![](https://fas.org/wp-content/uploads/2023/04/14d834_96b16ca6f4a74a89b8b27bded68cc23f-mv2-scaled.jpg)
Building Medical Supply Chain Resilience through a U.S. Manufacturing Reserve and Digital Stockpile
Summary
To prevent another medical supply chain breakdown like the one experienced during the COVID-19 pandemic, the Federal Government must create an emergency response plan to activate domestic, local medical supply manufacturing. A national network of small-to-mid-size manufacturers and prototyping labs — a U.S. Prototyping and Manufacturing Reserve — should be formalized and incentivized to act as first responders for emergency innovation and medical supply manufacturing needs.
To properly equip the Reserve, the Federal Government should build a comprehensive library of open source medical and emergency supply “blueprints” — a U.S. Digital Stockpile — that consists of manufacturing requirements to enable distributed local emergency production. Combined, these new national security resources will facilitate rapid local response to both regional disasters and international supply chain disruptions.
In an industry with such high fixed costs, the Chinese state’s subsidization gives such firms a great advantage and imperils U.S. competitiveness and national security. To curtail Chinese legacy chip dominance, the United States should weaponize its monopoly on electronic design automation software.
The technical advances fueled by leading-edge nodes are vital to our long-term competitiveness, but they too rely on legacy devices.
To tackle AI risks in grant spending, grant-making agencies should adopt trustworthy AI practices in their grant competitions and start enforcing them against reckless grantees.
As people become less able to distinguish between what is real and what is fake, it has become easier than ever to be misled by synthetic content, whether by accident or with malicious intent. This makes advancing alternative countermeasures, such as technical solutions, more vital than ever before.