01
Demand
Orders, not grants.
Why capital grants produced factories but not a domestic PPE industry, and why multi-year offtake is the instrument that works.
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Positions, in one page each.
Short policy briefs on what it would take to make medical manufacturing in the United States last: demand, trade, reimbursement, procurement and preparedness.
02
Trade
Finish the Section 232 investigation.
The national-security trade investigation into PPE opened in September 2025. A determination paired with offtake would give U.S. producers something they can finance.
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03
Trade
Tariffs that close the market.
China-only duties shifted glove imports to Malaysia and Vietnam. Origin-neutral measures are what change where gloves are made.
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04
Reimbursement
Pay hospitals to buy American.
Hospitals choose PPE on price. A Medicare payment adjustment for domestically made gloves, gowns and respirators changes that math where purchasing decisions are made.
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05
Procurement
Publish the demand signal.
The hardest part of building domestic capacity was never the engineering. It was not knowing what the government would need in eighteen months. A published, recurring forecast changes that.
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06
Preparedness
Rotate the stockpile.
Pay domestic makers to keep surge capacity warm, rotate inventory through commercial channels so nothing expires on a shelf, and back it with multi-year commitments.
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