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COVID-19: Tax Policy Options to Address

Medical Supply Chain Concerns



November 20, 2020
The outbreak of Coronavirus Disease 2019 (COVID-19) in the United States has drawn attention to the
ways in which the U.S. economy depends on global manufacturing and supply chains. Many Members of
Congress have expressed a strong interest in responding to U.S. shortages ofmedical supplies-
particularly personal protective equipment (PPE) and pharmaceuticals-as the United States steps up
efforts to contain and counter COVID-19.
This Insight summarizes the current state of U.S. reliance on foreign medical supplies and identifies
potential tax policy options Congress may consider to encourage domestic production of certain medical
goods. Changes to tax policies in combination with other economic policies and market forces could
encourage domestic production, particularly for companies that are already looking to reshore
manufacturing or diversify existing supply chains.

Current  State of Reliance on Foreign  Medical  Suppliers

There is currently no definitive assessment of the degree to which the United States is dependent on
imports in industries considered by some policymakers to be essential to U.S. public health and national
security. Gaps in data on U.S. domestic industry and trade make determining the degree of U.S. import
dependence in particular product categories difficult, as the U.S. government does not track domestic
production of specific, individual items by quantity or value. CRS estimates based on government surveys
of U.S. manufacturers and U.S. trade statistics, however, suggest that the United States seems to be
heavily dependent on imports in certain product categories, particularly biological products such as
vaccines (Figure 1).










                                                             Congressional Research Service
                                                               https://crsreports.congress.gov
                                                                                 IN11536

CRS  NSIGHT
Prepared for Membersand
Commi res ao Cong- ress----------------------------------------------- ----------------------------------------

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