For example, in the production of active ingredients, Europe’s market share by value has slumped. While it exceeded 80% at the end of the 1990s, it had fallen to 48% by 2014. “Today, it’s closer to 30%, and it’s likely to drop further,” noted Vincent Touraille, president of SICOS, France’s union of players in the organic chemistry and biochemistry industries. Meanwhile, China and India have soared to reach respective market shares of 35% and 20%.
A study conducted by German generic drug industry association Pro Generika found that at least three commonly used antibiotics – doxycycline, clarithromycin and cefaclor – now have only one or two manufacturers left in Europe. More broadly, 80% of the active ingredients in medicines consumed on the continent now come from India or China.



As far as I understand, it seems quite clear what measures Europe (and its allies) should take at least regarding China seeking partnerships with Western laboratories to maintain independence in this innovative medicines. Europe should collaborate in these sensitive areas with like-minded democracies rather than autocracies known for bullying others as soon as they think it is advantageous to them and to them alone.