical supplies.
Must read for those ordinary Americans and those working for the FDA.
The 10 action points in the last chapter are critical for American national security.

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Michael Salewicz
what an expose!
Reviewed in Australia on March 12, 2023
Verified Purchase
this book rocks - shocking and untold expose of what happened to national medication fabrication - decimated by the WEF and Gates and mates: profit at all cost: the pandemic spotlight was preempted by the author! and a sharp wake up

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